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[Ischemic stroke. Prevalence of cardiovascular causes documented by an extensive cardiovascular workup in 110

L Bendriss1, A Khatouri

  • 1Service de cardiologie, hôpital militaire Avicenne, Marrakech, Maroc. lailabendriss02@gmail.com

Annales De Cardiologie Et D'Angeiologie
|May 26, 2012
PubMed

Insights

Cardiovascular diseases are frequent in ischemic cerebrovascular accident (ICVA) survivors, highlighting the importance of cardiac assessment for stroke etiology. Echocardiography is particularly useful in identifying cardiogenic causes.

Area of Science:

  • Cardiology
  • Neurology
  • Vascular Medicine

Context:

  • Ischemic cerebrovascular accidents (ICVA) are often linked to atherosclerosis and embolic cardiopathies.
  • Understanding the prevalence of cardiovascular diseases in ICVA patients is crucial for etiological investigation.

Purpose:

  • To determine the frequency of cardiovascular diseases in patients with a history of ICVA.
  • To evaluate the utility of cardiovascular assessment in identifying the causes of ICVA.

Summary:

  • A retrospective study of 110 ICVA patients revealed a high prevalence of cardiovascular risk factors (hypertension, diabetes, smoking).
  • Cardiovascular antecedents, particularly atrial fibrillation, were noted in 18.2% of patients.
  • Carotid atherosclerosis was prevalent (74 cases), and transesophageal echocardiography identified left atrial thrombi in 4 patients and a myxoma in one.

Impact:

  • Penetrating artery disease (39%), large artery atherosclerosis (28%), and cardiogenic stroke (18%) were identified as primary causes.
  • Cardiovascular assessment, especially echocardiography, is indispensable for determining ICVA etiology, particularly in cases with suspected cardiopathy.
  • The therapeutic implications of this assessment, while significant for diagnosis, showed a modest impact on immediate treatment strategies.
Abstract

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