CARDIAC EVALUATION OF PATIENTS WITH ISCHEMIC STROKE

Adnan Khan; Fahad Ajmal; Fazle Subhan; Iftikhar Muhammad; Iqbal haider; Naveed Iqbal

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CARDIAC EVALUATION OF PATIENTS WITH ISCHEMIC STROKE

机译：缺血性卒中患者的心脏评估

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Objective: To identify the commonest potential cardiac sources of embolism in patients with ischemic stroke.Methodology: This hospital based descriptive case study was conducted at Khyber Teaching Hospital, Peshawarfrom November 2009 to December 2010 on 150 patients with first ever ischemic stroke. Patients were selected onconvenient sampling technique. All patients with the clinical diagnosis of acute stroke and confirmed by non-contrastComputerized Tomography (CT) scan of brain as ischemic stroke were recruited in the study. Trans- thoracic andTrans- esophageal echocardiography were performed in selected patients in the Cardiology Department. A questionnairewas designed comprising detailed history, general physical examination, neurological, cardiovascular examinationsand relevant investigations. Data was analyzed by SPSS windows version 17.Results: Study included 150 patients (88 male and 62 female) ranging in age from 18-85 years with mean age of 60years ± 11.20 years. Potential cardiac sources of embolism were present in 45 (30%) patients. Twenty (13.33%)patients had atrial fibrillation due to rheumatic heart disease, 13(8.67%) patients non-valvular atrial fibrillation, 04(2.66%)patients myocardial infarction at the time of stroke, 03(2%) patients had dilated cardiomyopathy, 02(1.33%) patientsinfective endocarditis and one patient each had mitral valve prolapse (0.67%), prosthetic heart valves (0.67%) and leftventricular aneurysm (0.67%).Conclusion: Potential cardiac sources of cerebral embolism were detected in about one third of patients with ischemicstroke. Atrial fibrillation was the commonest cardiac source of embolism reflecting a high prevalence ofrheumatic fever and rheumatic heart disease in our country.Key Words: Ischemic Stroke, Cardiac Embolism, Atrial Fibrillation.

机译：目的：确定缺血性中风患者最常见的栓塞性心脏病源。方法：该医院基于描述性案例研究于2009年11月至2010年12月在白沙瓦开伯尔教学医院对150例首次缺血性中风患者进行。患者选择了方便的采样技术。该研究招募了所有临床诊断为急性中风并经非对比计算机断层扫描（CT）扫描确认为缺血性中风的患者。在心脏科的部分患者中进行了经胸和食管超声心动图检查。设计了一个问卷，包括详细的病史，一般体格检查，神经，心血管检查和相关调查。数据通过SPSS Windows版本17进行分析。结果：研究包括150例患者（男88例，女62例），年龄18-85岁，平均年龄60岁±11.20岁。 45（30％）名患者存在潜在的心脏栓塞来源。风湿性心脏病导致心房纤颤的患者为20名（13.33％），非瓣膜性心房颤动患者为13（8.67％）名，卒中时发生心肌梗塞的患者为04（2.66％）名，风湿性心肌病占03％（2％）的患者，02（1.33％）名患者感染性心内膜炎，其中一名患者二尖瓣脱垂（0.67％），人工心脏瓣膜（0.67％）和左心室动脉瘤（0.67％）。结论：约有三分之一的患者发现了潜在的心脏源性脑栓塞缺血性中风的患者。心房纤颤是栓塞的最常见心脏来源，反映出我国风湿热和风湿性心脏病的患病率很高。关键词：缺血性中风，心脏栓塞，心房纤颤。

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《Khyber Medical University Journal》 |2012年第1期|共4页
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Adnan Khan; Fahad Ajmal; Fazle Subhan; Iftikhar Muhammad; Iqbal haider; Naveed Iqbal;
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1. Cardiac Magnetic Resonance Imaging in Patients with Acute Ischemic Stroke and Elevated Troponin: A TRoponin ELevation in Acute Ischemic Stroke (TRELAS) Sub-Study [J] . Haeusler K.G., Jensen C., Scheitz J.F., Cerebrovascular Diseases Extra . 2019,第1期

机译：急性缺血性脑卒中患者心脏磁共振成像和肌钙蛋白升高：急性缺血性卒中（TRELAS）分类研究中的肌钙蛋白升高
2. Coronary Angiographic Findings in Acute Ischemic Stroke Patients With Elevated Cardiac Troponin The Troponin Elevation in Acute Ischemic Stroke (TRELAS) Study [J] . Mochmann Hans-Christian, Scheitz Jan F., Petzold Gabor C., Circulation: An Official Journal of the American Heart Association . 2016,第13期

机译：急性缺血性卒中伴有心肌肌钙蛋白升高的患者的冠状动脉造影结果急性缺血性卒中（TRELAS）研究中的肌钙蛋白升高
3. Clinical predictors of death in young and middle-aged patients with ischemic stroke or transient ischemic attack: long-term results of the Vienna Stroke Registry : Clinical predictors of ischemic stroke mortality in patients <60 years. [J] . Greisenegger S, Zehetmayer S, Ferrari J, Journal of neurology . 2011,第6期

机译：缺血性中风或短暂性脑缺血发作的年轻和中年患者死亡的临床预测指标：Vienna Stroke Registry的长期结果：<60岁患者中缺血性中风死亡率的临床预测指标。
4. THE USE OF STENTRIEVERS IN ACUTE ISCHEMIC STROKE: PERFORMANCE EVALUATION IN A PATIENT-SPECIFIC VASCULAR REPLICA [C] . Ju-Yu Chueh, Anna Luisa Kuhn, Ajit S. Puri, ASME bioengineering conference . 2014

机译：在急性缺血性卒中中使用雌激素：在患者特定血管替代物中的性能评估
5. An analysis of the relationship between hyperglycemia and the National Institute of Health Stroke Scale (NIHSS) scores in ischemic stroke patients. [D] . Bohl, Susan. 2010

机译：高血糖与缺血性中风患者国立卫生研究院卒中量表（NIHSS）评分之间的关系分析。
6. Cardiac Magnetic Resonance Imaging in Patients with Acute Ischemic Stroke and Elevated Troponin: A TRoponin ELevation in Acute Ischemic Stroke (TRELAS) Sub-Study [O] . Karl Georg Haeusler, Christoph Jensen, Jan F. Scheitz, 2019

机译：急性缺血性卒中和肌钙蛋白升高的患者的心脏磁共振成像：急性缺血性卒中（TRELAS）亚型中的钙蛋白升高
7. MODERATED EPOSTERS1385Longitudinal strain assessment in dilated cardiomyopathy patients using a novel accelerated DENSE sequence1407Simultaneous T1 and T2 cardiac quantification with CABIRIA: initial clinical experience1423Head-to-head comparison of acceleration algorithms in 4-dimensional flow CMR1502Left ventricular function and size evaluated by hybrid cardiac positron emission tomography-magnetic resonance: Intraindividual comparison of left ventricular ejection fraction and ventricular volumes derived by two modalities1510Left Atrium assessed by Cardiovascular Magnetic Resonance at 1.5 and 3 Tesla – age and gender effects1514Comparison of Free Breathing Cardiac MRI Radial technique to the Standard Multi breath-hold cine SSFP CMR technique for the assessment of LV Volumes and Function1536Self-navigated free-breathing isotropic 3D whole heart phase sensitive inversion recovery magnetic resonance without navigator for detection of myocardial infarction1547Assessment of Right Ventricular Strain Using Myocardial Deformation Recovery Semi Automated Technique: Initial Experience and Normal Values1586Tissue tracking myocardial deformation analysis and prediction of left ventricular remodeling in acute myocardial infarction1589Investigating strategies for optimal 31P MRS clinical cardiac at 3T: Initial Results1620Quantitative Criteria for the Diagnosis of the Congenital Absence of Pericardium by Cardiac Magnetic Resonance1632Widespread tissue injury during acute myocardial infarction: evidence from advanced CMR relaxometry1322Computed tomography coronary angiography verSus sTRess cArdiac magneTic rEsonance for the manaGement of sYmptomatic revascularized patients: a cost effectiveness study (STRATEGY study)1339Comparison of low- versus high-dose of gadobutrol for late gadolinium enhancement imaging at 1.5 Tesla: a clinical feasibility study1347Multi-parametric Cardiac Magnetic Resonance for Prediction of Cardiac Complications in Thalassemia Intermedia: a Prospective Multicenter Study1461Prognostic value of Cardiovascular Magnetic Resonance derived indexes of myocardial fibrosis in heart transplant recipients1523The role of CMR in the acute phase of hospitalization: changing paradigms1542Preoperative CMR-based score predict ventricular response after surgical left ventricular reconstruction in ischemic heart failure patients1555Excellent response rate to cardiac resynchronization therapy guided with magnetic resonance imaging1626The ECG as a predictor of arrhythmogenic substrate on Cardiac Magnetic Resonance Imaging in patients undergoing ablation for premature ventricular contractions1649Comparison of T1-mapping at 3.0T CMR and angiographic APPROACH score for area at risk assessment in ST-segment elevation myocardial infarction1340Pathological correlates of left bundle branch disease in patients with non-ischemic cardiomyopathy: a cardiovascular magnetic resonance study1342Myocardial remodelling and fibrosis in nonischaemic dilated cardiomyopathy: insights from cardiovascular magnetic resonance1411The association between fibrosis and contractile dysfunction in hypertrophic cardiomyopathy assessed by cardiovascular magnetic resonance1622Persistent myocardial inflammation due to intramyocardial haemorrhage in reperfused STEMI as a precursor to adverse LV remodelling - insights from multi-parametric mapping1566Semiquantitative analysis of low and high b value DWI for detecting myocardial edema in acute myocarditis1567Value of Cardiac MRI In Detecting Coronary Artery Disease In Newly Diagnosed Systolic Dysfunction1570Usefulness of cardiac magnetic resonance in tuberous sclerosis complex1578Papillary muscles offer further insight into hypertrophied hearts: a cardiovascular magnetic resonance study1627Diagnostic and clinical implications of CMR timing (early versus late) in patients with troponin positive acute coronary syndromes and unobstructed coronary arteries: Table 1. [O] . Upasana Tayal, Alexandros Kallifatidis, P. Garg, 2016

机译：在使用新的扩张型心肌病的患者缓和EPOSTERS1385Longitudinal应变评估加速DENSE sequence1407Simultaneous T1和T2与CABIRIA心脏定量：在4维流动的加速算法初始临床experience1423Head对头比较CMR1502Left心室功能和尺寸由混合心脏正电子发射断层摄影术评价 - 磁性共振：由两个modalities1510Left庭派生左室射血分数和心室体积的个体间的比较，在1.5和3特斯拉评估心血管磁共振 - 免费的年龄和性别effects1514Comparison呼吸心脏MRI径向技术标准的多屏气电影SSFP CMR技术的LV卷和Function1536Self-导航自由呼吸各向同性3D整个心脏相位敏感反转恢复磁共振导航仪没有检测右Ventricu心肌infarction1547Assessment的评估拉尔菌株使用心肌变形恢复半自动技术：初步经验和正常Values1586Tissue跟踪心肌变形分析和预测左室重构急性心肌infarction1589Investigating策略优化31P MRS临床心脏在3T：初始Results1620Quantitative标准的先天缺失的诊断心包心脏磁Resonance1632Widespread组织损伤急性心肌梗死时：证据先进CMR relaxometry1322Computed CT冠状动脉成像与压力心脏磁共振对症的管理吻合血管患者：成本效益研究（战略研究）1339Comparison低与高剂量钆布醇在1.5特斯拉晚钆增强成像的临床可行性，在中间型地贫心脏并发症的预测study1347Multi参数心脏核磁共振的前瞻性德穆尔心血管磁共振的ticenter Study1461Prognostic价值衍生心肌纤维化指标在住院的急性期CMR的心脏移植recipients1523The作用：改变基于CMR-paradigms1542Preoperative比分预测缺血性心脏衰竭patients1555Excellent响应速度外科左心室重建心脏再同步化后心室反应治疗与磁共振imaging1626The ECG导引作为心脏磁共振成像致心律失常性基板的在ST段抬高心肌infarction1340Pathological在风险评估经历在3.0T CMR T1映射的室性早搏contractions1649Comparison和血管造影APPROACH分数区域消融患者的预测左束支传导疾病的患者与非缺血性心肌病相关因素：心血管磁共振study1342Myocardial重塑和纤维化nonischaemic扩张型心肌病：在从在由心血管磁性resonance1622Persistent心肌炎症评估肥厚型心肌病的纤维化和收缩功能障碍之间心血管磁性resonance1411The协会由于心肌内出血景点在再灌注STEMI为先导，以不利的LV重塑 - 从低的多参数mapping1566Semiquantitative分析和高的b值DWI的见解为在心脏MRI检测冠状动脉疾病急性myocarditis1567Value在结节性硬化症complex1578Papillary肌肉初诊收缩期Dysfunction1570Usefulness心脏磁共振检测心肌水肿提供进一步的深入了解肥大心脏：心血管磁共振study1627Diagnostic和CMR定时的临床意义（早期与晚）患者肌钙蛋白阳性的急性冠脉综合征和通畅的冠状动脉：表1。

CARDIAC EVALUATION OF PATIENTS WITH ISCHEMIC STROKE

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