ArticleArchives of medical science : AMS2016
Cardiovascular diseases in patients 65 years and younger with non-cardiogenic stroke.
Article in Archives of medical science : AMS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 6 citations in OpenAlex.
- Epidemiology of hypertensive heart disease in Poland: findings from the Global Burden of Disease Study 2016.Archives of medical science : AMS · 2021Article
- Cerebrovascular accidents differ between patients with atrial flutter and patients with atrial fibrillation.Archives of medical science : AMS · 2021Article
- Increased carotid plaque burden in patients with family medical history of premature cardiovascular events in the absence of classical risk factors.Archives of medical science : AMS · 2019Article
- Increased plasma microfibrillar-associated protein 4 is associated with atrial fibrillation and more advanced left atrial remodelling.Archives of medical science : AMS · 2019Article
- Stroke subtypes, risk factors and mortality rate in northwest of Iran.Iranian journal of neurology · 2017Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
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Abstract
introductionApproximately 10-15% of patients with stroke are under 65 years of age. The aim of the study was to determine types of stroke In people below 65. We analysed the incidence and types of associated cardiovascular diseases in patients with non-cardiogenic stroke. MATERIAL AND
methodsIn this prospective study patients (aged ≤ 65) with stroke underwent physical examination, computed tomography of the head, blood tests, electrocardiogram, echocardiography, and transcranial and carotid artery ultrasound. Classification of stroke was performed according to the ASCOD scale. Analysis considered the incidence of heart diseases in patients with non-cardiogenic stroke and the incidence of heart diseases recognised as a cause of cerebral embolism in patients with cardiogenic stroke.
resultsThe study included 611 patients with stroke at the age of 27-65 (mean: 57.2 ±6.7; M/F 380/231). Stroke of heterogeneous aetiology was observed in 321 patients, cardiogenic stroke in 78, and stroke caused by small vessel and carotid artery disease in 73 and 72 patients, respectively. The most common heart diseases in non-cardiogenic stroke patients included persistent foramen ovale, coronary heart disease and past myocardial infarction. The most common causes of cardiogenic embolism were cardiomyopathy, atrial fibrillation and interatrial septal defect.
conclusionsAetiologically heterogeneous stroke and cardiogenic stroke are the most commonly observed among young stroke patients. Cardiomyopathy and atrial fibrillation are the most common sources of cerebral embolism in young patients with cardiogenic stroke. Nearly 1/5 of patients with a non-cardiogenic stroke have congenital or acquired structural changes in the heart.
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