Cardioembolic stroke: risk factors, clinical features, and early outcome in 956 consecutive patients
Rev. invest. clín
;
73(1): 23-30, Jan.-Feb. 2021. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-1289741
ABSTRACT
ABSTRACT Background:
There is little information about the early clinical features of cardioembolic stroke before complementary examinations.Objective:
The aim of this study was to identify risk factors, clinical features, and early outcomes of cardioembolic stroke.Methods:
Retrospective study based on prospectively collected data available from a university medical center hospital-based stroke registry. Consecutive patients diagnosed with cardioembolic infarction were selected and compared to those diagnosed with an atherothrombotic stroke. Predictors of cardioembolic infarction were assessed by multivariate analysis.Results:
From a cohort of 4597 consecutive patients, we studied 956 patients diagnosed with cardioembolic infarction (80 years [standard deviation (SD) 9.14]; 63% women) and 945 with atherothrombotic infarction (77.01 years [SD 9.75]; 49.8% women). The univariate comparative analysis reported that advanced age (≥ 85 years), female gender, atrial fibrillation (AF), ischemic heart disease, and congestive heart failure were significantly more frequent in the cardioembolic group, whereas hypertension, diabetes, peripheral vascular disease, heavy smoking, hyperlipidemia, and previous transient ischemic attack were significant in the atherothrombotic group. In the logistic regression model, AF (odds ratio [OR] 15.75, 95% confidence interval [CI] 12.14-20.42), ischemic heart disease (OR 3.12, 95% CI 2.16-4.5), female gender (OR 1.56, 95% CI 1.22-2.00), and sudden-onset (OR 1.97, 95% CI 1.54-2.51), were independent significant predictors of cardioembolic stroke.Conclusions:
Potential cardioembolic stroke requires a comprehensive evaluation, since early classification and identification through predictors would improve effective management. (REV INVEST CLIN. 2021;73(1)23-30)
Texto completo:
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Índice:
LILACS (Américas)
Asunto principal:
Accidente Cerebrovascular Trombótico
/
Accidente Cerebrovascular Embólico
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Rev. invest. clín
Asunto de la revista:
Medicina
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
España
Institución/País de afiliación:
Hospital Universitari Sagrat Cor/ES
/
Institut Català de la Salut/ES
/
Ramon Llull University/ES
/
Universitat de Barcelona/ES
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