[Prognostic factors of recurrent acute cerebrovascular incidents in patients with ischemic stroke]. / Prognosticheskie faktory razvitiya povtornykh ostrykh narushenii mozgovogo krovoobrashcheniya u bol'nykh s ishemicheskim insul'tom.

OBJECTIVE: To establish prognostic factors of recurrent acute cerebrovascular complications after ischemic stroke. MATERIAL AND METHODS: A prospective observational study on the 21-22nd day of the acute stage of ischemic stroke included 148 patients, aged 60 [5; 68] years. Following the discharge, a unified telephone survey of patients or their relatives was performed every 3 months. Recurrent strokes, including those with fatal outcome, and transient ischemic attacks (TIA) were recorded. RESULTS AND CONCLUSION: The long-term prospective follow-up duration was 35 [28; 40] months. In 26 (18%) patients, 31 cerebral complications, including 24 recurrent ischemic strokes, 6 TIA, 1 hypertensive intracerebral hemorrhage were registered. Recurrent cerebral complications found to be associated with age older 67 years, ischemic heart disease, multiple focal brain lesions, supraventricular arrhythmias more 46/day, bradyarrhythmias, ventricular arrhythmias. The use of thiazide and thiazide-liked diuretics as part of antihypertensive therapy was associated with a reduced risk of cerebral complications.

[Proignostic Factors of Cardiovascular Complications After Ischemic Stroke].

We included into prospective cohort observational study 148 patients with ischemic stroke aged 60 [52; 68] years. Duration of a prospective follow-up was 35 [28; 40] months. Cardiovascular events (CVE) registered during follow-up were recurrent stroke, transient ischemic attack, myocardial infarction, unstable angina, congestive heart failure, including acute decompensation of chronic heart failure requiring hospitalization, cardiovascular death. During follow-up 37 patients (25%) had 50 CVE. On multivariate regression analysis, independent predictors of CVE after ischemic stroke were: age over 67 years, presence of chronic ischemic heart disease, high grade ventricular arrhythmias, standard deviation of cardiointervals (SDNN) less than 71 ms, absence of thiazide diuretics in the basic antihypertensive therapy.

[Prognostic Factors of Cardiovascular Complications After Ischemic Stroke].

We included into prospective cohort observational study 148 patients with ischemic stroke aged 60 [52; 68] years. Duration of a prospective follow-up was 35 [28; 40] months. Cardiovascular events (CVE) registered during follow-up were recurrent stroke, transient ischemic attack, myocardial infarction, unstable angina, congestive heart failure, including acute decompensation of chronic heart failure requiring hospitalization, cardiovascular death. During follow-up 37 patients (25%) had 50 CVE. On multivariate regression analysis, independent predictors of CVE after ischemic stroke were: age over 67 years, presence of chronic ischemic heart disease, high grade ventricular arrhythmias, standard deviation of cardiointervals (SDNN) less than 71 ms, absence of thiazide diuretics in the basic antihypertensive therapy.

[Cardiac complications and heart rhythm variability in the late post-stroke period].

The aim of this prospective study was to elucidate the relationship between cardiac complications and heart rhythm variability (HRV) in 90 patients (age median 58 (53;67) years) with the sinus rhythm after ischemic stroke. 24-hr Holter monitoring 21 days after stroke was used for temporal and spectral analysis of HRV. The follow-up period lasted 23 (12; 45) months. Ten (11%) patients of this group developed acute myocardial infarction, unstable angina, acute cardiac failure or sudden cardiac death. The remaining 80 (89%) patients constituted group 2. The two groups were matched for the duration of prospective observation, sex, ischemic stroke subtype, the size and localization of brain infarction, multiplicity of focal cerebral lesions, severity of neurologic disorders (Rankin scale), the history of myocardial infarction, the presence of diabetes and chronic heart failure. Patients of group 1 were older in the end of the acute stroke period than those of group 2 (68 (61;72) and 57 (51;66) years) respectively. They, more frequently suffered CHD (stable angina) and had lower spectral characteristics of HRV (p < 0.05).

[A rare form of eczema in a patient with herpes zoster].

A rare clinical condition, herpes Zoster duplex bilateralis, is described. Because the erroneous definition of the disease as a lichen is widespread even in the system of advanced medical training, the importance of differentiation between the notions of herpes and lichen is emphasized.