Assessment of Ischemic Heart Disease in Patients with Stroke Using Myocardial Perfusion SPECT: Preliminary report
Journal of the Korean Academy of Rehabilitation Medicine
; : 1168-1175, 1999.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-724447
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
The purpose of this study was to investigate cardiac events and ischemic heart disease in patients with stroke. The patients were studied by myocardial perfusion SPECT (single photon emission computed tomography) and evaluated the functional outcome after rehabilitation.METHOD:
Subjects were 31 patients with stroke who had myocardial perfusion SPECT for abnormal findings on the electrocardiography. There were eighteen patients with ischemic stroke 12 patients with hemorrhagic stroke; and one patient with both ischemic and hemorrhagic stroke. We screened the patients for the hypertension, diabetes mellitus, previous history of stroke, smoking, alcohol use, and hyperlipidemia as risk factors of ischemic stroke and ischemic heart disease. For the dichotomous classification of positive or negative myocardial perfusion SPECT, reversible and persistent defects were considered as positive. We investigated the functional outcomes on the admission and discharge using the Modified Rankin scale (MRS) and functional independence measure (FIM) scores. Cardiac events in patients with stroke were investigated.RESULTS:
The myocardial perfusion SPECT was positive in 10 of 18 patients (55.6%) with ischemic stroke. Four out of ten patients with ischemic stroke had cardiac events. Positive myocardial perfusion SPECT was significantly associated with cardiac events (p0.05).CONCLUSION:
The results of our study suggested that myocardial perfusion SPECT is useful in the screening of silent ischemic heart disease in patients with ischemic stroke and to assess future cardiac events of them.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
Problema de saúde:
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
/
Álcool
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Perfusão
/
Reabilitação
/
Fumaça
/
Fumar
/
Tomografia Computadorizada de Emissão de Fóton Único
/
Programas de Rastreamento
/
Fatores de Risco
/
Classificação
/
Isquemia Miocárdica
/
Acidente Vascular Cerebral
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Academy of Rehabilitation Medicine
Ano de publicação:
1999
Tipo de documento:
Artigo