Revisiting Clinical Utility of Chest Radiography and Electrocardiogram to Determine Ischemic Stroke Subtypes: Special Reference on Vascular Pedicle Width and Maximal P-Wave Duration

Sugie, Masayuki; Kamiya, Yuki; Iizuka, Natuko; Murakami, Hidetomo; Kawamura, Mitsuru; Ichikawa, Hiroo

doi:10.1159/000382127

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…More than 1.5 million people die of post-stroke cardiovascular complications worldwide annually, such as myocardial infarction, unstable angina, congestive heart failure, and coronary artery diseases ( 2 ). The changes in the ECG ( 3 ) and increased levels of hematologic indicators, such as creatine kinase (CK), creatine kinase isoenzyme (CK-MB), aspartate aminotransferase (AST), and lactate dehydrogenase (LDH) ( 4 ) may be used to predict post-stroke cardiovascular complications.…”

Section: Introductionmentioning

confidence: 99%

Effect of Cerebral Ischemic Strokes in Different Cerebral Artery Regions on Left Ventricular Function

Zheng

Lin

Xue

2022

Front. Cardiovasc. Med.

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ObjectivesThe relationship between cerebral ischemic stroke and left ventricular function evaluated by echocardiography has been emphasized. Whether lesions in different cerebral artery regions would result in left ventricular dysfunction remains uncertain.MethodsPatients were divided into middle cerebral artery (MCA) (n = 79), posterior cerebral artery (PCA) (n = 64), basilar artery (BA) regions (n = 66), and no-ischemic stroke group (n = 209). We retrospectively collected demographic characteristics, hematologic parameters, and ECG results, and a comparison of echocardiographic parameters was performed to determine the relationship between ischemic stroke and left ventricular function.ResultsA total of 418 patients were included. Demographic characteristics did not significantly differ between the ischemic stroke and non-ischemic stroke groups, except for a history of drinking (p < 0.001). Homocysteine levels in the MCA group were higher than those in the PCA and BA groups (p < 0.05). The highly sensitive C-reactive protein (hs-CRP) level was higher in the ischemic stroke group than in the non-ischemic stroke one (p = 0.001). A higher incidence of ST-T changes in the ECG and lower levels of potassium and magnesium in the ischemic stroke group were found. Significant differences in diastolic function between groups were noted, and the early mitral inflow velocity, annular early diastolic velocity, and ratio between the mitral annular early diastolic velocity and mitral annulus atrial inflow velocity in the MCA group were lower than those in the BA group (p < 0.05).ConclusionsIschemic strokes exhibited a negative effect on left ventricular diastolic function by echocardiography, especially in MCA region infarcts. These results are of great importance for neurologists as they highlight the need for left ventricular function evaluation after stroke to regulate therapy strategies in time.

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Section: Introductionmentioning

confidence: 99%

Effect of Cerebral Ischemic Strokes in Different Cerebral Artery Regions on Left Ventricular Function

Zheng

Lin

Xue

2022

Front. Cardiovasc. Med.

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“…The most important ventricular changes in long-term hypertension are left ventricular hypertrophy [3,7,8]. It is commonly diagnosed by paraclinical instruments such as chest radiography or electrocardiography, but the best, most sensitive and precise diagnostic tool for left ventricular hypertrophy or other structural cardiac impairment is echocardiography [9][10][11]. It has also been well documented that the structural and functional abnormalities of the heart in primary blood pressure increase the risk of mortality and morbidity [12].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Left Ventricular Function Indices in Tissue Doppler Imaging and Exaggerated Blood Pressure Response During the Exercise Stress Test

Hemati

Gholoobi

Eshraghi

et al. 2020

GMJ

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Background: Studies have indicated that exaggerated hypertension during activity and stress can be a good predictor of the incidence of hypertension. This study tries to evaluate left ventricular (LV) function by tissue Doppler to assess early changes in ventricular compliance before the onset of Hypertension (HTN) in patients with exaggerated blood pressure response during the exercise test. Materials and Methods: In this case-control study, 40 patients without a history of hypertension with systolic blood pressure less than 140/90 which referred for exercise test, were included. The exercise test was performed for all patients. Patients who had exaggerated blood pressure during the stress test were considered as cases and the controls with normal blood pressure responses. Then standard echocardiography and Tissue Doppler imaging performed and indices of LV systolic and diastolic were recorded. Results: The LV mass in cases and controls were 174.9±50.78 and 152.9±33.59, respectively (P=0.114), and LV mass index in cases and controls were 127.4±13.5 and 79.8±15.75, respectively (P=0.023). Moreover, the LV Myocardial Performance Index were 0.68±0.11 and 0.48±0.06 in cases and controls, respectively (P<0.001). The heart rate, E/A, EE, E Velocity and S velocity were measuremented. Except E/A (P=0.009), there was no significant difference between the other variables measured between the cases and controls (P>0.05). Conclusion: The results of this study showed that using 2D conventional echocardiography as a noninvasive method if performed in prestigious centers can evaluate systolic and diastolic function Tissue Doppler parameters very well in the early stages of heart disease caused by HTN. [GMJ.2020;9:e1323]

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Section: Introductionmentioning

confidence: 99%

The Relationship between Left Ventricular Function Indices in Tissue Doppler Imaging and Exaggerated Blood Pressure Response During the Exercise Stress Test

Ghaderi,

Hemati,

Gholoobi

et al. 2020

GMJ

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Background: Studies have indicated that exaggerated hypertension during activity and stress can be a good predictor of the incidence of hypertension. This study tries to evaluate left ventricular (LV) function by tissue Doppler to assess early changes in ventricular compliance before the onset of Hypertension (HTN) in patients with exaggerated blood pressure response during the exercise test. Materials and Methods: In this case-control study, 40 patients without a history of hypertension with systolic blood pressure less than 140/90 which referred for exercise test, were included. The exercise test was performed for all patients. Patients who had exaggerated blood pressure during the stress test were considered as cases and the controls with normal blood pressure responses. Then standard echocardiography and Tissue Doppler imaging performed and indices of LV systolic and diastolic were recorded. Results: The LV mass in cases and controls were 174.9Â±50.78 and 152.9Â±33.59, respectively (P=0.114), and LV mass index in cases and controls were 127.4Â±13.5 and 79.8Â±15.75, respectively (P=0.023). Moreover, the LV Myocardial Performance Index were 0.68Â±0.11 and 0.48Â±0.06 in cases and controls, respectively (P<0.001). The heart rate, E/A, EE, E Velocity and S velocity were measuremented. Except E/A (P=0.009), there was no significant difference between the other variables measured between the cases and controls (P>0.05). Conclusion: The results of this study showed that using 2D conventional echocardiography as a noninvasive method if performed in prestigious centers can evaluate systolic and diastolic function Tissue Doppler parameters very well in the early stages of heart disease caused by HTN. [GMJ.2020;9:e1323]

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Revisiting Clinical Utility of Chest Radiography and Electrocardiogram to Determine Ischemic Stroke Subtypes: Special Reference on Vascular Pedicle Width and Maximal P-Wave Duration

Cited by 5 publications

References 30 publications

Effect of Cerebral Ischemic Strokes in Different Cerebral Artery Regions on Left Ventricular Function

Effect of Cerebral Ischemic Strokes in Different Cerebral Artery Regions on Left Ventricular Function

The Relationship between Left Ventricular Function Indices in Tissue Doppler Imaging and Exaggerated Blood Pressure Response During the Exercise Stress Test

The Relationship between Left Ventricular Function Indices in Tissue Doppler Imaging and Exaggerated Blood Pressure Response During the Exercise Stress Test

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