Volume 43 Issue 11
Nov.  2022
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Yao YANG, Jianxiong LIU, Yun ZHANG, Fanyi KONG, Shixiang LIU. Relationships between Large Artery Atherosclerotic Stroke and Cardiac Function[J]. Journal of Kunming Medical University, 2022, 43(11): 107-111. doi: 10.12259/j.issn.2095-610X.S20221126
Citation: Yao YANG, Jianxiong LIU, Yun ZHANG, Fanyi KONG, Shixiang LIU. Relationships between Large Artery Atherosclerotic Stroke and Cardiac Function[J]. Journal of Kunming Medical University, 2022, 43(11): 107-111. doi: 10.12259/j.issn.2095-610X.S20221126

Relationships between Large Artery Atherosclerotic Stroke and Cardiac Function

doi: 10.12259/j.issn.2095-610X.S20221126
  • Received Date: 2022-05-26
    Available Online: 2022-10-28
  • Publish Date: 2022-11-14
  •   Objective   To analyze the difference in cardiac function between intracranial and extracranial atherosclerotic stroke and aortic arch atherosclerotic stroke, so as to investigate the effect of cardiac function on the prognosis of large artery atherosclerotic stroke.   Methods   A total of 846 patients with first-ever acute ischemic stroke from January 2014 to October 2017 in 920th Hospital of People’s Liberation Army, Logistics Support Force were selected. A total of 552 large artery atherosclerotic stroke patients who met the Chinese Ischemic Stroke Subclassification. Among these 507 were diagnosed with intracranial and extracranial atherosclerotic stroke and 45 were diagnosed with aortic arch atherosclerotic stroke. To analyze the difference in cardiac function between intracranial and extracranial atherosclerotic stroke and aortic arch atherosclerotic stroke. The multivariate regression analysis was used to analyze the effect of cardiac function on the 30-day prognosis of stroke.   Results  The LVEF and LVFS in the aortic arch atherosclerosis group were lower than those in the intracranial and extracranial atherosclerosis group. The ESV in patients with aortic arch atherosclerosis was greater than that in the intracranial and extracranial atherosclerosis groups. In patients with large artery atherosclerotic stroke, decreased SV and coronary atherosclerotic heart disease increased the risk of 30-day disability; increased CO, hyperuricemia and age increased the risk of 30-day death.   Conclusions  The cardiac systolic function of patients with aortic arch atherosclerotic stroke is worse than that of patients with intracranial and extracranial atherosclerotic stroke. In patients with large artery atherosclerotic stroke, the decrease of SV and coronary atherosclerotic heart disease is independently associated with the 30-day disability, the increase of CO, age and hyperuricemia are independently associated with the 30-day death.
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