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Latent cardiac dysfunction as assessed by echocardiography in bed-bound patients following cerebrovascular accidents:

Hisashi Masugata1, Shoichi Senda, Fuminori Goda

  • 1Department of Integrated Medicine, Faculty of Medicine, Kagawa University, Kagawa, Japan.

International Heart Journal
|September 11, 2007
PubMed

Insights

Bed-bound stroke survivors show latent cardiac dysfunction and poor nutrition. The Tei index, a measure of cardiac function, was higher in bed-bound patients, indicating potential heart issues.

Area of Science:

  • Cardiology
  • Neurology
  • Geriatrics

Background:

  • Cerebrovascular accidents (stroke) can lead to long-term immobility.
  • Assessing cardiac function in immobilized post-stroke patients is crucial for their overall health management.
  • Activities of Daily Living (ADL) status can reflect the severity of post-stroke disability.

Purpose of the Study:

  • To investigate cardiac function in bed-bound patients after stroke.
  • To compare cardiac function across different mobility levels (house-bound, chair-bound, bed-bound) in post-stroke patients.
  • To identify potential indicators of cardiac dysfunction in severely immobilized individuals.

Main Methods:

  • Echocardiography was used to assess left ventricular (LV) diastolic and systolic function.
  • Key echocardiographic parameters included E/A ratio, LV ejection fraction (LVEF), and the Tei index.
  • Patients were categorized into house-bound (Rank A), chair-bound (Rank B), and bed-bound (Rank C) based on ADL criteria.

Main Results:

  • No significant differences were found in E/A ratio or LVEF among the groups.
  • The Tei index was significantly higher in the bed-bound (Rank C) group compared to the house-bound (Rank A) group.
  • Bed-bound patients exhibited significantly lower serum albumin and hemoglobin levels, suggesting poor nutritional status.

Conclusions:

  • Bed-bound patients post-stroke may have latent cardiac dysfunction.
  • The Tei index appears to be a sensitive indicator of cardiac dysfunction in bed-bound patients, independent of loading conditions.
  • Poor nutritional status is associated with severe immobility in post-stroke patients.

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