The complications of cardioembolic stroke: Lessons from the VISTA database

被引：7

作者：

Hallevi, Hen ^{[1
]}

Albright, Karen C. ^{[2
]}

Martin-Schild, Sheryl ^{[1
]}

Barreto, Andrew D. ^{[1
]}

Grotta, James C. ^{[1
]}

Savitz, Sean I. ^{[1
]}

机构：

[1] Univ Texas Houston, Hlth Sci Ctr, Dept Neurol, Vasc Neurol Program, Houston, TX 77030 USA

[2] Univ Calif San Diego, Dept Neurosci, San Diego, CA 92103 USA

来源：

CEREBROVASCULAR DISEASES | 2008年 / 26卷 / 01期

关键词：

cardioembolism; embolic stroke; hemorrhagic transformation; progressive stroke;

D O I：

10.1159/000135651

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Cardioembolic stroke (CES) accounts for 20-30% of ischemic strokes. We attempted to describe the complications of CES. Methods: We analyzed a cohort of CES patients from the VISTA database who were not given thrombolytics. Results: 397 patients were included. Recurrent stroke occurred in 2.5% (10/397); stroke progression in 7.8% (31/397); systemic bleeding in 3% (12/397), and hemorrhagic transformation (HT) in 1.5% (6/397). A bimodal temporal distribution was observed for HT. The mortality rate was 103/397 (25.9%) and was associated with stroke progression and recurrence. Conclusions: HT is common in CES patients and presents in a bimodal distribution. Stroke progression is the most frequent serious complication. Further study is indicated to identify predictors of stroke progression. Copyright (C) 2008 S. Karger AG, Basel.

引用

页码：38 / 40

页数：3

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