Carotid atherosclerotic plaque predicts poor short-term outcomes of cerebral embolism due to non-valvular atrial fibrillation / 中华老年医学杂志
Chinese Journal of Geriatrics
; (12): 247-251, 2016.
Article
de Zh
| WPRIM
| ID: wpr-488664
Bibliothèque responsable:
WPRO
ABSTRACT
Objective To investigate the impact of carotid atherosclerotic plaque on short-term outcomes of cardioembolic stroke due to non-valvular atrial fibrillation (NVAF).Methods A total of 288 patients with acute cerebral embolism due to NVAF were recruited in this study.All patients underwent carotid ultrasonography screening to estimate carotid intima-medium thickness (IMT) and atherosclerotic plaque.The short-term outcomes were assessed.The correlation between carotid atherosclerotic plaque and short-term outcomes of cardioembolic stroke due to NVAF were determined by partial correlation analysis.Results Among the 288 patients,carotid atherosclerosis occurred in 202 cases (70.1%) of the patients,poor outcomes in 113 cases (39.1%),worsening neurological function in 43 cases(14.9%),and stroke recurrence in 24 cases(8.3%).Carotid atherosclerosis plaque was positively associated with neurological worsening (r =0.247,P =0.000) and poor outcomes (r=0.139,P=0.018).The use of aspirin was negatively correlated with both neurological worsening (r=-0.235,P=0.000) and recurrence of stroke (r=-0.177,P=0.003).The use of statin was negatively correlated with recurrence of stroke (r =-0.223,P =0.000),neurological worsening (r=-0.147,P=0.013) and poor outcomes (r=-0.286,P=0.000).Conclusions Carotid atherosclerotic plaque is an independent predictive factor for poor short-term outcomes of cardioembolic stroke due to NVAF,and the aggressive management for carotid plaque can improve the poor short-term outcomes.
Texte intégral:
1
Base de données:
WPRIM
Type d'étude:
Prognostic_studies
Langue:
Zh
Journal:
Chinese Journal of Geriatrics
Année:
2016
Type de document:
Article