[Cardiovascular risk factors and echocardiography in patients victims of ischemic stroke in brazzaville: 83 cases].

Autor: Ondze-Kafata LI; Service de cardiologie et médecine interne, CHU de Brazzaville., Kissima-Traore A; Service de cardiologie Hopital de Sikasso, Mali., Amounya-Zobo S; Service de cardiologie et médecine interne, CHU de Brazzaville., Ossou-Nguiet M; Service de neurologie, CHU, Brazzaville., Kimbally-Kaky G; Service de cardiologie et médecine interne, CHU de Brazzaville., Nkoua JL; Service de cardiologie et médecine interne, CHU de Brazzaville.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2014; Vol. 29 (1), pp. 23-28.
Abstrakt: Goal: Investigate the cardiovascular risk factors and evaluate the usefulness of echocardiography in the assessment ischemic stroke.
Materials and Methods: Prospective and descriptive study in the neurology department of the teaching hospital of Brazzaville between June 2011 and June 2012, 83 patients enrolled and 55 echocardiograms performed.
Results: The risk factors found were: obesity (19, 22.8%), overweight (16, 19.2%), high blood pressure (44, 53%), diabetes (14, 16.8%), dyslipidemia (6, 7.2%), and smoking (2). Left ventricular ejection fraction (LVEF) was 68.5 ± 10.3%. There was a hypokinetic and dilated cardiomyopathy in four cases (7.2%), left ventricular hypertrophy in eight cases (14.5%), left atrial enlargement in 13 cases (23.6%). We have identified a tight mitral stenosis. The diastolic profile was a relaxation-type disorder in 46 patients (83.6%). Echocardiography identified 12 (14.4%) lesions potentially embolic: dilated cardiomyopathy (n = 4), ischemic heart disease (n = 6), tight mitral stenosis (n = 1), acute pulmonary heart post-embolic (n = 1).
Conclusion: Echocardiography is an essential examination for the investigation of a cardioembolic cause in the assessment of a stroke, enabling therapeutic adaptation..
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Databáze: MEDLINE
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