Autonomic symptoms in hypertensive patients with post-acute minor ischemic stroke

Idiáquez, Juan; Farias, Hector; Torres, Francisco; Vega, Jorge; Low, David A.

doi:10.1016/j.clineuro.2015.10.005

Cited by 7 publications

(3 citation statements)

References 30 publications

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“…Diagnosis of post-stroke psychological disorders is scrambled because of physical, somatic, vegetative, autonomic and cognitive signs of stroke that can forge or hide depressive or anxious symptoms (Spalletta et al, 2005; McGinnes, 2009; Carota and Bogousslavsky, 2012; Idiaquez et al, 2015). …”

Section: Introductionmentioning

confidence: 99%

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

et al. 2017

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Context: Stroke has several consequences on survivors’ daily life even for those who experience short-lasting neurological symptoms with no functional disability. Depression and anxiety are common psychological disorders occurring after a stroke. They affect long-term outcomes and quality of life but they are difficult to diagnose because of the neurobiological consequences of brain lesions. Current research priority is given to the improvement of the detection and prevention of those post-stroke psychological disorders. Although previous studies have brought promising perspectives, their designs based on retrospective tools involve some limits regarding their ecological validity. Ecological Momentary Assessment (EMA) is an alternative to conventional instruments that could be a key in research for understanding processes that underlined post-stroke depression and anxiety onset. We aim to evaluate the feasibility and validity of anxiety, depression and coping EMA for minor stroke patients.Methods: Patients hospitalized in an Intensive Neuro-vascular Care Unit between April 2016 and January 2017 for a minor stroke is involved in a study based on an EMA methodology. We use a smartphone application in order to assess anxiety and depression symptoms and coping strategies four times a day during 1 week at three different times after stroke (hospital discharge, 2 and 4 months). Participants’ self-reports and clinician-rates of anxiety, depression and coping are collected simultaneously using conventional and standard instruments. Feasibility of the EMA method will be assessed considering the participation and compliance rate. Validity will be the assessed by comparing EMA and conventional self-report and clinician-rated measures.Discussion: We expect this study to contribute to the development of EMA using smartphone in minor stroke population. EMA method offers promising research perspective in the assessment and understanding of post-stroke psychological disorders. The development of EMA in stroke population could lead to clinical implications such as remotely psychological follow-ups during early supported discharge.Trial registration: European Clinical Trials Database Number 2014-A01937-40

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Section: Introductionmentioning

confidence: 99%

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

et al. 2017

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“…In ischemic stroke, FD may have potential predictive value. Moreover, the main results of Idiaquez et al’s [ 77 ] research were a correlation between depression and the total autonomic symptoms score and domain scores for gastrointestinal, urinary, and cardiovascular function in poststroke patients and patients without stroke. In addition, they discovered that the urinary symptoms score was linked to depression scores and that nocturia and urge incontinence were common in the post-stroke period.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Utility of Autonomic Nervous System Evaluation for Stroke Prognosis

Orgianelis,

Merkouris,

Kitmeridou

et al. 2023

Neurology International

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Stroke is a major cause of functional disability and is increasing in frequency. Therefore, stroke prognosis must be both accurate and timely. Among other biomarkers, heart rate variability (HRV) is investigated in terms of prognostic accuracy within stroke patients. The literature research of two databases (MEDLINE and Scopus) is performed to trace all relevant studies published within the last decade addressing the potential utility of HRV for stroke prognosis. Only the full-text articles published in English are included. In total, forty-five articles have been traced and are included in the present review. The prognostic value of biomarkers of autonomic dysfunction (AD) in terms of mortality, neurological deterioration, and functional outcome appears to be within the range of known clinical variables, highlighting their utility as prognostic tools. Moreover, they may provide additional information regarding poststroke infections, depression, and cardiac adverse events. AD biomarkers have demonstrated their utility not only in the setting of acute ischemic stroke but also in transient ischemic attack, intracerebral hemorrhage, and traumatic brain injury, thus representing a promising prognostic tool whose clinical application may greatly facilitate individualized stroke care.

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“…Studies have shown that long-term depression in patients has varying degrees of influence on their neurological, immune, and gastrointestinal functional states [ 28 , 29 , 30 ]. The effect of depression on gastrointestinal function is mainly reflected in the normal rhythmic movement of the gastrointestinal tract and the secretion of the mucosa, and the above two changes have a direct impact on the types and spatial distribution of intestinal flora [ 31 ]. Epidemiological research found that the main symptoms of gastrointestinal dysfunction in patients with post-stroke depression include: loss of appetite, functional constipation, abdominal distention, etc.…”

Section: Discussionmentioning

confidence: 99%

Association between gut microbiota and post-stroke depression in Chinese population: A meta-analysis

Luo¹,

Fang²

2022

Heliyon

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Autonomic symptoms in hypertensive patients with post-acute minor ischemic stroke

Abstract: Background

Cited by 7 publications

References 30 publications

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

Exploring the Utility of Autonomic Nervous System Evaluation for Stroke Prognosis

Association between gut microbiota and post-stroke depression in Chinese population: A meta-analysis

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