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Heart Failure Status among Acute Ischemic Stroke Patients: A Hospital-Based Study
BACKGROUND: Since heart failure (HF) and ischemic stroke have common risk factors, their concurrent occurrence is likely. Strokes in HF patients could be life-threatening and lead to severe disabilities, longer hospitalization time, and mortality. The present study aims to investigate the prevalence...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9433237/ https://www.ncbi.nlm.nih.gov/pubmed/36059928 http://dx.doi.org/10.1155/2022/7348505 |
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author | Ravandi, Fatemeh Haj Mohamad Ebrahim Ketabforoush, Arsh Azedi, Fereshteh Hoshyarkhani, Mohsen Fayyaz, Farimah Abbasi Khoshsirat, Nahid |
author_facet | Ravandi, Fatemeh Haj Mohamad Ebrahim Ketabforoush, Arsh Azedi, Fereshteh Hoshyarkhani, Mohsen Fayyaz, Farimah Abbasi Khoshsirat, Nahid |
author_sort | Ravandi, Fatemeh |
collection | PubMed |
description | BACKGROUND: Since heart failure (HF) and ischemic stroke have common risk factors, their concurrent occurrence is likely. Strokes in HF patients could be life-threatening and lead to severe disabilities, longer hospitalization time, and mortality. The present study aims to investigate the prevalence of HF and its severity based on ejection fraction (EF) in patients with acute ischemic stroke. METHODS: The present cross-sectional study included acute ischemic stroke patients admitted to Shahid Rajaei hospital in Karaj in 2020–2021. The diagnosis of HF was based on transthoracic echocardiography within 48 hours of symptom onset, and HF was classified into two groups: 41–49% as mildly reduced EF (HFmrEF) and ≤40% as reduced EF (HFrEF). Patients who did not complete cardiac studies were excluded. RESULTS: 257 acute ischemic stroke patients (62.6% male) were included. Among stroke patients, the prevalence of HF, including HFrEF and HFmrEF, was 30.0% (95% CI: 21.4–38.6). HFmrEF and HFrEF was diagnosed in 32 (12.5%) and 45 (17.5%) patients, respectively. HF was significantly associated with older age, hypertension, past myocardial infarction (MI), and arrhythmia. A history of previous MI significantly increased the odds of heart failure (OR: 3.25, 95% CI: 1.82–5.81). CONCLUSION: There is a high prevalence of HF among acute ischemic stroke patients. Older patients with a history of hypertension and previous MI are at higher risk. Since patients with HF have a higher mortality and morbidity rate after experiencing an ischemic stroke, close cooperation between the neurology and cardiology specialists for providing advanced care for survivors is required. |
format | Online Article Text |
id | pubmed-9433237 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-94332372022-09-01 Heart Failure Status among Acute Ischemic Stroke Patients: A Hospital-Based Study Ravandi, Fatemeh Haj Mohamad Ebrahim Ketabforoush, Arsh Azedi, Fereshteh Hoshyarkhani, Mohsen Fayyaz, Farimah Abbasi Khoshsirat, Nahid Neurol Res Int Research Article BACKGROUND: Since heart failure (HF) and ischemic stroke have common risk factors, their concurrent occurrence is likely. Strokes in HF patients could be life-threatening and lead to severe disabilities, longer hospitalization time, and mortality. The present study aims to investigate the prevalence of HF and its severity based on ejection fraction (EF) in patients with acute ischemic stroke. METHODS: The present cross-sectional study included acute ischemic stroke patients admitted to Shahid Rajaei hospital in Karaj in 2020–2021. The diagnosis of HF was based on transthoracic echocardiography within 48 hours of symptom onset, and HF was classified into two groups: 41–49% as mildly reduced EF (HFmrEF) and ≤40% as reduced EF (HFrEF). Patients who did not complete cardiac studies were excluded. RESULTS: 257 acute ischemic stroke patients (62.6% male) were included. Among stroke patients, the prevalence of HF, including HFrEF and HFmrEF, was 30.0% (95% CI: 21.4–38.6). HFmrEF and HFrEF was diagnosed in 32 (12.5%) and 45 (17.5%) patients, respectively. HF was significantly associated with older age, hypertension, past myocardial infarction (MI), and arrhythmia. A history of previous MI significantly increased the odds of heart failure (OR: 3.25, 95% CI: 1.82–5.81). CONCLUSION: There is a high prevalence of HF among acute ischemic stroke patients. Older patients with a history of hypertension and previous MI are at higher risk. Since patients with HF have a higher mortality and morbidity rate after experiencing an ischemic stroke, close cooperation between the neurology and cardiology specialists for providing advanced care for survivors is required. Hindawi 2022-08-24 /pmc/articles/PMC9433237/ /pubmed/36059928 http://dx.doi.org/10.1155/2022/7348505 Text en Copyright © 2022 Fatemeh Ravandi et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Ravandi, Fatemeh Haj Mohamad Ebrahim Ketabforoush, Arsh Azedi, Fereshteh Hoshyarkhani, Mohsen Fayyaz, Farimah Abbasi Khoshsirat, Nahid Heart Failure Status among Acute Ischemic Stroke Patients: A Hospital-Based Study |
title | Heart Failure Status among Acute Ischemic Stroke Patients: A Hospital-Based Study |
title_full | Heart Failure Status among Acute Ischemic Stroke Patients: A Hospital-Based Study |
title_fullStr | Heart Failure Status among Acute Ischemic Stroke Patients: A Hospital-Based Study |
title_full_unstemmed | Heart Failure Status among Acute Ischemic Stroke Patients: A Hospital-Based Study |
title_short | Heart Failure Status among Acute Ischemic Stroke Patients: A Hospital-Based Study |
title_sort | heart failure status among acute ischemic stroke patients: a hospital-based study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9433237/ https://www.ncbi.nlm.nih.gov/pubmed/36059928 http://dx.doi.org/10.1155/2022/7348505 |
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