Volume 43 Issue 11
Nov.  2022
Turn off MathJax
Article Contents
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.
  • loading
  • [1]
    Wu Q,Cui J,Xie Y,et al. Outcomes of ischemic stroke and associated factors among elderly patients with large-artery atherosclerosis:A hospital-based follow-up study in China[J]. Front Neurol,2021,12:642426. doi: 10.3389/fneur.2021.642426
    [2]
    Gao S,Wang Y J,Xu A D,et al. Chinese ischemic stroke subclassification[J]. Front Neurol,2011,2(6):1-5.
    [3]
    Orgah J O,Yu J,Zhao T,et al. Danhong injection reversed cardiac abnormality in brain-heart syndrome via local and remote β-adrenergic receptor signaling[J]. Front Pharmacol,2018,9:692. doi: 10.3389/fphar.2018.00692
    [4]
    Hatano S. Experience from a multicentre stroke register:A preliminary report[J]. Bull World Health Organ,1976,54(5):541-553.
    [5]
    Brott T,Adams H P Jr,Olinger C P,et al. Measurements of acute cerebral infarction:A clinical examination scale[J]. Stroke,1989,20(7):864-870. doi: 10.1161/01.STR.20.7.864
    [6]
    Swieten J C,Koudstaal P J,Visser M C,et al. Interobserver agreement for the assessment of handicap in stroke patients[J]. Stroke,1988,19(5):604-607. doi: 10.1161/01.STR.19.5.604
    [7]
    Yanai H,Adachi H,Hakoshima M,et al. Molecular biological and clinical understanding of the pathophysiology and treatments of hyperuricemia and its association with metabolic syndrome,cardiovascular diseases and chronic kidney disease[J]. Int J Mol Sci,2021,22(17):9221. doi: 10.3390/ijms22179221
    [8]
    Erdogan D,Gullu H,Caliskan M,et al. Relationship of serum uric acid to measures of endothelial function and atherosclerosis in healthy adults[J]. Int J Clin Pract,2005,59(11):1276-1282. doi: 10.1111/j.1742-1241.2005.00621.x
    [9]
    Kaess B M,Rong J,Larson M G,et al. Aortic stiffness,blood pressure progression,and incident hypertension[J]. JAMA,2012,308(9):875-881. doi: 10.1001/2012.jama.10503
    [10]
    陈贺中. 动脉血液双层面流动假说[J]. 医学理论与实践,2005,18(11):6-7. doi: 10.19381/j.issn.1001-7585.2005.11.001
    [11]
    Bhatia R,Sharma G,Patel C,et al. Coronary artery disease in patients with ischemic stroke and TIA[J]. J Stroke Cerebrovasc Dis,2019,28(12):104400. doi: 10.1016/j.jstrokecerebrovasdis.2019.104400
    [12]
    Pagliaro B R,Cannata F,Stefanini G G,et al. Myocardial ischemia and coronary disease in heart failure[J]. Heart Fail Rev,2020,25(1):53-65. doi: 10.1007/s10741-019-09831-z
    [13]
    Zheng J,Heidenreich P A,Kohsaka S,et al. Variability in coronary artery disease testing for patients with new-onset heart failure[J]. J Am Coll Cardiol,2022,79(9):849-860.
    [14]
    王红梅,张婷,陈静炯,等. 低T3水平与大动脉粥样硬化型脑梗死患者短期预后的关系[J]. 临床荟萃,2020,35(6):517-520. doi: 10.3969/j.issn.1004-583X.2020.06.007
    [15]
    刘奕娴,王绮婧,刘星辰,等. 侧支循环对再灌注治疗后出血转化及短期预后的影响[J]. 中华神经医学杂志,2021,20(11):1108-1116. doi: 10.3760/cma.j.cn115354-20210805-00489
    [16]
    Falsetti L,Viticchi G,Tarquinio N,et al. Charlson comorbidity index as a predictor of in-hospital death in acute ischemic stroke among very old patients:a single-cohort perspective study[J]. Neurol Sci,2016,37(9):1443-1448. doi: 10.1007/s10072-016-2602-1
    [17]
    Padda J,Khalid K,Padda S,et al. Hyperuricemia and its association with ischemic stroke[J]. Cureus,2021,13(9):e18172.
    [18]
    Falsetti L,Capeci W,Tarquinio N,et al. Serum uric acid,kidney function and acute ischemic stroke outcomes in elderly patients:A single-cohort,perspective study[J]. Neurol Int,2017,9(1):6920.
  • Relative Articles

    [1] Jiajia XUE, Xiaoxiao WANG, Xu WANG, Yuanyuan SUN, Honglu ZHU. Application of Thyroid Function Indicators Combined with Transcranial Doppler Ultrasound and Carotid Ultrasound in the Assessment of Vascular Stenosis in Atherosclerotic Cerebral Infarction. Journal of Kunming Medical University, 2024, 46(): 1-7.
    [2] Mengdan XU, Hong XIANG, Xiaolong GAO, Jin ZHANG, Haiyan WU, Lilin WANG. Effect of Dapagliflozin on Cardiac Structure and Function in Patients with Heart Failure Due to Mildly Reduced Ejection Fraction. Journal of Kunming Medical University, 2024, 45(11): 95-102.  doi: 10.12259/j.issn.2095-610X.S20241114
    [3] Linlin XUE, Binghan LI, Chunyun LIU, Weikun LI, Lixian CHANG, Huimin LI, Yanwei QI, Li LIU. Establishment and Evaluation of a Nomogram for Predicting Potential Death in Patients with Hepatitis C Cirrhosis and Sepsis in General Wards. Journal of Kunming Medical University, 2023, 44(6): 113-119.  doi: 10.12259/j.issn.2095-610X.S20230630
    [4] Wen-bin ZHANG, Dan HAN, Yang TIAN, Wei ZHAO. The Correlation between Epicardial Adipose Tissue and Coronary Artery Atherosclerosis with the Dual-source CT. Journal of Kunming Medical University, 2021, 42(8): 111-117.  doi: 10.12259/j.issn.2095-610X.S20210820
    [5] Yi YANG, Yong-bo ZHANG. Value of Neutrophil to Lymphocyte Ratio and Derived Neutrophil to Lymphocyte Ratio in Prediction of Hemorrhagic Transformation In Acute Ischemic Stroke with Large-artery Atherosclerosis. Journal of Kunming Medical University, 2021, 42(11): 33-37.  doi: 10.12259/j.issn.2095-610X.S20211106
    [6] Hai-ping ZHANG, Shu-juan YANG, Li-xia YANG, Zhao-juan RUAN, Rui-wei GUO. Effect of Hyperhomocysteinemia on Cardiac Function and Mortality of Patients with Acute Myocardial Infarction Concomitant Hypertension underwent Primary Percutaneous Coronary Intervention after 6 Months. Journal of Kunming Medical University, 2021, 42(3): 73-78.  doi: 10.12259/j.issn.2095-610X.S20210319
    [7] Cao Qing , Li Lan , Zou Ying , Li Yun Chuan , Li Yong , Long Jun Jun , Liu Hao Wen , He Liu Yu , Tian Er Miao . . Journal of Kunming Medical University, 2020, 41(04): 25-30.
    [8] Shi Hu Tao , Song Guang Yi , Long Zhi Gang . Magnetic Resonance Imaging Study of Cardiac Atrioventricular Line and Ventricular Systolic Function in Population of Kunming. Journal of Kunming Medical University, 2017, 38(08): 20-24.
    [9] Tao Si Ming . Effects of Cardiac Shock Wave Therapy on Myocardial Collateral Circulation and Global Cardiac Function after Acute Myocardial Infarction at Early Stage in Pigs. Journal of Kunming Medical University,
    [10] Chang Lu . . Journal of Kunming Medical University,
    [11] Fu Zhong Yang . . Journal of Kunming Medical University,
    [12] Pang Xing Mei . . Journal of Kunming Medical University,
    [13] Sun Xuan . . Journal of Kunming Medical University,
    [14] Shen Zhi Qiang . . Journal of Kunming Medical University,
    [15] Shen Zhi Qiang . . Journal of Kunming Medical University,
    [16] Wang Xi . . Journal of Kunming Medical University,
    [17] Ma Li Ming . . Journal of Kunming Medical University,
    [18] . Therapeutic Effect of PAS Combination Therapy on 40 Patients with Atherosclerosis. Journal of Kunming Medical University,
    [19] . Evaluation of Atherosclerosis in Rheumatoid Arthritis Patients with High Lipid Levels by Ultrasonography. Journal of Kunming Medical University,
    [20] Yang Wen Hong . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (3265) PDF downloads(34) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return