Ischemic stroke after acute myocardial infarction
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Date
2002
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info:eu-repo/semantics/closedAccess
Abstract
It is known that risk of ischemic stroke increases after myocardial infarction (MI). There are few studies about frequency of stroke following myocardial infarction, relationship between localisation of lesion of myocardial infarction and stroke, and prognosis of ischemic stroke. In this study clinical, cardiological and radiological properties of ischemic stroke patients who had stroke within six weeks after MI, among our ischemic stroke patients were studied, and compared with control group. 23 patients were included in the study from 2276 acute ischemic stroke patients who admitted between January 1997 and June 2001. These 23 patients (%1.01) have had history of MI within six weeks. For each patient two randomised control subjects who have had no history of myocardial infarction were chosen for the study. The two groups have compared for age, gender, risk factors, clinical findings, etiology of stroke and prognosis. ECG, echocardiography and cardiological examinations were performed for all patients in the study group. Etiology of stroke (82.6% of study patients and 47.8% of controls had cardioembolic stroke; p<0.05, %0 of study patients and 34.8% of controls had small vessel disease; p<0.05) and clinical findings (56.5% of study patients and 34.8% of controls had TACI+PACI; p<0.05) were found different between the two groups. There was no difference for age, gender, other risk factors and prognosis. 47.8% of patients had anterior, 43.4% of them had inferior myocardial infarction. As indicated in this study, ischemic stroke following myocardial infarction has clinical and radiological differences from other subtypes of stroke. Also localisation of myocardial infarction is a predictive factor for ischemic stroke.
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Keywords
Ischemic Stroke; Myocardial Infarction; Stroke Etiology, Acute Heart Infarction; Article; Cerebrovascular Accident; Controlled Study; Human; Major Clinical Study; Prediction; Prognosis; Risk Factor; Stroke; Vascular Disease
Journal or Series
Turk Beyin Damar Hastaliklari Dergisi
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Volume
8
Issue
3
