CARDIOEMBOLIC STROKE - A STUDY OF ITS INCIDENCE, AETIOLOGY, CLINICAL PRESENTATION AND OUTCOME
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 40
Abstract
BACKGROUND Cardioembolic stroke accounts for 14-30% of all cerebral infarctions with a greater tendency of recurrence and it can be prevented. Cardioembolic stroke is a potentially devastating condition that causes frequent diagnostic and therapeutic difficulties and prompt diagnosis to define cardioembolic strokes is important for its secondary prevention. The objective of the study was to study the incidence, aetiology, clinical presentation and outcome of a cardioembolic stroke. MATERIALS AND METHODS The present observational study was conducted among a sample size of 100 cases of admitted to Intensive Care Unit in Al Ameen Medical College Hospital with an onset of acute neurological deficit in the age group of 30-85 years having first event of acute ischemic stroke after taking a written, informed consent. The study period was November 2015 to August 2017. RESULTS The mean age of our study population was 55.95±12.71 years with male dominance (62%). The incidence of cardioembolic stroke was 19% and mean age group among the cardioembolic stroke was 59.21±12.10 years. Non-valvular atrial fibrillation was found in majority of patients. The patients mostly presented with motor impairment followed by altered consciousness. Infarct involved the middle cerebral artery territory in majority of patients. The survival rate was 89.47%. CONCLUSION Cardiac sources of embolism have to be carefully sought and echocardiography is the main diagnostic tool. The most frequent cardiac source of embolism is atrial fibrillation.
Authors and Affiliations
Bilal Bin Abdullah, Nida Nausheen, Khalid Mazhar Mehdi, Ehsan Ghalib
Keywords
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- EP ID EP575609
- DOI 10.18410/jebmh/2018/584
- Views 104
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