Cardioembolic infarction in the Sagrat Cor-Alianza Hospital of Barcelona Stroke Registry
Objectives ‐ To describe the clinical features of cardioembolic infarcts. Material & methods ‐ Cardioembolic infarct was diagnosed in 231 (15.4%) of 1500 consecutive stroke patients included in a prospective stroke registry over an 8‐year period. Results ‐ Cardiac sources of emboli included isol...
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| Veröffentlicht in: | Acta neurologica Scandinavica 1997-12, Vol.96 (6), p.407-412 |
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| container_title | Acta neurologica Scandinavica |
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| creator | Arboix, A. Vericat, M. C. Pujades, R. Massons, J. Garcia-Eroles, L. Oliveres, M. |
| description | Objectives ‐ To describe the clinical features of cardioembolic infarcts. Material & methods ‐ Cardioembolic infarct was diagnosed in 231 (15.4%) of 1500 consecutive stroke patients included in a prospective stroke registry over an 8‐year period. Results ‐ 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). Conclusion ‐ 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. |
| doi_str_mv | 10.1111/j.1600-0404.1997.tb00307.x |
| format | Article |
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C. ; Pujades, R. ; Massons, J. ; Garcia-Eroles, L. ; Oliveres, M.</creator><creatorcontrib>Arboix, A. ; Vericat, M. C. ; Pujades, R. ; Massons, J. ; Garcia-Eroles, L. ; Oliveres, M.</creatorcontrib><description>Objectives ‐ To describe the clinical features of cardioembolic infarcts. Material & methods ‐ Cardioembolic infarct was diagnosed in 231 (15.4%) of 1500 consecutive stroke patients included in a prospective stroke registry over an 8‐year period. Results ‐ 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). Conclusion ‐ 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.</description><identifier>ISSN: 0001-6314</identifier><identifier>EISSN: 1600-0404</identifier><identifier>DOI: 10.1111/j.1600-0404.1997.tb00307.x</identifier><identifier>PMID: 9449481</identifier><identifier>CODEN: ANRSAS</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; atrial dysrhythmia ; Biological and medical sciences ; cardiac source of emboli ; cardioembolic cerebral infarction ; Cerebral Arteries - pathology ; Cerebral Infarction - epidemiology ; Cerebral Infarction - etiology ; Cerebral Infarction - pathology ; Cerebral Infarction - physiopathology ; Chi-Square Distribution ; coronary artery disease ; Female ; Heart Diseases - complications ; Heart Diseases - epidemiology ; Humans ; Intracranial Embolism and Thrombosis - complications ; Intracranial Embolism and Thrombosis - epidemiology ; lacunar infarction ; Male ; Medical sciences ; Middle Aged ; Neurology ; Prospective Studies ; Recurrence ; Registries ; Risk Factors ; Spain - epidemiology ; spectacular shrinking deficit ; Survival Rate ; Thrombosis - complications ; Thrombosis - epidemiology ; valvular heart disease ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Acta neurologica Scandinavica, 1997-12, Vol.96 (6), p.407-412</ispartof><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4887-5109d2a82f522b8d519edfeae50342c3e1ebab626c1cff3d811af426109f30283</citedby><cites>FETCH-LOGICAL-c4887-5109d2a82f522b8d519edfeae50342c3e1ebab626c1cff3d811af426109f30283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0404.1997.tb00307.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0404.1997.tb00307.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2076745$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9449481$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arboix, A.</creatorcontrib><creatorcontrib>Vericat, M. C.</creatorcontrib><creatorcontrib>Pujades, R.</creatorcontrib><creatorcontrib>Massons, J.</creatorcontrib><creatorcontrib>Garcia-Eroles, L.</creatorcontrib><creatorcontrib>Oliveres, M.</creatorcontrib><title>Cardioembolic infarction in the Sagrat Cor-Alianza Hospital of Barcelona Stroke Registry</title><title>Acta neurologica Scandinavica</title><addtitle>Acta Neurol Scand</addtitle><description>Objectives ‐ To describe the clinical features of cardioembolic infarcts. Material & methods ‐ Cardioembolic infarct was diagnosed in 231 (15.4%) of 1500 consecutive stroke patients included in a prospective stroke registry over an 8‐year period. Results ‐ 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). Conclusion ‐ 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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>atrial dysrhythmia</subject><subject>Biological and medical sciences</subject><subject>cardiac source of emboli</subject><subject>cardioembolic cerebral infarction</subject><subject>Cerebral Arteries - pathology</subject><subject>Cerebral Infarction - epidemiology</subject><subject>Cerebral Infarction - etiology</subject><subject>Cerebral Infarction - pathology</subject><subject>Cerebral Infarction - physiopathology</subject><subject>Chi-Square Distribution</subject><subject>coronary artery disease</subject><subject>Female</subject><subject>Heart Diseases - complications</subject><subject>Heart Diseases - epidemiology</subject><subject>Humans</subject><subject>Intracranial Embolism and Thrombosis - complications</subject><subject>Intracranial Embolism and Thrombosis - epidemiology</subject><subject>lacunar infarction</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Spain - epidemiology</subject><subject>spectacular shrinking deficit</subject><subject>Survival Rate</subject><subject>Thrombosis - complications</subject><subject>Thrombosis - epidemiology</subject><subject>valvular heart disease</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0001-6314</issn><issn>1600-0404</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkFtr2zAUx8VY6bJuH2EgxtibXd1s2XsYpKE3VrLSdhf2Io5lqVPqWJnksGSfvgoxeZ9eJPG_nMMPofeU5DSd00VOS0IyIojIaV3LfGgI4UTmmxdocpBeogkhhGYlp-IVeh3jIv2YFOIYHddC1KKiE_RzBqF13iwb3zmNXW8h6MH5Pj3x8Nvge3gMMOCZD9m0c9D_A3zl48oN0GFv8Vmym873gO-H4J8MvjOPLg5h-wYdWeiieTveJ-jbxfnD7Cq7-Xp5PZveZFpUlcwKSuqWQcVswVhTtQWtTWsNmIJwwTQ31DTQlKzUVFvL24pSsIKVKWY5YRU_QR_3vavg_6xNHNTSxbRSB73x66hkXbBKViwZP-2NOvgYg7FqFdwSwlZRonZY1ULt2KkdO7XDqkasapPC78Yp62Zp2kN05Jj0D6MOUUNnA_TaxYONEVlKUSTb573tr-vM9j8WUNP5uSAyFWT7gsTYbA4FEJ5UKbks1I_5pZrffRfky68LdcufAXoko4I</recordid><startdate>199712</startdate><enddate>199712</enddate><creator>Arboix, A.</creator><creator>Vericat, M. C.</creator><creator>Pujades, R.</creator><creator>Massons, J.</creator><creator>Garcia-Eroles, L.</creator><creator>Oliveres, M.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199712</creationdate><title>Cardioembolic infarction in the Sagrat Cor-Alianza Hospital of Barcelona Stroke Registry</title><author>Arboix, A. ; Vericat, M. C. ; Pujades, R. ; Massons, J. ; Garcia-Eroles, L. ; Oliveres, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4887-5109d2a82f522b8d519edfeae50342c3e1ebab626c1cff3d811af426109f30283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>atrial dysrhythmia</topic><topic>Biological and medical sciences</topic><topic>cardiac source of emboli</topic><topic>cardioembolic cerebral infarction</topic><topic>Cerebral Arteries - pathology</topic><topic>Cerebral Infarction - epidemiology</topic><topic>Cerebral Infarction - etiology</topic><topic>Cerebral Infarction - pathology</topic><topic>Cerebral Infarction - physiopathology</topic><topic>Chi-Square Distribution</topic><topic>coronary artery disease</topic><topic>Female</topic><topic>Heart Diseases - complications</topic><topic>Heart Diseases - epidemiology</topic><topic>Humans</topic><topic>Intracranial Embolism and Thrombosis - complications</topic><topic>Intracranial Embolism and Thrombosis - epidemiology</topic><topic>lacunar infarction</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Spain - epidemiology</topic><topic>spectacular shrinking deficit</topic><topic>Survival Rate</topic><topic>Thrombosis - complications</topic><topic>Thrombosis - epidemiology</topic><topic>valvular heart disease</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arboix, A.</creatorcontrib><creatorcontrib>Vericat, M. C.</creatorcontrib><creatorcontrib>Pujades, R.</creatorcontrib><creatorcontrib>Massons, J.</creatorcontrib><creatorcontrib>Garcia-Eroles, L.</creatorcontrib><creatorcontrib>Oliveres, M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arboix, A.</au><au>Vericat, M. C.</au><au>Pujades, R.</au><au>Massons, J.</au><au>Garcia-Eroles, L.</au><au>Oliveres, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardioembolic infarction in the Sagrat Cor-Alianza Hospital of Barcelona Stroke Registry</atitle><jtitle>Acta neurologica Scandinavica</jtitle><addtitle>Acta Neurol Scand</addtitle><date>1997-12</date><risdate>1997</risdate><volume>96</volume><issue>6</issue><spage>407</spage><epage>412</epage><pages>407-412</pages><issn>0001-6314</issn><eissn>1600-0404</eissn><coden>ANRSAS</coden><abstract>Objectives ‐ To describe the clinical features of cardioembolic infarcts. Material & methods ‐ Cardioembolic infarct was diagnosed in 231 (15.4%) of 1500 consecutive stroke patients included in a prospective stroke registry over an 8‐year period. Results ‐ 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). Conclusion ‐ 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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9449481</pmid><doi>10.1111/j.1600-0404.1997.tb00307.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Analysis of Variance atrial dysrhythmia Biological and medical sciences cardiac source of emboli cardioembolic cerebral infarction Cerebral Arteries - pathology Cerebral Infarction - epidemiology Cerebral Infarction - etiology Cerebral Infarction - pathology Cerebral Infarction - physiopathology Chi-Square Distribution coronary artery disease Female Heart Diseases - complications Heart Diseases - epidemiology Humans Intracranial Embolism and Thrombosis - complications Intracranial Embolism and Thrombosis - epidemiology lacunar infarction Male Medical sciences Middle Aged Neurology Prospective Studies Recurrence Registries Risk Factors Spain - epidemiology spectacular shrinking deficit Survival Rate Thrombosis - complications Thrombosis - epidemiology valvular heart disease Vascular diseases and vascular malformations of the nervous system |
| title | Cardioembolic infarction in the Sagrat Cor-Alianza Hospital of Barcelona Stroke Registry |
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