Different Changes In Electrocardiogram In Cases Of Acute Cerebrovascular Accidents

INTRODUCTION:Stroke is dened as a "neurological decit of cerebrovascular cause that persists beyond 24 hours or is interrupted by death within 24 hours"[1] .CVA can be classied into two major categories- ischemic and hemorrhagic strokes.[2] About 87% are ischemic strokes and the rest being hemorrhagic in origin. studies have demonstrated the fact that primary neurologic abnormalities may produce ECG changes without any myocardial lesion. ECG changes affecting T waves, U wave,ST segment, QT interval and arrhythmias have been reported. These changes may resemble those of myocardial ischemia and myocardial infarction, leading to misinterpretation and delay in operative management of sub arachanoid hemorrhage[3]. There are evidences suggesting, that patients who had ECG changes following CVA had poor prognosis compared to who don't have changes in ECG. Approximately 2-6% of all CVA patients die from cardiac causes in rst 3 months after ischemic stroke[4].

Factores determinantes de la calidad de vida en pacientes sobrevivientes a un ictus / Decisive factors for the quality of life of patients who survived an ictus

Introducción: Las enfermedades cerebrovasculares (ECV) son causa de afectación de la calidad de vida (CV) y de discapacidad; los factores asociados a una afectación de la CV varían entre un estudio y otro, teniendo en cuenta el uso de instrumentos de medición de la calidad de vida (escalas) adaptadas a determinadas áreas geográficas. Objetivo: Determinar aquellos factores más influentes en la afectación de la calidad de vida en pacientes que han sufrido un ictus, a través de los resultados expuestos en la literatura. Material y Métodos: Se consultaron un total de 53 fuentes de información, entre ellas 47 artículos de revistas científicas, 2 tesis doctorales, así como informes estadísticos y se tuvo acceso a los principales gestores de la red informática. Desarrollo:Se consideraron conceptos sobre la calidad de vida relacionada con la salud en pacientes sobrevivientes a un ictus, los factores asociados a su afectación, la valoración de las escalas de calidad de vida para el ictus y la importancia de realizar estudios con un enfoque más integral. Conclusiones: Independientemente de la existencia de un grupo de variables comunes, imprescindibles en todo estudio relacionado con la calidad de vida en pacientes sobrevivientes a un ictus, cada grupo investigador debe tener en cuenta aquellos elementos que más se ajusten según sus objetivos para iniciar el proceso de investigación(AU)

Introduction: Cerebrovascular diseases (CVD) are a cause of affectedness related to quality of life (QL), and disability; the factors related to an affectedness of the quality of life vary from one study to another, considering the use of tools to measure the quality of life (scales) adapted to particular geographic areas. Objective:To determine those factors that influence the most in the affectedness related to the quality of life of patients who have suffered an ictus, through the results presented in the literature on this topic. Material and methods:A total of 53 sources of information were consulted, among them 47 articles from scientific journals, 2 PhD thesis, and statistical reports. Also, it was possible to have access to the main managers of computing networks. Development:Concepts of the health-related quality of life of those patients who survived an ictus were considered, as well as the factors associated with their affectedness, the scales for quality of life assessment of patients with ictus, and the importance to conduct studies with a more integral approach. Conclusions:Independently of the existence of a group of common variables, which are essential in any study related to the quality of life of patients who survive an ictus, each research group has to keep in mind those elements that adapt most to the objectives in order to begin a research process(AU)

Qualidade de vida relacionada à saúde de cuidadores familiares de indivíduos com sequela de acidente vascular encefálico / Quality of life related to the health of family caregivers of individuals with sequelae of cerebrovascular accident

Introdução: As sequelas físicas e cognitivas provocadas pelo AVE comprometem a capacidade funcional, a independência e a autonomia da pessoa acometida e acarreta alterações na dinâmica de vida não só do indivíduo acometido, mas também da família, sobretudo na do cuidador principal. Objetivos: Avaliar a qualidade de vida relacionada à saúde de cuidadores familiares de pacientes com sequelas com AVE. Metodologia: A pesquisa foi do tipo descritivo, transversal, com abordagem quantitativa, realizada no domicílio dos pacientes com sequela de AVE, no município de João Pessoa PB, no período de fevereiro a abril de 2013. A população do estudo foi composta por 136 cuidadores familiares de pacientes acometidos por acidente vascular. Para a coleta dos dados, foi utilizado um instrumento estruturado, contemplando questões fechadas relativas às variáveis do estudo e às medidas específicas para avaliar, respectivamente, a capacidade física dos indivíduos com sequela de AVE, a sobrecarga e a qualidade de vida relacionada à saúde entre os cuidadores: índice Barthel, Burden Interview Scale e o Short-Form-36. A análise foi realizada através de três técnicas: estatísticas: Análise Descritiva e Exploratória de Dados e Análise de Associação por meio do Teste de qui-quadrado e o Teste T e F para comparações das médias. O projeto foi encaminhado ao comitê de ética do Centro de Ciências da Saúde da Universidade Federal da Paraíba e aprovado sob o protocolo n 0279/13 e CAAE: 13778313.3.0000.5188 Resultados: Foi evidenciado comprometimento em quase todos os domínios da qualidade de vida dos cuidadores familiares. Entre eles, os que se apresentaram com menor média foram: Dor (40,16), Saúde mental (53,62) e Aspectos sociais (54,12).

Introduction: The physical and cognitive sequelae caused by CVA compromise the functional capacity, and the independence and autonomy of the person affected by the CVA, causing changes in the dynamics of life not only of the individual affected, but also the family, especially for the main caregiver. Objectives: evaluating the health-related quality of life of family caregivers of patients with sequelae with CVA. Methods: the research was descriptive, transversal type, with a quantitative approach, held at the domicile of patients with sequelae by AVE, in the city of João Pessoa-Paraíba, in the period between the months of February and April 2013. The population of the study consisted of 136 family caregivers of patients affected by stroke. For data collection, there was used a structured instrument, contemplating closed issues relating to variables of the study and the specific measures to assess, respectively, the physical capacity of individuals with sequel by CVA, the overload and health-related quality of life among caregivers: Barthel index, Burden Interview Scale and Short Form-36. The analysis was performed using three techniques: statistical descriptive analysis and exploratory data analysis and Association through the Chi-square test and the T-test and F for comparisons of the averages. The project was submitted to the ethics committee of the Centre for Health Sciences, Federal University of Paraíba Health and approved under protocol number 0279/13 and CAAE: 13778313.3.0000.5188. Results: commitment was evidenced in almost all domains of quality of life of family caregivers, among them, those who were presented with lower average were: Pain (40.16), Mental Health (53.62) and Social Aspects (54.12).

Femoral Neck Fractures in Patients with Cerebrovascular Accident (CVA) / 대한정형외과학회잡지

To assess the prognostic factors of the femoral neck fractures in patients with CVA, we compared the survival rates in 12 cases of CVA group with 12 cases of non-CVA group and evaluated the various clinical factors of CVA group affect the mortality. All of the patients both CVA group and non- CVA group were treated hemiarthroplasty for femoral neck fractures between June 1990 and June 1992. The mean age was 68.9 years old in the CVA group and 69.3 years old in the non-CVA group. The mean follow-up periods were 32.8 months in the CVA group and 33.6 months in the non-CVA group. The results were as follows; 1. The incidence of the femoral neck fracture with CVA was 15%(12 cases among SO femoral neck fractures). 2. The survival rates in the CVA group at l-year, 2-year, and 3-year were 83.3%, 66.7%, and 58.3% respectively. In the non-CVA group, the survival rates were 83.3%, 75.0%, and 62.5%. 3. In the CVA group, serum total protein, nutritional index, hypertension, lung disease, and cardiac disease may be valuable prognostic factors. In conclusion, the pretraumatic patient's general physical condition could affect the mortality of femoral neck fracture in the CVA patients rather than CVA itself or postoperative status.