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Analysis of echocardiographic parameters of cardiac function in patients with acute stroke

Anetta Lasek-Bal1, Amadeusz Żak2, Piotr Pysz3

  • 1Department of Neurology, School of Health Sciences, Medical University of Silesia in Katowice, Poland. abal@sum.edu.pl.

Neurologia I Neurochirurgia Polska
|March 12, 2019
PubMed

Insights

Left ventricular systolic/diastolic dysfunction (LVSD) and low ejection fraction (EF) in stroke patients worsen neurological and functional outcomes. Lower EF and older age predict poor functional status one month post-stroke.

Area of Science:

  • Cardiology
  • Neurology
  • Echocardiography

Background:

  • Cardiologic diagnostics are crucial for identifying heart disease as a potential cause of stroke.
  • Left ventricular systolic/diastolic dysfunction (LVSD) and low ejection fraction (EF) are common in stroke patients.
  • Understanding their impact on neurological and functional status is vital for patient management.

Purpose of the Study:

  • To evaluate the effect of low ejection fraction (EF) and left ventricular systolic/diastolic dysfunction (LVSD, LVDD) on neurological state on day 1 of stroke.
  • To assess the impact of these cardiac conditions on post-stroke functional status at 30 days.
  • To identify predictors of poor functional status after stroke.

Main Methods:

  • A prospective study involving 162 stroke patients (mean age 74 years).
  • Analysis included neurological state on day 1, transthoracic echocardiography results, and functional status at 30 days.
  • Statistical analysis identified independent factors affecting stroke outcomes.

Main Results:

  • Worse neurological state on day 1 was observed in patients with LVSD.
  • Reduced EF was associated with significantly worse functional status at 30 days.
  • Independent predictors for poor functional status included lower EF and older age.

Conclusions:

  • Approximately 25% of acute stroke patients exhibit LVSD and/or LVDD.
  • LVSD negatively impacts both acute neurological status and short-term functional recovery.
  • Lower EF and advanced age are significant predictors of poor functional status one month post-stroke.
Abstract

Keywords:
cardiac dysfunctionfraction ejectionmRankinstroke

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