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Evaluation of Cardiac Complications Following Hemorrhagic Stroke Using 5-Year Centers for Disease Control and

Chun-Yu Cheng1,2,3,4, Chia-Yu Hsu5,6, Ting-Chung Wang7,8

  • 1Department of Neurosurgery, Chang Gung Memorial Hospital, Chiayi 61363, Taiwan. chuntoo@gmail.com.

Journal of Clinical Medicine
|December 20, 2018
PubMed

Insights

Cardiac death is common in hemorrhagic stroke patients, with myocardial infarction and arrhythmias being significant causes. Females and the elderly are at higher risk, requiring closer monitoring.

Area of Science:

  • Cardiology
  • Neurology
  • Public Health

Background:

  • Cardiac complications following stroke are understudied, particularly in hemorrhagic stroke.
  • Understanding cardiac death incidence and risk factors in hemorrhagic stroke is crucial for patient outcomes.

Purpose of the Study:

  • To determine the incidence and risk factors of cardiac death in patients with hemorrhagic stroke.
  • To compare cardiac death rates between hemorrhagic and ischemic stroke populations.

Main Methods:

  • Utilized the CDC Wide-ranging Online Data for Epidemiologic Research (WONDER) database.
  • Analyzed death certificates from 2006-2010, identifying hemorrhagic stroke (ICD-10 I60-62) and ischemic stroke (ICD-10 I63).
  • Evaluated the frequency of myocardial infarction (ICD-10 I20-25) and arrhythmias (ICD-10 I44-45, I47-49) as causes of death.

Main Results:

  • Over 224,000 hemorrhagic stroke death certificates were identified.
  • Myocardial infarction (MI) was the cause of death in 8.95% and arrhythmia in 7.28% of hemorrhagic stroke patients.
  • Cardiac death incidence was lower in hemorrhagic stroke compared to ischemic stroke, but higher for arrhythmias in hospitalized patients.

Conclusions:

  • A significant proportion of hemorrhagic stroke deaths are cardiac-related.
  • Females and the elderly represent high-risk groups requiring focused monitoring.
  • Further research and clinical attention are needed for cardiac complications in hemorrhagic stroke.

Keywords:
arrhythmiascardiac complicationsdeath certificateshemorrhagic strokemyocardial infarction

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