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[The heart of the old hemiplegic patient (author's transl)]
Insights
This study examines heart conditions in elderly hemiplegic patients, finding that pre-existing heart issues are common and that rehabilitation positively influences cardiac function.
Area of Science:
- Cardiology
- Neurology
- Geriatrics
Context:
- Hemiplegic patients often experience pre-existing heart conditions, frequently preceding a stroke.
- Hypertension and left ventricular hypertrophy are significant factors, potentially leading to heart failure.
Purpose:
- To investigate the cardiac implications in elderly hemiplegic patients.
- To analyze the occurrence of heart troubles during stroke events.
- To evaluate the impact of rehabilitation on cardiac function.
Summary:
- Approximately 80% of hemiplegic patients have pre-existing heart conditions, with hypertension and left ventricular hypertrophy playing key roles.
- Strokes, particularly subarachnoid hemorrhages, can induce severe electrocardiographic anomalies.
- Cardiac monitoring during rehabilitation reveals increased extrasystoles and repolarization changes, though these typically do not impede recovery.
Impact:
- Systematic rehabilitation positively influences cardiac function in hemiplegic patients.
- Understanding these cardiac aspects is crucial for comprehensive stroke patient management and recovery.
Abstract:
The heart of the old hemiplegic patient is examined as follows: 1. The preapoplectic situation of the heart which often induces in a conclusive manner the beginning of a stroke, 2. the occurrence of heart troubles with the stroke itself and 3. the influence of rehabilitation measures and the heart function. Preexistent heart troubles are very frequent (in ca. 80%). Thereby the hypertension with a left ventricular hypertrophy and later with heart failure play an important role. The stroke itself especially in subarachnoidal bleedings can cause severe electrocardiographic anomalies. The telemetric controlled heart shows specially while rehabilitation more extrasystoles and alterations of repolarisation but usually do not impair the rehabilitation. With a systematic rehabilitation (training) the heart is most favourably influenced.