ECHOCARDIOGRAPHYIN ISCHEMIC STROKE PATIENTS RECEIVED REPERFUSION THERAPY AT HANOI MEDICAL UNIVERSITY HOSPITAL

Thị An Nguyễn1, Anh Tuấn Nguyễn1,2, Bùi Hải Hoàng1,3,
1 Hanoi medical university
2 Bach Mai hospital
3 Hanoi medical university hospital

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Abstract

The study aims to describe clinical, paraclinical and echocardiographic characteristics in ischemic stroke patients received reperfusion therapy and to evaluate results of reperfusion therapy in patients with any abnormalities in echocardiogram. Design of a cross-sectional descriptive study on 50 patients with ischemic stroke received reperfusion therapy at Hanoi Medical University Hospital. Results: 66.7% males, 33.3% females; average age is 64.2 ± 13.6 years old. Treatment: 58.8% of the patients treated with intravenous thrombolysis, 29.4% mechanical thrombectomy and 11.8% both methods. In 51 stroke patients received reperfusion therapy, there were 10 abnormal case, 19.6%.Abnormalities detected by echocardiography changed preventive care in 6 patients, accounting for 11.8% of those receiving echocardiography. There was no difference in treatment outcome and recurrence rate between the group with echocardiographic abnormalities and normalities after 3-months follow-up.

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References

1. Ahmed MK, Kamal H, Weiss JL, et al. Transesophageal echocardiogram in the evaluation of acute ischemic stroke of young adults. Brain Circ. 2021;7(2):85. doi: 10.4103/bc.bc_68_20
2. Ahmad O, Ahmad KE, Dear KBG, Harvey I, Hughes A, Lueck CJ. Echocardiography in the detection of cardioembolism in a stroke population. J Clin Neurosci. 2010;17(5):561-565. doi:10.1016/j.jocn.2009.09.016
3. Fralick M, Goldberg N, Rohailla S, et al. Value of routine echocardiography in the management of stroke. CMAJ Can Med Assoc J. 2019; 191(31):E853-E859. doi:10.1503/cmaj.190111
4. Mas JL, Zuber M. Recurrent cerebrovascular events in patients with patentforamen ovale, atrial septal aneurysm, or both and cryptogenic stroke or transient ischemic attack. Am Heart J. 1995;130(5):1083-1088. doi:10.1016/0002-8703(95)90212-0
5. Maten G van der, Dijkstra S, Meijs MFL, Birgelen C von, Palen J van der, Hertog HM den. Cardiac imaging in ischemic stroke or transient ischemic attack of undetermined cause: Systematic review & meta-analysis. Int J Cardiol. 2021;339:211-218. doi:10.1016/j.ijcard.2021.06.047
6. Nakanishi K, Homma S. Role of echocardiography in patients with stroke. J Cardiol. 2016;68(2):91-99. doi:10.1016/ j.jjcc.2016.05.001
7. Zibaeenezhad MJ, Mowla A, Salahi R, et al. Cardiac sources of embolic cerebral infarction in transesophageal echocardiography. Ann Saudi Med. 2006;26(1):43-45. doi:10.5144/0256-4947.2006.43