Hemodynamics in acute stroke: Cerebral and cardiac complications

Moshayedi, Pouria; Liebeskind, David S

doi:10.1016/b978-0-12-819814-8.00015-9

Cited by 3 publications

(2 citation statements)

References 196 publications

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“…These include heightened sympathetic activity, elevated blood pressure, changes in the immune system due to VZV reactivation, 13 as well as systemic inflammation, autoimmune reactions, or alterations in blood flow that can lead to cardiovascular events. 14,15 There are two main types of VZV vasculopathy: large-vessel and small-vessel. Large-vessel VZV vasculopathy causes the virusinduced inflammation to damage the affected blood vessels.…”

Section: Introductionmentioning

confidence: 99%

“…Various biological factors influence the development of stroke following a herpes zoster (HZ) episode beyond the head and neck region. These include heightened sympathetic activity, elevated blood pressure, changes in the immune system due to VZV reactivation, 13 as well as systemic inflammation, autoimmune reactions, or alterations in blood flow that can lead to cardiovascular events 14,15 …”

Section: Introductionmentioning

confidence: 99%

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A comprehensive, updated systematic review and meta‐analysis of epidemiologic evidence on the connection between herpes zoster infection and the risk of stroke

Heiat,

Salesi,

Peypar

et al. 2024

Reviews in Medical Virology

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Stroke is a common worldwide cause of death and disability, resulting from an obstruction or reduction in blood flow to the brain. Research has demonstrated that systemic infection such as herpes zoster (HZ) / ophthalmicus herpes zoster (HZO) can potentially trigger stroke. This study includes an updated systematic review and meta‐analysis of the epidemiologic data on the connection between HZ/HZO infection and the risk of stroke. A meticulous search of different database yielded 905 studies. Furthermore, an additional 14 studies from a previous meta‐analysis were incorporated. Eligible studies underwent rigorous screening, resulting in 18 papers. Statistical analyses, including random/fixed effects models and subgroup analyses, were conducted to assess pooled relative risk (RR) and heterogeneity. The meta‐analysis consisted of 5,505,885 participants and found a statistically significant association between HZ infection and the risk of stroke (pooled RR = 1.22, 95% confidence interval [CI] 1.12–1.34). The HZO infection showed a significantly higher overall pooled RR of 1.71 (95% CI 1.06–2.75), indicating a strong connection with the risk of stroke. Subgroup analysis revealed that the odds ratio might play a significant role in causing heterogeneity. Time since infection emerged as a crucial factor, with heightened stroke risk in the initial year post‐HZ/HZO exposure, followed by a decline after the first year. Asian/Non‐Asian studies demonstrated varied results in HZ/HZO patients. Meta‐analysis reveals a significant HZ/HZO‐stroke link. Subgroups highlight varied risks and warrant extended Asian/non‐Asian patient investigation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comprehensive, updated systematic review and meta‐analysis of epidemiologic evidence on the connection between herpes zoster infection and the risk of stroke

Heiat,

Salesi,

Peypar

et al. 2024

Reviews in Medical Virology

View full text Add to dashboard Cite

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Study on the Prognosis of Intracranial Veins on Endovascular Therapy of Acute Stroke

乌

2024

ACM

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The correlation between severe asymptomatic carotid artery stenosis and severe multi-organ dysfunction after off-pump coronary artery bypass grafting

Wang,

Zhao,

Cao

et al. 2024

Front. Cardiovasc. Med.

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BackgroundThe current research aimed to demonstrate the independent association between preoperative severe asymptomatic carotid artery stenosis (ACAS) and severe multi-organ dysfunction after off-pump coronary artery bypass grafting (OPCAB), which may further indicate the relationship between severe ACAS and adverse 30-day postoperative outcomes of patients undergoing OPCAB.MethodsThis was a single-center, retrospective observational study including patients without a history of stroke or Transient Ischemic Attacks (TIA) (asymptomatic), who underwent for an isolated OPCAB in the center for operative treatment of coronary artery disease of Beijing Anzhen Hospital from January 2020 to December 2021. All enrolled patients underwent carotid artery ultrasound prior to OPCAB. The information was extracted independently by two authors of the study from the medical records. Both univariate and multivariate analyses were conducted.ResultsA total of 562 patients met the inclusion criteria for the current study. 63 (11.2%) suffered from severe ACAS. The Sequential Organ Failure Assessment (SOFA) maximum in the severe ACAS group was significantly higher than that in the non-severe ACAS group (9.76 ± 3.03 vs. 7.75 ± 2.96, p < 0.0001), and a higher proportion of patients in the severe ACAS group exhibited severe multi-organ dysfunction (44.4% vs. 14.0%, p < 0.0001). In addition, severe ACAS was related to an increased rate of 30-day postoperative major adverse cardiovascular and cerebral events (MACCEs), including a 30-day postoperative stroke. Severe ACAS was associated with an elevated risk of delirium, and acute kidney injury (AKI). The results of the multivariate analysis demonstrated that severe ACAS may be independently associated with severe multi-organ dysfunction (OR, 7.37, 95% CI 4.80–14.30, p < 0.0001) after OPCAB. Also, severe ACAS may be independently associated with 30-day postoperative stroke (OR, 2.83, 95% CI 1.03–7.75, p = 0,043).ConclusionsSevere ACAS was independently associated with severe multi-organ dysfunction after OPCAB, which may be associated further with an increased rate of 30-day postoperative mortality and complications. This study highlights: (1) the importance of personalized assessment for potential advantages and disadvantages in prognosis of severe ACAS patients undergoing OPCAB with carotid endarterectomy; (2) the role of multi-organ parameters, especially cardio-cerebral factors, should be emphasized during the process of severe ACAS management.

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Hemodynamics in acute stroke: Cerebral and cardiac complications

Cited by 3 publications

References 196 publications

A comprehensive, updated systematic review and meta‐analysis of epidemiologic evidence on the connection between herpes zoster infection and the risk of stroke

A comprehensive, updated systematic review and meta‐analysis of epidemiologic evidence on the connection between herpes zoster infection and the risk of stroke

Study on the Prognosis of Intracranial Veins on Endovascular Therapy of Acute Stroke

The correlation between severe asymptomatic carotid artery stenosis and severe multi-organ dysfunction after off-pump coronary artery bypass grafting

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