Cardiac Function and Short-Term Outcome in Patients with Acute Ischemic Stroke: A Cross-Sectional Study

Tiffany L Mathias1, Karen C Albright1, Amelia K Boehme1

  • 1Stroke Program, Department of Neurology, Tulane University Hospital, New Orleans, LA 70112 (TLM, DM, AJG, EJ, SMS); Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35249 (KCA, AKB); Health Services and Outcomes Research Center for Outcome and Effectiveness Research and Education (COERE) (KCA); Center of Excellence in Comparative Effectiveness Research for Eliminating Disparities (CERED) Minority Health & Health Disparities Research Center (MHRC) (KCA); Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35249 (TMB).

Journal of Cardiovascular Disease
|February 25, 2014
PubMed

Insights

Low left ventricular ejection fraction (LVEF) in ischemic stroke patients was not significantly linked to poorer short-term functional outcomes after accounting for other factors. Further research is needed to fully understand this relationship.

Area of Science:

  • Cardiology
  • Neurology
  • Medical Research

Background:

  • Limited research exists on the association between left ventricular ejection fraction (LVEF) and functional outcomes in ischemic stroke patients.
  • Understanding factors influencing stroke recovery is crucial for patient management.

Purpose of the Study:

  • To investigate if a reduced LVEF is associated with functional outcomes in patients following an ischemic stroke.
  • To identify potential predictors of functional recovery after ischemic stroke.

Main Methods:

  • A cross-sectional study analyzed 590 ischemic stroke patients.
  • Left ventricular ejection fraction (LVEF) was assessed via echocardiography and categorized into normal, moderately low, and severely low groups.
  • Statistical analyses included Chi-square, Wilcoxon rank sum, and logistic regression, adjusting for age, NIH Stroke Scale, and glucose levels.

Main Results:

  • 79.8% of patients had normal LVEF, 10.8% moderately low, and 9.3% severely low.
  • Initially, severely low LVEF appeared linked to poorer functional outcomes (26% vs. 40-45%, p=0.028).
  • This association was not statistically significant after adjusting for covariates (OR 0.6, 95% CI 0.3-1.3, p=0.216).

Conclusions:

  • Low LVEF was not found to be an independent predictor of short-term functional outcomes in ischemic stroke patients.
  • The study highlights the complexity of factors influencing stroke recovery.
  • Further investigation into cardiac function and stroke outcomes is warranted.

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