CSL could serve as a useful biomarker of early atherosclerosis in obese persons without previous history of cardiometabolic disorders but the final conclusion requires further testing.
Power motion transcranial Doppler intercepts proximal vessels with good-to-excellent agreement with computed tomography angiography. Depth ranges (as opposed to average depths) can be used to target intracranial arterial segments for sonothrombolysis.
Post stroke depression (PSD) is a severe and frequent stroke complication and one of the crucial factors for the outcome of rehabilitation and life quality after stroke. However, mood disorders frequently remain unnoticed and therefore untreated. The aim of the study was to examine all the potential risk factors and determine the independent predictors of early-onset depression after first-ever stroke, which would help identify high-risk patients, establish early diagnosis and timely treatment that would improve the course and prognosis of this disorder. This prospective study included 60 patients treated for their first-ever stroke; there were 30 patients diagnosed with depression and 30 patients without depression. The study included collection and analysis of all socio-demographic and clinical risk factors for PSD. Testing was performed two weeks after stroke. Depression was diagnosed according to the Mini International Neuropsychiatry Interview, DSM-IV diagnostic criteria, and depression severity was quantified by the Hamilton Depression Rating Scale. Cognitive impairment was assessed by the Mini Mental State Examination. Neurological deficit was assessed by the US National Institute of Health Stroke Scale. Our results showed that the independent predictors of early-onset depression after stroke were previous depressive episodes, cognitive dysfunction, and more severe neurological deficit.
Among RFs and their biomarkers, apoA-I, apoB and the apoB/apoA-I ratio showed strong association with ultrasound indicators of carotid atherosclerosis in IS patients.
Introduction. Atrial fibrillation is associated with an increased risk of
ischemic stroke. The benefit of intravenous thrombolysis in patients with
acute ischemic stroke and atrial fibrillation is still unclear. The aim of
the study was to assess and compare the effects of intravenous thrombolysis
in stroke patients with and without atrial fibrillation. Material and
Methods. We analyzed stroke patients who were treated with intravenous
thrombolysis. Patients were divided into two groups according to the presence
of atrial fibrillation. Demographic, clinical and radiological
characteristics of patients were compared between the two groups. The
treatment efficacy was evaluated in relation to the improvement of
neurological status after 24 hours, and functional recovery after three
months. Binary logistic regression was used to evaluate predictors of
outcome. Results. From a total of 188 patients, 39.4% presented with atrial
fibrillation. Patients with atrial fibrillation were older (69.4 vs. 62.6
years; p <0.0001), with female predominance (43.2% vs. 28.9%, p = 0.04) and
had clinically more severe stroke (National Institutes of Health Stroke
Scale, score on admission 15.4 vs. 12.1; p = 0.0001). Significantly more
patients without atrial fibrillation (61.4% vs. 43.2%, p = 0.01) had a
favorable clinical outcome at three months after stroke. Nevertheless, atrial
fibrillation was not an independent predictor of poor outcome at three months
after stroke (p=0.66). Conclusion. Acute ischemic stroke patients, with
atrial fibrillation, treated with intravenous thrombolysis, had worse
outcomes than patients without atrial fibrillation did. However, it is mainly
due to older age and a more severe stroke in patients with atrial
fibrillation.
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