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A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
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High blood viscosity in acute ischemic stroke.
Jihoon Kang1, Ju Seok Oh2, Beom Joon Kim1
1Department of Neurology, Cerebrovascular Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Frontiers in Neurology
|December 18, 2023
Summary
Elevated blood viscosity is linked to ischemic stroke. Measuring blood viscosity upon hospital arrival may help distinguish ischemic stroke from stroke mimics.
Area of Science:
- Biomedical Engineering
- Neurology
- Hematology
Background:
- Blood viscosity influences shear stress at vessel walls.
- Limited evidence exists on blood viscosity's impact on thrombogenesis and acute stroke.
- Investigating blood viscosity's role in stroke is crucial.
Purpose of the Study:
- To investigate the effect of blood viscosity on stroke.
- To assess the clinical utility of immediate blood viscosity measurements in suspected stroke patients.
Main Methods:
- Enrolled patients with suspected stroke within 24 hours of symptom onset.
- Used point-of-care testing for blood viscosity measurements before fluid infusion.
- Compared blood viscosity in ischemic stroke, hemorrhagic stroke, and stroke mimic groups.
Main Results:
- Blood viscosity was significantly higher in ischemic stroke patients (24.2 cP) compared to stroke mimics (17.8 cP) at 10 rad/sec (p < 0.001).
- This difference was consistent across multiple oscillatory frequencies.
- The area under the receiver operating curve for differentiating stroke from mimics was 0.79.
Conclusions:
- Ischemic stroke is associated with increased whole blood viscosity.
- Blood viscosity measurements show potential clinical utility in differentiating ischemic stroke from other conditions.
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