Predictors of Ischemic Stroke in Rheumatic Heart Disease

Gupta, Anirban Sen; Bhatia, Rohit; Sharma, Gautam; Prasad, Kameshwar; Singh, Mamta Bhushan; Vibha, Deepti

doi:10.1016/j.jstrokecerebrovasdis.2015.08.014

Cited by 19 publications

(11 citation statements)

References 13 publications

(14 reference statements)

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“…However, in cryptogenic strokes, a patient’s travel history may not often extensively be examined, although it may be of importance in few cases. Two examples of infectious causes found in developing countries are rheumatic heart disease and Chagas disease, which should be considered as a possible cause of cardioembolic stroke in high-prevalence areas such as Africa, the Middle East and Southeast Asia 24…”

Section: Epidemiology and Stroke Aetiology From A Global Perspectivementioning

confidence: 99%

Ischaemic stroke in young adults: a global perspective

Boot¹,

Ekker²,

Putaala

et al. 2020

J Neurol Neurosurg Psychiatry

169

147

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Ischaemic stroke at young age is an increasing problem in both developing and developed countries due to rising incidence, high morbidity and mortality and long-term psychological, physical and social consequences. Compared with stroke in older adults, stroke in young adults is more heterogeneous due to the wide variety of possible underlying risk factors and aetiologies. In this review, we will provide an overview of the global variation in the epidemiology of stroke in young adults, with special attention to differences in geography, ethnicity/race and sex, as well as traditional and novel risk factors for early-onset ischaemic stroke, such as air pollution. Understanding global differences is an important prerequisite for better region-specific prevention and treatment of this devastating condition.

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Section: Epidemiology and Stroke Aetiology From A Global Perspectivementioning

confidence: 99%

Ischaemic stroke in young adults: a global perspective

Boot¹,

Ekker²,

Putaala

et al. 2020

J Neurol Neurosurg Psychiatry

169

147

View full text Add to dashboard Cite

show abstract

“…A study suggests that Atrial Fibrillation (AF) is probably the most common arrhythmia associated with stroke in the RHD patients and that the presence of subclinical AF is often a cause of systemic thromboembolism (Gupta et al, 2015). A persistent, with or without RHD, is a risk factor for thrombi formation due to the induction of hypercoagulable state.…”

Section: Discussionmentioning

confidence: 99%

Multiple Large Atrial Thrombus Due To Rheumatic Heart Disease And Present Of Atrial Fibrillation With No Sign Of Stroke: How Is It Possible?

2019

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Traumatic severe brain injury is a fatal injury, with a mortality rate of up to 50%. About 1.5 million people experience severe brain injury in the United States. There are more than 50,000 deaths and 500,000 incidents of permanent neurological sequelae. About 85% of mortality occurs in the first 2 weeks after the injury. One complication of a severe brain injury is diabetes insipidus. There are no definitive data on the incidence of diabetes insipidus in patients with traumatic severe brain injury of Indonesia so far. In this case report, a male, 45 years old, was taken to the Emergency Installation (IRD) after experiencing a traffic accident 12 hours before being hospitalized. After surgery, the signs of diabetes insipidus was presented by polyuria of 300cc / hour urine production and 149mmol / L hypernatremia, although the immediate administration of desmopressin, the patients clinical and hemodynamic was not shown any improvements. The patient passed away in the days five of treatment in the Intensive Care Unit (ICU). The main treatments for diabetes insipidus in traumatic severe brain injury are adequate rehydration and administration of desmopressin. Adequate hypovolemic, polyuric and hypernatremia corrections are the keys to the successful treatment of diabetes insipidus. Diabetes insipidus in cases of brain injury requires complicated treatment. Therefore, in the case of being handled improperly, it can bring death. ABSTRAKCedera otak berat traumatis adalah cedera fatal, dengan tingkat kematian hingga 50%. Sekitar 1,5 juta orang mengalami cedera otak berat di Amerika Serikat. Terdapat lebih dari 50.000 kematian dan 500.000 insiden gangguan neurologis permanen. Sekitar 85% kematian terjadi dalam 2 minggu pertama setelah cedera. Salah satu komplikasi dari cedera otak yang parah adalah diabetes insipidus. Tidak ada data pasti tentang kejadian diabetes insipidus pada pasien dengan cedera otak traumatis

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“…India has a higher burden of rheumatic heart diseases compared with developed countries; afflicted patients require vitamin K antagonists for anticoagulation and secondary stroke prevention. 10,21 Hence, the proportion of anticoagulated patients using warfarin, acenocoumarol, or related drugs is likely to be comparable to those using nonvitamin K-antagonist or -anticoagulation. 10,21 Patients generally have poor knowledge of the optimal use of anticoagulation and monitoring, which is likely to worsen further with decreased interaction with physicians.…”

Section: Poststroke Rehabilitationmentioning

confidence: 99%

“…10,21 Hence, the proportion of anticoagulated patients using warfarin, acenocoumarol, or related drugs is likely to be comparable to those using nonvitamin K-antagonist or -anticoagulation. 10,21 Patients generally have poor knowledge of the optimal use of anticoagulation and monitoring, which is likely to worsen further with decreased interaction with physicians. 22 With both laboratory and hospital access hampered, adverse events related to both poor physical therapy maintenance and suboptimal vascular risk-factor control are likely to surface.…”

Section: Poststroke Rehabilitationmentioning

confidence: 99%

The SARS‐CoV‐2/COVID‐19 pandemic and challenges in stroke care in India

Sylaja

Srivastava

Shah³

et al. 2020

Annals of the New York Academy of Sciences

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Stroke care in India has evolved rapidly in the last decade with a focus on stroke awareness, prevention, rapid triage, treatment, and rehabilitation. But acute stroke care and poststroke rehabilitation in the country have limitations owing to the economic constraints and poor access to health care. The SARS-CoV-2/COVID-19 pandemic has made stroke care even more challenging. We outline the unfavorable circumstances in stroke care induced by the pandemic; propose mitigating measures; crisis management; and provide a comparative evaluation of stroke care between India and the United States during the pandemic. There is a need for public health systems in both developed and developing countries to improve awareness, implement proper strategies of triage, acute treatment, well-defined rehabilitation plans, telemedicine services, and virtual check-ins.

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Predictors of Ischemic Stroke in Rheumatic Heart Disease

Cited by 19 publications

References 13 publications

Ischaemic stroke in young adults: a global perspective

Ischaemic stroke in young adults: a global perspective

Multiple Large Atrial Thrombus Due To Rheumatic Heart Disease And Present Of Atrial Fibrillation With No Sign Of Stroke: How Is It Possible?

The SARS‐CoV‐2/COVID‐19 pandemic and challenges in stroke care in India

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