Cardiac complications (arrhythmias and heart failure) in patients with ischemic stroke: A meta-analysis.
Medicine (Baltimore)
; 103(25): e38619, 2024 Jun 21.
Article
em En
| MEDLINE
| ID: mdl-38905401
ABSTRACT
BACKGROUND:
In patients with ischemic stroke (pwIS), cardiac complications have been observed in observational studies. We conducted a systematic review and meta-analysis to investigate the arrhythmias and heart failure in pwIS.METHODS:
Up until September 2023, we searched for case-control, cross-sectional, or cohort studies in 4 databases. For case-control/cross-sectional studies, odds ratios (OR) were determined using a random-effects model meta-analysis, while hazard ratios (HR) were calculated for cohort studies, and 95% confidence intervals (CIs) were pooled in the meta-analysis.RESULTS:
In the meta-analysis, we incorporated 5 studies 2 cohort studies, 2 case-control studies, and 1 cross-sectional study. In all, 81,181 controls and 25,544 pwIS were included in this investigation. The combined OR for case-control studies of arrhythmias was estimated to be 1.86 (95% CI 0.70-4.94, Pâ =â .21), HR for cohort studies of arrhythmias to be 4.2 (95% CI 1.49-12.01, Pâ <â .05), and for cohort studies of heart failure to be 2.9 (95% CI 2.65-3.18, Pâ <â .05), suggesting that pwIS may be more likely to experience cardiac complications.CONCLUSION:
Our results revealed that there is a comparatively higher risk of cardiac complications in pwIS; however, more research is needed to evaluate the risk of cardiac complications in pwIS.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Arritmias Cardíacas
/
AVC Isquêmico
/
Insuficiência Cardíaca
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article