| Revista: | Revista de investigación clínica |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000453181 |
| ISSN: | 0034-8376 |
| Autores: | Griñán, Kilian1 Arboix, Adrià1 Massons, Joan1 Díez, Laura1 Vergés, Enric1 Gil, Francisco1 Arboix Alió, Jordi2 Sánchez López, María José3 García Eroles, Luís4 |
| Instituciones: | 1Hospital Universitari Sagrat Cor, Departamento de Neurología, Barcelona. España 2Universidad Ramón Llull, Facultad de Psicología, Educación Y Ciencia del Deporte, Barcelona. España 3Hospital Universitari Sagrat Cor, Biblioteca, Barcelona. España 4Institut Català de la Salut, Sistemas de Organización e Información, Barcelona. España |
| Año: | 2021 |
| Periodo: | Ene-Feb |
| Volumen: | 73 |
| Número: | 1 |
| Paginación: | 23-30 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Background: There is little information about the early clinical features of cardioembolic stroke before complementary examinations. Objective: The aim of this study was to identify risk factors, clinical features, and early outcomes of cardioembolic stroke. Methods: Retrospective study based on prospectively collected data available from a university medical center hospital-based stroke registry. Consecutive patients diagnosed with cardioembolic infarction were selected and compared to those diagnosed with an atherothrombotic stroke. Predictors of cardioembolic infarction were assessed by multivariate analysis. Results: From a cohort of 4597 consecutive patients, we studied 956 patients diagnosed with cardioembolic infarction (80 years [standard deviation (SD) 9.14]; 63% women) and 945 with atherothrombotic infarction (77.01 years [SD 9.75]; 49.8% women). The univariate comparative analysis reported that advanced age (≥ 85 years), female gender, atrial fibrillation (AF), ischemic heart disease, and congestive heart failure were significantly more frequent in the cardioembolic group, whereas hypertension, diabetes, peripheral vascular disease, heavy smoking, hyperlipidemia, and previous transient ischemic attack were significant in the atherothrombotic group. In the logistic regression model, AF (odds ratio [OR] 15.75, 95% confidence interval [CI]: 12.14-20.42), ischemic heart disease (OR 3.12, 95% CI: 2.16-4.5), female gender (OR 1.56, 95% CI: 1.22-2.00), and sudden-onset (OR 1.97, 95% CI: 1.54-2.51), were independent significant predictors of cardioembolic stroke. Conclusions: Potential cardioembolic stroke requires a comprehensive evaluation, since early classification and identification through predictors would improve effective management |
| Disciplinas: | Medicina |
| Palabras clave: | Sistema cardiovascular, Accidentes cerebrovasculares, Ancianos, Fibrilación auricular, Tromboembolismo intracraneal, Factores de riesgo, Etiología |
| Keyword: | Cardiovascular system, Stroke, Aged, Atrial fibrillation, Intracranial thromboembolism, Risk factors, Etiology |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
