RESUMEN
We investigated 342 patients with clinical outcome of a disease and 61 died patients with acute disease. With the help of the method of representative sample of patients with an ischemic stroke the clinical picture and data about tool methods of research are investigated. We received solving rules of forecasting of favorable and adverse outcomes ischemic stroke with use of the discriminative analysis.
Asunto(s)
Isquemia Encefálica/mortalidad , Isquemia Encefálica/terapia , Modelos Biológicos , Accidente Cerebrovascular/mortalidad , Accidente Cerebrovascular/terapia , Adulto , Anciano , Anciano de 80 o más Años , Supervivencia sin Enfermedad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Tasa de Supervivencia , Factores de TiempoRESUMEN
The study included 405 patients with ischemic stroke and 35 ones with transitory ischemic attack. Predictors of stroke are considered and approaches to its prognostication proposed The results can be used to distinguish patients in need of preventive therapy of ischemic stroke.
Asunto(s)
Isquemia Encefálica/diagnóstico , Imagen por Resonancia Magnética/métodos , Medición de Riesgo/métodos , Tomografía Computarizada por Rayos X/métodos , Ultrasonografía Doppler Transcraneal/métodos , Anciano , Isquemia Encefálica/epidemiología , Femenino , Estudios de Seguimiento , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Pronóstico , Reproducibilidad de los Resultados , Factores de Riesgo , Federación de Rusia/epidemiologíaRESUMEN
Presented herein is a clinical case report concerning a 59-year-old male patient suffering from multifocal atherosclerosis after endured repeat acute ischaemic attacks in various arterial basins of the brain. Analysing his case history revealed functional class II-IV angina of effort. Ultrasonographic and angiographic findings showed a haemodynamically significant plaque in the ostium of the left internal carotid artery, hypoplasia of the right vertebral artery, a haemodynamically meaningful narrowing of the left vertebral artery, subtotal stenosis of the anterior interventricular branch and pronounced alterations in the right vertebral artery. The first stage of surgery consisted in stenting of the left internal carotid artery and anterior interventricular branch, followed by the second stage consisting in the stenting of the left vertebral artery with an angiographically good outcome. The check-up CT of the brain and 24-hour ECG monitoring showed no negative dynamics. In July 2005, the patient was subjected to craniocerebral microarterial shunting on the right. No relapses of AIAs have so far been observed.