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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Factors Associated with Cheyne-Stokes Respiration in Acute Ischemic Stroke
Yuna Kim1, Seongheon Kim2,3, Dong Ryeol Ryu4
1School of Medicine, Kangwon National University, Chuncheon, Korea.
Journal of Clinical Neurology (Seoul, Korea)
|September 11, 2018
Summary
Cheyne-Stokes respiration (CSR) in acute stroke patients is linked to large artery atherosclerosis or cardioembolism. Predisposing factors like prior disability and heart issues are associated with CSR development.
Area of Science:
- Neurology
- Cardiology
- Sleep Medicine
Background:
- Cheyne-Stokes respiration (CSR) is common in acute stroke patients.
- Associations between CSR and stroke lesion characteristics remain debated.
Purpose of the Study:
- To clarify the clinical relevance and pathogenesis of CSR in acute ischemic stroke.
- To identify factors associated with CSR in stroke patients.
Main Methods:
- Investigated 182 acute ischemic stroke patients undergoing overnight sleep apnea testing.
- Collected demographic, clinical, and sleep apnea data.
- Utilized multivariate logistic regression to identify CSR predictors.
Main Results:
- CSR was present in 35 patients.
- Associated factors included large-artery atherosclerosis/cardioembolism, bilateral hemispheric involvement, atrial fibrillation, low left-ventricle ejection fraction (LVEF), and left atrium (LA) enlargement.
- Multivariate analysis confirmed previous mRS score, bilateral hemispheric involvement, low LVEF, and LA enlargement as significant predictors of CSR.
Conclusions:
- CSR frequently occurs in large artery or cardioembolic strokes, irrespective of lesion location/severity.
- Preexisting conditions like neurologic disability, low LVEF, and LA enlargement predispose patients to CSR in acute stroke.
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