Clinical, laboratory characteristics and treatment in 46 patients have comorbid rheumatic heart valvular disease and cerebrovascular stroke at Viet Tiep Hai Phong Hospital in 2004

ABSTRACT

A retrospective descriptive study on 46 patients comorbid rheumatic valvular heart and cerebrovascular ischemic stroke at Viet Tiep Hai Phong Hospital in 2004. Results: this condition appears more common in women than in men (71.74% vs 28.16%), average age 52.70± 0.45. 95.65% of patients are over 30 years old. Most of patients had heart failure at grade NYHA III (89.13%). Causes of cerebrovascular ischemia were simple or combined mitral valve stenosis (100%). 73.91% of patients had first cerebrovascular stroke and 100% patients had sudden hemiplegia. Cerebrovascular stroke in patients with rheumatic heart valvular disease had more atria fibrillation in sinus rhythm (82.61% vs 17.39%). 82.35% patients with acute CVA had been treated by low molecular weight Heparin for 5-7 days in combination with anti-vitamin K. 91.30% patients used anti-vitamin K for the rest of their life. After treatment, clinical condition was improved 8.69% hemiplegic patients recovered completely, 47.83% recovered partly and 43.48% had no improvement. Mortality rate of CAV was 0%