Journals / Dicle Tıp Dergisi / 2019 / Cilt: 46 - Sayı: 4

Assessment of Myocardial Function by Myocardial Performance Index in Patients with Acute Ischemic Stroke

Akut İskemik İnmeli Hastalarda Miyokard Fonksiyonunun Miyokardiyal Performans İndeksi ile Değerlendirilmesi

Pages
715–723
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

MPI was significantlyhigher in Group 2 patients than in Group 1 patients (0.59±0.25 vs 0.48±0.20, p=0.004).Conclusion: Our results suggest that MPI is associated with stroke severity on admission in patients with acuteischemic stroke.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Acute stroke is an important cause of morbidity and mortality.
📊
Key Findings & Data:In this study, we aimed to investigate the relationship betweenmyocardial function assessed by myocardial performance index (MPI) and National Institutes of Health Stroke Scale(NIHSS) score in patients with acute ischemic stroke.Method: The study comprised 97 patients (males, 42; females, 55; 65 ± 16 years) diagnosed with acute ischemicstroke. 17 patients were excluded.
💡
Conclusion & Impact:MPI was significantlyhigher in Group 2 patients than in Group 1 patients (0.59±0.25 vs 0.48±0.20, p=0.004).Conclusion: Our results suggest that MPI is associated with stroke severity on admission in patients with acuteischemic stroke.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Acute stroke is an important cause of morbidity and mortality. Myocardial injury is an importantcomplication of acute cerebrovascular events. In this study, we aimed to investigate the relationship betweenmyocardial function assessed by myocardial performance index (MPI) and National Institutes of Health Stroke Scale(NIHSS) score in patients with acute ischemic stroke.Method: The study comprised 97 patients (males, 42; females, 55; 65 ± 16 years) diagnosed with acute ischemicstroke. 17 patients were excluded. Patients were divided into two groups based on the calculated NIHSS score (Group1, NIHSS score < 16; Group 2, NIHSS score ≥ 16). Demographic, clinical, and laboratory data for all patients werecollected. Cardiac function was evaluated by transthorasic echocardiography within 48 hours of admission to theneurology care unit.Results: There were no significant differences among demographic parameters of patients. MPI was significantlyhigher in Group 2 patients than in Group 1 patients (0.59±0.25 vs 0.48±0.20, p=0.004).Conclusion: Our results suggest that MPI is associated with stroke severity on admission in patients with acuteischemic stroke. MPI is an indicator of global myocardial dysfunction with a different from LVEF. MPI, which includesboth systolic and diastolic time intervals is an option to assess the global cardiac dysfunction.

Özet

Amaç: Akut inme morbidite ve mortalitenin önemli nedenlerinden biridir. Miyokardiyal hasarlanma, akut serebrovasküler olayların önemli bir komplikasyonudur. Yapmış olduğumuz bu çalışmanın amacı, akut iskemik inmeli hastalarda Ulusal Sağlık İnme Enstitüleri Ölçeği (NIHSS) ve miyokard performans indeksi (MPİ) ile değerlendirilen miyokard fonksiyonları arasındaki ilişkiyi araştırmaktır. Yöntemler: Çalışmaya akut iskemik inme tanılı 97 hasta (erkek,42; kadın,55; yaş, 65 ± 16) alındı. 17 hasta çalışmadan çıkarıldı. NIHSS skoruna göre hastalar iki gruba ayrıldı (Grup 1, NIHSS skor

🔖

Cite This Article

ÖZTÜRK, Ü., TAMAM, Y., ÖZTÜRK, Ö. (2022). Assessment of Myocardial Function by Myocardial Performance Index in Patients with Acute Ischemic Stroke. Dicle Tıp Dergisi, Cilt: 46 - Sayı: 4, 715–723. https://ajindex.com/articles/487363

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Rojek A, Gąsecki D, Fijałkowski M, et al. Left ventricular ejection fraction and aortic stiffness are independent predictors of neurological outcome in acute ischemic stroke. J Hypertens. 2016; 34: 2441-8
  2. Malik AN, Gross BA, Rosalind Lai PM, 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. 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
  6. Öztürk Ö, Toprak N. Akut Anteriyor Miyokard İnfarktüslü Hastalarda Geliş Miyokardiyal Performans İndeksi ile Lökositoz Arasındaki İlişki. Dicle Med J. 2004; 2: 36-41
  7. Lyden P. Using the National Institutes of Health Stroke Scale: A Cautionary Tale. Stroke. 2017; 48: 513-19
  8. Lang RM, Badano LP, Mor-Avi V, 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
  9. Tei C, Nishimura RA, Seward JB, Tajik AJ. Noninvasive Doppler derived myocardial performance index: Correlation with simultaneous measurement of cardiac catheterization measurements. J Am Soc Echocardiogr. 1997; 10: 169–78
  10. Zawadka-Kunikowska M, Slominski K, Slomko J, 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, 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. 2013; 23: 122
  13. Ripoll JG, Blackshear JL, Díaz-Gómez JL. Acute Cardiac Complications in Critical Brain Disease. Neurosurg Clin N Am. 2018; 29: 28