Addressing the relationship between cardiac hypertrophy and ischaemic stroke: an observational study

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Chaturaka Rodrigo1, Sajitha Weerasinghe, Vijayabala Jeevagan

  • 1Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka. chaturaka.rodrigo@gmail.com.

International Archives of Medicine
|December 18, 2012
PubMed

Insights

Left ventricular hypertrophy (LVH) is a significant risk factor for stroke. This study found a high prevalence of LVH in Sri Lankan patients with ischemic stroke, indicating a need for screening evaluations.

Area of Science:

  • Cardiology
  • Neurology
  • Medical Imaging

Background:

  • Left ventricular hypertrophy (LVH) is an established risk factor for major cardiovascular events, including stroke.
  • Echocardiography provides a viable method for assessing LVH, complementing cardiac MRI.

Purpose of the Study:

  • To determine the prevalence of LVH in patients presenting with ischemic stroke in Sri Lanka.
  • To quantify LVH using echocardiography in a Sri Lankan cohort.

Main Methods:

  • A prospective, hospital-based study was conducted at the National Hospital of Sri Lanka over six months.
  • Echocardiography was used to assess left ventricular mass index in patients with ischemic stroke.

Main Results:

  • Out of 55 ischemic stroke patients, 38 had their height and weight measured for LVH assessment.
  • A high prevalence of LVH was observed, with 76.3% of evaluated patients having LVH, and 50% exhibiting severe hypertrophy.

Conclusions:

  • The study highlights a significantly high prevalence of LVH among Sri Lankan ischemic stroke patients.
  • Given LVH's role in stroke and available treatments, population screening cost-effectiveness warrants evaluation.
Abstract

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