Share This Article:

Effect of Heart Failure on Acute Ischemic Stroke Severity

Full-Text HTML XML Download Download as PDF (Size:2531KB) PP. 103-107
DOI: 10.4236/ojmi.2014.43014    2,448 Downloads   2,771 Views  

ABSTRACT

Objectives: To assess the impact of heart failure diseases on stroke severity and short term (1 month mortality). Materials and Methods: Totally, 200 patients admitted to Ain Shams university specialized hospital, were diagnosed clinically to have acute ischemic stroke within 3 days. History taking about previous heart disease was taken, and full general and neurological examinations were done. Full metabolic profile, cardiac examination and investigations were done. Carotid duplex, MRI stroke protocol and lastly clinical reevaluation using NIH Stroke Scale (NIHSS) after 1 month from stroke onset were done. Results: Patients with systolic dysfunction (EF ≤ 40%) had lacunar infarction in 18.75% of cases, partial anterior circulation infarction in 62.5% of cases, posterior circulation infarction in 6.25% of cases and total anterior circulation infarction in 12.5% of cases. Leucoaraiosis was present in 87% of cases and significant intracranial vessel stenosis was showed in 87.5% who had done MRI. Their median NIHSS score at admission was 10.5 with IQR of 5 - 21 and at follow-up it was 5 with IQR of 2.5 - 10.5. At follow-up 22.7% (5 patients) were dead. Conclusion: Systolic dysfunction (EF < 40) i.e. heart failure has no significant effect on stroke severity and 1 month follow up prognosis.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Alloush, T. , Ibrahim, M. , El-Dein Ahmed, N. , El-Shahed, G. , El-Nabil El-Sayed, L. , Ibrahim, M. and Azmy, H. (2014) Effect of Heart Failure on Acute Ischemic Stroke Severity. Open Journal of Medical Imaging, 4, 103-107. doi: 10.4236/ojmi.2014.43014.

References

[1] Einhaupl, K.M., Villringer, A. and Meister, W. (1999) Heparin Treatment in Sinus Venous Thrombosis. Lancet, 338, 597-600.
http://dx.doi.org/10.1016/0140-6736(91)90607-Q
[2] Sacco, R. (2009) No Significant Reduction in Progression of Symptomatic Intracranial Stenosis with Cilostazol versus Clopidogrel. European Stroke Conference (ESC), Medscape Today.
http://www.medscape.com/viewarticle/704459
[3] Sandercock, P., Bamford, J., Dennis, M., et al. (1992) Atrial Fibrillation and Stroke: Prevalence in Different Types of Stroke and Influence on Early and Long Term Prognosis (Oxfordshire community stroke project). BMJ, 305, 1460-1465.
http://dx.doi.org/10.1136/bmj.305.6867.1460
[4] Longmore, M., Wilkinson, I.B., Davidson, E.H., et al. (2010) Arrythmias. In: Oxford Handbook of Medicine, 8th Edition, Oxford University Press, Oxford, 118.
[5] José, B., Betsy, B. and Michael, J. (2008) Vascular Diseases of the Nervous System, In: Neurology in Clinical Practice, 5th Edition, Butterworth-Heinemann, Oxford, 1165.
[6] Lee, L.J., Kidwell, C.S., Alger, J., et al. (2000) Impact on Stroke Subtype Diagnosis of Early Diffusion-Weighted Magnetic Resonance Imaging and Magnetic Resonance Angiography. Stroke, 31, 1081-1089.
http://dx.doi.org/10.1161/01.STR.31.5.1081
[7] Carmine M, Federica S, Simona S, et al. (2005) Contribution of Atrial Fibrillation to Incidence and Outcome of Ischemic Stroke, Results from a Population-Based Study. Stroke, 36, 1115-1119.
http://dx.doi.org/10.1161/01.STR.0000166053.83476.4a
[8] José, B., Betsy, B., Michael, J., et al. (2004) Vascular Diseases of the Nervous System. In: Neurology in Clinical Practice, 4th Edition, Butterworth-Heinemann, Oxford, 1197.
[9] Samuels, O.B., Joseph, G.J., Lynn, M.J., et al. (2000) A Standardized Method for Measuring Intracranial Arterial Stenosis. American Journal of Neuroradiology, 21, 643-646.
[10] Biller, J., Betsy, B. and Michael, J. (2008) Vascular Diseases of the Nervous System. In: Neurology in Clinical Practice, 5th Edition, 1165.
[11] Cordonnier, C. and Leys, D. (2008) Stroke, the Bare Essentials. Practical Neurology, 8, 263-272.
http://dx.doi.org/10.1136/jnnp.2008.149401
[12] Pullicino, P.M., Halperin, J.L. and Thompson, J.L. (2000) Stroke in Patients with Heart Failure and Reduced Left Ventricular Ejection Fraction. Neurology, 54, 288.
http://dx.doi.org/10.1212/WNL.54.2.288
[13] Allison, G., Ralph, L., Tanja, R., et al. (2006) Left Ventricular Systolic Dysfunction and the Risk of Ischemic Stroke in a Multiethnic Population. Stroke, 37, 1715-1719.
http://dx.doi.org/10.1161/01.STR.0000227121.34717.40
[14] Park, D.C., Nam, H.S., Lim, S.R., et al. (2000) MRI Features of Infarcts with Potential Cardiac Source of Embolism in the Yonsei Stroke Registry (YSR), Korea. Yonsei Medical Journal, 4, 431.

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.