Patient with cardioembolic stroke: clinical characteristics and typical features

Efimova, Olga; Sergeeva, M. A.; Павлова, Т. В.; Гарькина, С. В.; Хохлунов, С. М.; Лебедев, Д. С.

doi:10.23946/2500-0764-2020-5-2-30-38

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…Однако до настоящего времени качество ведения пациентов, перенесших инсульт, на амбулаторном этапе остается недостаточным [10,12,13]. Согласно нашим собственным данным, опубликованным ранее, адекватная профилактика ТЭО в реальной клинической практике проводится крайне редко -только в 16,2% случаев врачи амбулаторного этапа рекомендовали пациентам с ФП прием антикоагулянта [14]. Несоблюдение современных рекомендаций по ведению пациентов врачами амбулаторного звена можно объяснить их значительной загруженностью ежедневной клинической работой, а также, возможно, и недостаточной осведомленностью о современных подходах к лечению.…”

Section: результатыunclassified

Effectiveness of a comprehensive ambulatory monitoring system for patients with atrial fibrillation after cardioembolic stroke

et al. 2021

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Aim. To improve the long-term outcomes of patients with atrial fibrillation (AF) after cardioembolic stroke by creating and testing a comprehensive ambulatory monitoring system.Material and methods. The present study included 139 AF patients after cardioembolic stroke for the period 2016-2019, of which 80 (57,55%) were women and 59 (42,45%) were men. The mean age of the patients was 72,25±6,33years. Before the hospital discharge, all patients signed an informed consent and were randomized into two groups. Patients of the group I (n=72) were followed up during the year in accordance with a specially developed comprehensive ambulatory monitoring system. This system included a rehabilitation program created individually for each patient, monthly visits to a physician-researcher, during which a complex of diagnostic tests was carried out. Also, the changes of complaints, symptoms, and medical adherence were assessed. The latter was corrected. A physician talked with the patient's relatives about the need to comply with the recommended medication regimen, supporting the motivation for treatment. Patients of group II (n=67) were followed up at the primary care level in accordance with the current program, and a control visit to was performed for them once — after 12 months.Results. After one-year follow-up, a significant decrease in all-cause mortality was obtained in the first group in comparison with the second one: 3 (4,17%) and 18 (26,87%) deaths, respectively (p=0,021).In addition, in group II, a relationship was found between the death and absence of anticoagulant therapy (odds ratio, 7,68; 95% confidence interval, 1,59-37,03; p=0,01). The ROC analysis confirmed the relationship between the absence of anticoagulant therapy and death, while the regression quality was good (area under the curve, 0,77, sensitivity — 94,74%, specificity — 59,17%).Conclusion. Comprehensive ambulatory monitoring program for AF patients after cardioembolic stroke has proven high effectiveness, and its widespread practice is an urgent task of modern healthcare.

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Section: результатыunclassified

Effectiveness of a comprehensive ambulatory monitoring system for patients with atrial fibrillation after cardioembolic stroke

et al. 2021

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Prediction of restoration of swallowing function in patients with ischemic stroke and neurogenic dysphagia

Борздыко

Ершов

Gumalatova

et al. 2023

RJTAO

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Objective: to determine prognostic characteristics of the restoration of swallowing function in patients with ischemic stroke (IS) of various pathogenetic subtypes.Material and methods. The study included 110 patients (64 men and 46 women aged 44–89 years) with dysphagia in the acute period of IS. The SSS-TOAST criteria were used to diagnose the pathogenetic subtype, and the MASA scale was used to determine the presence and severity of dysphagia. To predict the probability of switching to self-feeding depending on the severity of dysphagia, a non-linear regression method was used using the least squares method.Results. Patients with cardioembolic stroke subtype were initially characterized by a greater degree of dysphagia in comparison with patients with atherothrombotic stroke subtype in groups comparable in severity (p<0.05). In the cardioembolic subtype of IS, the probability of switching patients to self-feeding on the 21st day in groups with dysphagia severity from 105 to 135 points on the MASA scale was lower than in the atherothrombotic subtype of IS (p<0.05).Conclusion. Patients with cardioembolic strokes are characterized by more severe initial dysphagia and a worse prognosis for recovery of swallowing function compared to patients with atherothrombotic strokes.

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Predicting the development of aspiration pneumonia in patients with ischemic stroke and neurogenic dysphagia

Borzdyko,

Ershov,

Mezhebovsky

2023

Z. nevrol. psikhiatr. im. S.S. Korsakova

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Patient with cardioembolic stroke: clinical characteristics and typical features

Cited by 4 publications

References 13 publications

Effectiveness of a comprehensive ambulatory monitoring system for patients with atrial fibrillation after cardioembolic stroke

Effectiveness of a comprehensive ambulatory monitoring system for patients with atrial fibrillation after cardioembolic stroke

Prediction of restoration of swallowing function in patients with ischemic stroke and neurogenic dysphagia

Predicting the development of aspiration pneumonia in patients with ischemic stroke and neurogenic dysphagia

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