ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH CỘNG HƯỞNG TỪ VÀ MỘT SỐ YẾU TỐ TIÊN LƯỢNG Ở BỆNH NHÂN NHỒI MÁU NÃO CÓ RUNG NHĨ

Abstract

Objectives: Describe clinical characteristics, magnetic resonance imaging and analyze some prognostic factors of cerebral infarction in patients with atrial fibrillation. Subjects and methods: Research on 38 patients diagnosed with cerebral infarction with atrial fibrillation treated at Phu Tho Provincial General Hospital from 1/2022 to 9/2022. Results: Most of the patients had a high risk of stroke before this episode, with a CHA2S2D-VASc score ≥ 2 accounting for 68.4%. Magnetic resonance imaging of the brain: Large-scale cerebral infarction accounts for 47.4%, lesions in the dominant area of ​​the internal carotid artery and middle cerebral artery account for the highest rate (accounting for 42.1%), usually lesions multiple foci in a vascular territory. Some prognostic factors for poor outcome in patients with cerebral infarction with atrial fibrillation include: NIHSS score >11 at the time of admission, Glasgow score ≤13 at the time of admission, images of large-scale infarct lesions, complications of cerebral infarction, bleeding, and pneumonia.