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[Course of ischemic heart disease in patients who have sustained a stroke]
Insights
Patients with acute brain circulation impairment often have undetected coronary heart disease (CHD). Impaired coronary circulation during stroke correlates with the future progression of CHD.
Area of Science:
- Cardiology
- Neurology
Context:
- Cardiovascular system assessment in patients with acute brain circulation impairment.
- Focus on the prevalence and manifestation of coronary heart disease (CHD) in this patient cohort.
- Comparison between patients with and without pre-existing CHD.
Purpose:
- To investigate the cardiovascular state over time in patients post-acute brain circulation impairment.
- To identify the presence and impact of coronary heart disease (CHD) in patients experiencing cerebral stroke.
- To establish correlations between coronary circulation status during stroke and the subsequent course of CHD.
Summary:
- 171 patients with acute brain circulation impairment were studied; 135 had coronary heart disease (CHD) and 35 did not.
- Most study group patients had minimal clinical CHD signs during acute cerebral stroke, but 52.2% had compromised coronary circulation and 47.5% had rhythm/conductivity disorders.
- Impaired coronary circulation during acute cerebral stroke was linked to a worse subsequent CHD progression.
Impact:
- Highlights the importance of evaluating cardiovascular health in stroke patients.
- Suggests that subclinical coronary issues during stroke may predict future cardiac events.
- Informs clinical practice regarding risk stratification and management of stroke patients with potential underlying heart disease.
Abstract:
The state of the cardiovascular system was studied over time in 171 patients with a history of acute impairment of the brain circulation; 135 of them were suffering from coronary heart disease (CHD) (the study group) and 35 patients were free of CHD (the control group). The majority of the study group patients showed little if any clinical manifestations of CHD in the acute period of cerebral stroke. Five (3.7%) patients displayed small focal myocardial infarction on the ECG, two showed focal dystrophy of the myocardium, 71 (52.2%) patients had compromised coronary circulation and 47.5% of the patients had various disorders of rhythm and conductivity. The impairment of the coronary circulation in the acute period of cerebral stroke was shown to correlate with a subsequent course of CHD.