Transient Increase in Intrathoracic Pressure as a Contributing Factor to Cardioembolic Stroke

Seok, Hung Youl; Seo, Woo Keun; Eun, Mi-Yeon; Kwon, Do Young; Park, Moon Ho; Oh, Kyungmi

doi:10.3988/jcn.2010.6.4.212

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…We also found that the application of mechanical ventilation and ECMO was related to both ischemic and hemorrhagic IOS. Positive pressure ventilation may provoke thromboembolism by inducing hypercoagulable state, opening unrecognized patent foramen ovale, and new-onset atrial fibrillation [15][16][17][18][19]. In addition, weaning from mechanical ventilation may induce hemodynamic changes and cardiac failure [20].…”

Section: Discussionmentioning

confidence: 99%

Newly developed stroke in patients admitted to non-neurological intensive care units

Chang

Jeong

et al. 2020

J Neurol

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Background Little is known about newly developed stroke in patients admitted to the intensive care unit (ICU). Objective This study aimed to investigate characteristics and outcomes of newly developed stroke in patients admitted to the non-neurological intensive care units (ICU-onset stroke, IOS). Methods A consecutive series of adult patients who were admitted to the non-neurological ICU were included in this study. We compared neurological profiles, risk factors, and mortality rates between patients with IOS and those without IOS. Results Of 18,604 patients admitted to the ICU for non-neurological illness, 218 (1.2%) developed stroke (ischemic, n = 182; hemorrhagic, n = 36). The most common neurological presentation was altered mental status (n = 149), followed by hemiparesis (n = 55), and seizures (n = 28). The most common etiology of IOS was cardioembolism (50% [91/182]) for ischemic IOS and coagulopathy (67% [24/36]) for hemorrhagic IOS. In multivariable analysis,

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Section: Discussionmentioning

confidence: 99%

Newly developed stroke in patients admitted to non-neurological intensive care units

Chang

Jeong

et al. 2020

J Neurol

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“…After screening, a total of 20 studies, which included 26 IS patients associated with sexual intercourse, were included. The clinical characteristics of previous studies on IS associated with sexual intercourse are summarized in Table 1 [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. The median (range) age was 34 (18-58) years, average age was 34.53 ± 10.08 years, and sex ratio was 1.6:1 (female:male = 16:10).…”

Section: Resultsmentioning

confidence: 99%

“…The existence of abnormal venous-arterial channels, including patent foramen ovale (PFO), atrial septal defect (ASD), patent ductus arteriosus, and pulmonary arteriovenous malformations (PAVMs), is crucial for the occurrence of paradoxical embolization. Some studies have reported an association between paradoxical embolization related to PFO or ASD and sexual intercourse [6][7][8][9][10][11][12][13][14]. The plausible key process is the increase in the intrathoracic pressure during sexual intercourse, similar to during the Valsalva maneuver that facilitates or results in right-toleft shunting through the PFO or ASD.…”

Section: Etiologies and Mechanisms Of Is Associated With Sexual Inter...mentioning

confidence: 99%

Etiologies and Mechanisms of Ischemic Stroke Associated with Sexual Intercourse: A Literature Review

et al. 2021

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Background: Exposure to some special events, also called stroke triggers, can precipitate the onset of ischemic stroke (IS). Previous studies have presented preliminary hypotheses about sexual intercourse as a trigger of IS in predisposed individuals, but the mechanisms of IS associated with sexual intercourse are still not well defined. This literature review summarizes the etiologies and mechanisms of IS associated with sexual intercourse. Further studies on stroke triggers are warranted, and early recognition and appropriate preventive strategies directed against the short-term risks posed by stroke triggers may complement the long-term risk factor reduction approach. Methods: Articles were selected from PubMed (1946–2021) and Web of Science Core Collection (1990–2021) using the following search terms: ischemic stroke, ischaemic stroke, stroke, cerebral infarction, cerebral ischemia, cerebral embolism, embolism, sexual intercourse, sexual activity, intercourse, coitus, coition, and coital. Results: A total of 20 studies, which included 26 patients with IS associated with sexual intercourse, were included. This literature review found that IS associated with sexual intercourse is not rare but has not received enough attention, and paradoxical embolization and postcoital arterial dissection are common etiologies. Other etiologies include drug usage (such as sexual adjuvant drugs and illicit drugs), paroxysmal sympathetic hyperactivity, and reversible cerebral vasoconstriction syndrome. Discussion/Conclusion: Sexual intercourse should be considered an important trigger for IS. Clinicians should be aware that IS associated with sexual intercourse is not subjective but may be a warning sign of multiple etiologies and mechanisms.

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Complications neurologiques du coït : revue de la littérature

Grasland

Turmel

Chesnel

et al. 2021

Progrès en Urologie

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Transient Increase in Intrathoracic Pressure as a Contributing Factor to Cardioembolic Stroke

Cited by 6 publications

References 8 publications

Newly developed stroke in patients admitted to non-neurological intensive care units

Newly developed stroke in patients admitted to non-neurological intensive care units

Etiologies and Mechanisms of Ischemic Stroke Associated with Sexual Intercourse: A Literature Review

Complications neurologiques du coït : revue de la littérature

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