Cardioembolic infarction in the Sagrat Cor-Alianza Hospital of Barcelona Stroke Registry

Acta Neurologica Scandinavica
A ArboixM Oliveres

Abstract

To describe the clinical features of cardioembolic infarcts. Cardioembolic infarct was diagnosed in 231 (15.4%) of 1500 consecutive stroke patients included in a prospective stroke registry over an 8-year period. Cardiac sources of emboli included isolated atrial dysrhythmia (57.1%), valvular heart disease (20.3%), and coronary artery disease (18.2%). Patients with cardioembolic stroke showed a significantly higher (P < 0.00001) frequency of sudden onset of neurological deficit (79.7%) and altered consciousness (31.2%) than patients with lacunar infarct (38% and 1.9%) and atherothrombotic infarction (46% and 24%). Eleven patients had a spectacular shrinking deficit and 6 a presumed cardioembolic lacunar infarct. Early recurrent embolisms occurred in 6.5% of patients mostly (60%) within 7 days of initial embolism. In-hospital mortality was 27.3% (0.8% in lacunar infarcts, 21.7% in atherothrombotic infarction, P < 0.00001). Cardioembolic infarction is a severe subtype of stroke with a high risk of early death. Clinical features at stroke onset may help clinicians to differentiate cerebral infarction subtypes and to establish prognosis more accurately.

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Citations

Apr 10, 2002·Acta Neurologica Scandinavica·A ArboixC Targa
Jun 26, 2003·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Adrià ArboixCecilia Targa
Dec 6, 2005·Headache·Adrià ArboixCecilia Targa
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Jan 8, 2014·Journal of Stroke·Chi Kyung KimByung-Woo Yoon
Mar 30, 2017·World Journal of Clinical Cases·Adrià ArboixMaría José Sánchez
Jan 24, 2018·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·I B KomarovaM G Samigulina
Nov 21, 2019·Journal of Clinical Medicine·Chrissoula LiantiniotiGeorgios Tsivgoulis
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Oct 8, 2004·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A ArboixL García-Eroles

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