Implications of alterations in ventricular function in patients with Ischemic Stroke.

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This study wanted to demonstrate the impact of Heart Failure in patients who presented ischemic stroke, on functional recovery and prognosis during hospitalization, both in patients with a clinical diagnosis of Heart Failure and in asymptomatic patients, relating systolic and diastolic ventricular d...

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Autores principales: Saavedra, Gisela Nancy, Tavolini, Darío, Jairala, Juan Ignacio
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional de Rosario 2021
Materias:
ACV
Insuficiencia Cardíaca
Pronóstico
Heart Failure
Prognosis
Acceso en línea:https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/25
Aporte de:
FCM Científica de Universidad Nacional de Rosario
id I15-R235-article-25
record_format ojs
spelling I15-R235-article-252022-07-07T12:22:47Z Implications of alterations in ventricular function in patients with Ischemic Stroke. Implicancias de las alteraciones en la función ventricular en pacientes con Accidente Cerebrovascular Isquémico. Saavedra, Gisela Nancy Tavolini, Darío Jairala, Juan Ignacio ACV Insuficiencia Cardíaca Pronóstico ACV Heart Failure Prognosis This study wanted to demonstrate the impact of Heart Failure in patients who presented ischemic stroke, on functional recovery and prognosis during hospitalization, both in patients with a clinical diagnosis of Heart Failure and in asymptomatic patients, relating systolic and diastolic ventricular dysfunction. A prospective, observational study was carried out. 112 patients with ischemic stroke were evaluated, they were divided into three groups, according to left ventricular function: patients with Normal Ventricular Function, patients with Altered Systolic Function and patients with Altered Diastolic Function. The NIHSS scale (at admission, 48 hours and discharge), functional prognosis, neurological and extra neurological complications were compared in each group. The group with Altered Systolic Function was associated with a higher incidence of clinical and neurological complications, also in the group with Altered Diastolic Function, but with a lower proportion. Higher mortality was observed in both groups, compared to patients with Normal Ventricular Function. The group of patients with Altered Systolic Function presented a worse functional prognosis, with a worsening during hospitalization. They presented a worse prognosis of initial disease and of recovery evaluated in the short term, during hospitalization. The group of patients with Altered Diastolic Function presented a poor functional prognosis, although in a lower proportion than the previous one. It was associated with a significant worsening during hospitalization, both in patients with a good and poor prognosis. En este estudio se quiso demostrar el impacto de la Insuficiencia Cardiaca en pacientes que presentaron ACV isquémico, en la recuperación funcional y pronóstico durante la internación, tanto en pacientes con diagnóstico clínico de Insuficiencia Cardíaca como en pacientes asintomáticos, relacionando disfunción ventricular sistólica y diastólica. Se realizó un estudio prospectivo, observacional. Se evaluaron 112 pacientes con ACV isquémico, se dividieron en tres grupos, según la función ventricular izquierda: pacientes con Función Ventricular Normal, pacientes con Función Sistólica Alterada y pacientes con Función Diastólica Alterada. Se comparó en cada grupo la escala NIHSS (al ingreso, 48 hs y alta), el pronóstico funcional, complicaciones neurológicas y extra neurológicas. El grupo con Función Sistólica Alterada se relacionó con mayor incidencia de complicaciones clínicas y neurológicas, también en el grupo con Función Diastólica Alterada, pero de menor proporción. En ambos grupos se observó mayor mortalidad, con respecto a pacientes con Función Ventricular Normal. El grupo de pacientes con Función Sistólica Alterada presentó peor pronóstico funcional, con un empeoramiento durante la internación. Presentaron peor pronóstico de enfermedad inicial y de la recuperación evaluada a corto plazo, durante la internación.  El grupo de pacientes con Función Diastólica Alterada presentó un mal pronóstico funcional aunque de menor proporción que el anterior. Se asoció a un empeoramiento significativo durante la internación, tanto de los pacientes que presentaron buen pronóstico como malo. Universidad Nacional de Rosario 2021-06-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/25 10.35305/fcm.v1i.25 Revista de la Facultad de Ciencias Médicas. Universidad Nacional de Rosario.; Vol. 1 (2020); 95-103 2796-7719 spa https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/25/41 https://creativecommons.org/licenses/by-nc/4.0/
institution Universidad Nacional de Rosario
institution_str I-15
repository_str R-235
container_title_str FCM Científica
language Español
format Artículo revista
topic ACV
Insuficiencia Cardíaca
Pronóstico
ACV
Heart Failure
Prognosis
spellingShingle ACV
Insuficiencia Cardíaca
Pronóstico
ACV
Heart Failure
Prognosis
Saavedra, Gisela Nancy
Tavolini, Darío
Jairala, Juan Ignacio
Implications of alterations in ventricular function in patients with Ischemic Stroke.
topic_facet ACV
Insuficiencia Cardíaca
Pronóstico
ACV
Heart Failure
Prognosis
author Saavedra, Gisela Nancy
Tavolini, Darío
Jairala, Juan Ignacio
author_facet Saavedra, Gisela Nancy
Tavolini, Darío
Jairala, Juan Ignacio
author_sort Saavedra, Gisela Nancy
title Implications of alterations in ventricular function in patients with Ischemic Stroke.
title_short Implications of alterations in ventricular function in patients with Ischemic Stroke.
title_full Implications of alterations in ventricular function in patients with Ischemic Stroke.
title_fullStr Implications of alterations in ventricular function in patients with Ischemic Stroke.
title_full_unstemmed Implications of alterations in ventricular function in patients with Ischemic Stroke.
title_sort implications of alterations in ventricular function in patients with ischemic stroke.
description This study wanted to demonstrate the impact of Heart Failure in patients who presented ischemic stroke, on functional recovery and prognosis during hospitalization, both in patients with a clinical diagnosis of Heart Failure and in asymptomatic patients, relating systolic and diastolic ventricular dysfunction. A prospective, observational study was carried out. 112 patients with ischemic stroke were evaluated, they were divided into three groups, according to left ventricular function: patients with Normal Ventricular Function, patients with Altered Systolic Function and patients with Altered Diastolic Function. The NIHSS scale (at admission, 48 hours and discharge), functional prognosis, neurological and extra neurological complications were compared in each group. The group with Altered Systolic Function was associated with a higher incidence of clinical and neurological complications, also in the group with Altered Diastolic Function, but with a lower proportion. Higher mortality was observed in both groups, compared to patients with Normal Ventricular Function. The group of patients with Altered Systolic Function presented a worse functional prognosis, with a worsening during hospitalization. They presented a worse prognosis of initial disease and of recovery evaluated in the short term, during hospitalization. The group of patients with Altered Diastolic Function presented a poor functional prognosis, although in a lower proportion than the previous one. It was associated with a significant worsening during hospitalization, both in patients with a good and poor prognosis.
publisher Universidad Nacional de Rosario
publishDate 2021
url https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/25
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first_indexed 2023-06-26T22:50:56Z
last_indexed 2023-06-26T22:50:56Z
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