Journals / Cukurova Medical Journal / 2019 / Cilt: 44 - Sayı: Ek Sayı 1

Relationship between stroke severity and repolarization parameters in patients with acute ischemic stroke

Pages
539–546
Publication Date
2022-10-12
DOI
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⚡ TL;DR(Too Long; Didn't Read)

We suggested that especially severe ischemic strokepatients closely using cardiac monitoring during the first24 h.

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Objective & Hypothesis:Purpose: The aim of this study was to investigate therelationship between repolarization parameters andNational Institutes of Health Stroke Scale (NIHSS) scorein patients with acute ischemic stroke.Materials and Methods: The study comprised 97patients (males, 42; females, 55; 65 ± 16 years) with acuteischemic stroke. 17 patients were excluded.
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Key Findings & Data:Patients weredivided into two groups based on the calculated NIHSSscore (Group 1, NIHSS score < 16; Group 2, NIHSS score≥ 16).
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Conclusion & Impact:We suggested that especially severe ischemic strokepatients closely using cardiac monitoring during the first24 h.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: The aim of this study was to investigate therelationship between repolarization parameters andNational Institutes of Health Stroke Scale (NIHSS) scorein patients with acute ischemic stroke.Materials and Methods: The study comprised 97patients (males, 42; females, 55; 65 ± 16 years) with acuteischemic stroke. 17 patients were excluded. Patients weredivided into two groups based on the calculated NIHSSscore (Group 1, NIHSS score < 16; Group 2, NIHSS score≥ 16). Demographic, clinical, and laboratory data for allpatients were collected. A 12-lead resting ECG wasrecorded at admission to the neurology care unit inpatients with acute ischemic stroke and were manuallymeasured with a ruler. QTc, QTd, QTcd, Tpe, Tpe/QTparameters were measured.Results: There were no significant differences amongdemographic parameters of patients. We found that QTc,QTd, QTcd, Tpe, Tpe/QT parameters were significantlyhigher in Group 2 than Group 1 patients.Conclusion: In this study, we found that acute ischemicstroke has been shown to cause changes in repolarizationparameters. Repolarization parameters are associated withstroke severity on admission in patients with acuteischemic stroke. Increased dispersion of repolarizationparameters make independent contributions to the risk ofarrhythmic cardiac death in patients with acute ischemicstroke. We suggested that especially severe ischemic strokepatients closely using cardiac monitoring during the first24 h.

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Cite This Article

Öztürk, Ü., Tamam, Y., Öztürk, Ö. (2022). Relationship between stroke severity and repolarization parameters in patients with acute ischemic stroke. Cukurova Medical Journal, Cilt: 44 - Sayı: Ek Sayı 1, 539–546. https://ajindex.com/articles/476795

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References (12)

  1. Rojek A, Gąsecki D, Fijalkowski M, Kowalczyk K, Kwarciany M, Wolf J et al. Left ventricular ejection fraction and aortic stiffness are independent predictors of neurologicaloutcome in acute ischemic stroke. J Hypertens. 2016;34:2441-8
  2. Malik AN, Gross BA, Rosalind Lai PM, Moses ZB, Du R et al. neurogenic stress cardiomyopathy after aneurysmal subarachnoid hemorrhage. World Neurosurg. 2015;83:880-5
  3. Kerro A, Woods T, Chang JJ. Neurogenic stunned myocardium in subarachnoid hemorrhage. J Crit Care. 2017:38:27-34
  4. Ermis E, Demirelli S, Ceylan M et al: The evaluation of myocardial function of patients in the early stage of acute ischemic stroke by two-dimensional speckle tracking echocardiography. J Clin Ultrasound. 2016:44:305-11
  5. Kim H, Yoon HJ, Park HS, Cho YK, Nam CW, Hur SH, et al. Usefulness of tissue Doppler imagingmyocardial performance index in the evaluation of diastolicdysfunction and heart failure with preserved ejection fraction. Clin Cardiol. 2011;34:494-9
  6. Ozturk O, Ulgen MS, Tekes S, Ozturk U, Toprak N. Influence of the angiotensin converting enzyme i/d gene polymorphisms on right ventricular myocardial performance index in patients with a first acute anterior myocardial infarction. Circ J. 2005;69:211-5
  7. Öztürk Ö, Toprak N. Akut Anteriyor miyokard infarktüslü hastalarda geliş miyokardiyal performans indeksi ile lökositoz arasındaki ilişki. Dicle Med J. 2004;2:36-41
  8. Lyden P. Using the National Institutes of Health Stroke Scale: a cautionary tale. Stroke. 2017:48:513-9
  9. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28:1-39
  10. Zawadka-Kunikowska M, Slominski K, Slomko J, Tafil-Klawe M, Klawe JJ, Sokołowski L et al. Comprehensive non-nvasive cardiac and autonomic assessment in acute ischaemic strokepatients: pilot study. Minerva Cardioangiol. 2018;66:376-85
  11. Vemmos K, Ntaios G, Savvari P, Vemmou AM, Koroboki E, Manios E et al: Stroke etiology and predictors of outcome in patients with heart failure and acute stroke: a 10-year follow-up study. Eur J Heart Fail. 2012;14:211-8
  12. Holmström A, Fu ML, Hjalmarsson C, Bokemark L, Andersson B. Heart dysfunction in patients with acute ischemic stroke or TIA does not predict all-cause mortality at long-term follow-up. BMC Neurol.