[The role of endothelial dysfunction for assessment of a rehab potential in the patients with acute stroke]. / Rol' endotelial'noi disfunktsii dlya otsenki reabilitatsionnogo potentsiala u patsientov v ostrom periode ishemicheskogo insul'ta.

OBJECTIVE: The analysis of the endothelial reactivity in the acute stroke by it severity and determination of rehab potential. MATERIALS AND METHODS: Twenty-three patients with ischemic stroke, aged 50 to 80 years, who were treated in the regional vascular center of Omsk region, were studied. The severity of stroke and stroke outcome was assessed by NIHSS and the modified Rankin scale. The test with reactive hyperemia was performed for all patients with measurement of the diameter of the brachial artery by ultrasonic diagnostics. RESULTS: Endothelial reaction that was investigated in the postischemic vasodilatation test depends on the severity of stroke and neurological deficiency. Moreover, endothelial dysfunction with bad outcome appears on the 7th day after stroke. CONCLUSION: The method can be used for evaluation of rehab potential.