Analysis of echocardiographic parameters of cardiac function in patients with acute stroke

Lasek–Bal, Anetta; Żak, Amadeusz; Pysz, Piotr; Puz, Przemysław; Gąsior, Zbigniew

doi:10.5603/pjnns.a2019.0012

Neurol Neurochir Pol.

2019

DOI: 10.5603/pjnns.a2019.0012

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Analysis of echocardiographic parameters of cardiac function in patients with acute stroke

Anetta Lasek–Bal

Amadeusz Żak

Piotr Pysz

et al.

Abstract: Introduction. Cardiologic diagnostics in stroke patients is designed to identify heart disease as a potential cause of stroke. The aim of this study was to evaluate the effect of low ejection fraction (EF) and left ventricular systolic/diastolic dysfunction (LVSD, LVDD) on the neurological state on the 1st day of stroke, as well as post-stroke functional status at 30 days after stroke. Patients and methods. For a prospective study, 162 stroke patients (mean age 74 years) were qualified. They were analysed acco… Show more

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2021

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Features of Heart Structure and Functions in Patients With Hypertension After Ischemic Stroke

Drozdova,

Pavlovska,

Pavlovskyi

et al. 2021

IMJ

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Hypertension leads to the myocardium and cardiac interstitium remodeling, causing a number of pathological changes: left ventricular myocardial hypertrophy, myocardial fibrosis, potentiation of ischemia, structural rearrangement and apoptosis of cardiomyocytes. Its other consequences are endothelial dysfunction and an increased stiffness of the main arteries. The whole complex of these changes forms a vicious circle and reflects the essence of change, i.e. the so−called "hypertensive heart". To assess the heart structural and functional state in hypertension, we examined 58 patients with stage III disease in the long term after ischemic stroke. In all patients the blood pressure was daily monitored and they were examined with Doppler cardiography. Left ventricular hypertrophy occurred in 51.8 % of cases: eccentric and concentric hypertrophy predominated, as well as concentric remodeling was recorded in only 6.9 % of the studied cases. Among the individuals without left ventricular hypertrophy, the daily non−dipper blood pressure profile was determined in 24.0 %, the night−peaker one was found in 12.0 %, dipper one was revealed in 56.0 %, and over−dipper was noticed in 8.0 % surveyed; while in the presence of hypertrophy, the prevalence of night−peaker increased significantly up to 14.3 % and non−dipper did to 33.9 %. In the patients with eccentric and concentric hypertrophy and persons with concentric remodeling, the daily non−dipper blood pressure profile was diagnosed in 32.0, respectively; 30.0 and 45.5 %, night−peaker − in 20.0; 10.0 and 9.1 %, dipper − in 48.0; 60.0 and 45.5 % of cases. The results show that the patients with stage III hypertension who have suffered an ischemic stroke undergo remodeling of the myocardium and cardiac interstitium, resulting in the formation of "hypertensive heart", that is an early clinically significant sign of the pathophysiological state of the cardiovascular system. Key words: arterial hypertension, ischemic stroke, heart remodeling, structural and functional features.

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Features of Heart Structure and Functions in Patients With Hypertension After Ischemic Stroke

Drozdova,

Pavlovska,

Pavlovskyi

et al. 2021

IMJ

View full text Add to dashboard Cite

show abstract

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Analysis of echocardiographic parameters of cardiac function in patients with acute stroke

Cited by 1 publication

References 30 publications

Features of Heart Structure and Functions in Patients With Hypertension After Ischemic Stroke

Features of Heart Structure and Functions in Patients With Hypertension After Ischemic Stroke

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