In-hospital stroke in patients after cardiac surgery or invasive interventions
Most in-hospital strokes occur after cardiac or vascular surgeries, during invasive therapeutic and diagnostic procedures on the heart and blood vessels. The incidence of stroke after coronary artery bypass grafting is about 2%; that after valve surgery and percutaneous cardiac intervention is 1 to...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
IMA-PRESS LLC
2017-12-01
|
| Series: | Неврология, нейропсихиатрия, психосоматика |
| Subjects: | |
| Online Access: | https://nnp.ima-press.net/nnp/article/view/794 |
| _version_ | 1827062853949980672 |
|---|---|
| author | P. A. Filimonova L. I. Volkova A. M. Alasheev A. V. Mikhaylov E. A. Grichuk |
| author_facet | P. A. Filimonova L. I. Volkova A. M. Alasheev A. V. Mikhaylov E. A. Grichuk |
| author_sort | P. A. Filimonova |
| collection | DOAJ |
| description | Most in-hospital strokes occur after cardiac or vascular surgeries, during invasive therapeutic and diagnostic procedures on the heart and blood vessels. The incidence of stroke after coronary artery bypass grafting is about 2%; that after valve surgery and percutaneous cardiac intervention is 1 to 10% and 0.03 to 0.4%, respectively.Objective: to analyze the risk factors, pathogenetic, clinical, and laboratory characteristics of stroke after cardiac surgery and invasive interventions.Patients and methods. The investigation enrolled in-hospital stroke patients who had undergone invasive cardiac or open-heart surgery in Sverdlovsk Regional Hospital One in 2011 to 2015. A comparison group consisted of 196 patients with community-acquired stroke.Results. Stroke after cardiac surgical or endovascular interventions developed in 88 patients (44.9% of all the in-hospital stroke cases registered in the above period). The incidence of stroke after open-heart surgery was 0.97% (63 cases), depending on the type of surgery. Stroke following open-heart surgery was recorded after combined correction (1.4%), two-valve replacement surgery (1.98%), aortic and mammary coronary artery bypass grafting under extracorporeal circulation (1%), and beating heart bypass surgery (0.25%). The severity of stroke and the degree of disability did not differ in patients after invasive cardiac and open-heart surgeries.Conclusion. Patients who have undergone cardiac surgery and are at high risk for in-hospital stroke should be followed up and should receive preventive treatment for stroke in the early postoperative period. |
| first_indexed | 2024-04-10T02:02:13Z |
| format | Article |
| id | doaj.art-9398cb15b8d8409c9c1adde7e2c011dc |
| institution | Directory Open Access Journal |
| issn | 2074-2711 2310-1342 |
| language | Russian |
| last_indexed | 2025-02-18T20:03:28Z |
| publishDate | 2017-12-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Неврология, нейропсихиатрия, психосоматика |
| spelling | doaj.art-9398cb15b8d8409c9c1adde7e2c011dc2024-10-17T16:15:24ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422017-12-0194384510.14412/2074-2711-2017-4-38-45690In-hospital stroke in patients after cardiac surgery or invasive interventionsP. A. Filimonova0L. I. Volkova1A. M. Alasheev2A. V. Mikhaylov3E. A. Grichuk4Ural State Medical University, Ministry of Health of Russia Sverdlovsk Regional Clinical Hospital OneUral State Medical University, Ministry of Health of Russia Sverdlovsk Regional Clinical Hospital OneSverdlovsk Regional Clinical Hospital OneSverdlovsk Regional Clinical Hospital OneSverdlovsk Regional Clinical Hospital OneMost in-hospital strokes occur after cardiac or vascular surgeries, during invasive therapeutic and diagnostic procedures on the heart and blood vessels. The incidence of stroke after coronary artery bypass grafting is about 2%; that after valve surgery and percutaneous cardiac intervention is 1 to 10% and 0.03 to 0.4%, respectively.Objective: to analyze the risk factors, pathogenetic, clinical, and laboratory characteristics of stroke after cardiac surgery and invasive interventions.Patients and methods. The investigation enrolled in-hospital stroke patients who had undergone invasive cardiac or open-heart surgery in Sverdlovsk Regional Hospital One in 2011 to 2015. A comparison group consisted of 196 patients with community-acquired stroke.Results. Stroke after cardiac surgical or endovascular interventions developed in 88 patients (44.9% of all the in-hospital stroke cases registered in the above period). The incidence of stroke after open-heart surgery was 0.97% (63 cases), depending on the type of surgery. Stroke following open-heart surgery was recorded after combined correction (1.4%), two-valve replacement surgery (1.98%), aortic and mammary coronary artery bypass grafting under extracorporeal circulation (1%), and beating heart bypass surgery (0.25%). The severity of stroke and the degree of disability did not differ in patients after invasive cardiac and open-heart surgeries.Conclusion. Patients who have undergone cardiac surgery and are at high risk for in-hospital stroke should be followed up and should receive preventive treatment for stroke in the early postoperative period.https://nnp.ima-press.net/nnp/article/view/794in-hospital strokecardiac surgeryinvasive cardiac surgery, risk factors for stroke |
| spellingShingle | P. A. Filimonova L. I. Volkova A. M. Alasheev A. V. Mikhaylov E. A. Grichuk In-hospital stroke in patients after cardiac surgery or invasive interventions Неврология, нейропсихиатрия, психосоматика in-hospital stroke cardiac surgery invasive cardiac surgery, risk factors for stroke |
| title | In-hospital stroke in patients after cardiac surgery or invasive interventions |
| title_full | In-hospital stroke in patients after cardiac surgery or invasive interventions |
| title_fullStr | In-hospital stroke in patients after cardiac surgery or invasive interventions |
| title_full_unstemmed | In-hospital stroke in patients after cardiac surgery or invasive interventions |
| title_short | In-hospital stroke in patients after cardiac surgery or invasive interventions |
| title_sort | in hospital stroke in patients after cardiac surgery or invasive interventions |
| topic | in-hospital stroke cardiac surgery invasive cardiac surgery, risk factors for stroke |
| url | https://nnp.ima-press.net/nnp/article/view/794 |
| work_keys_str_mv | AT pafilimonova inhospitalstrokeinpatientsaftercardiacsurgeryorinvasiveinterventions AT livolkova inhospitalstrokeinpatientsaftercardiacsurgeryorinvasiveinterventions AT amalasheev inhospitalstrokeinpatientsaftercardiacsurgeryorinvasiveinterventions AT avmikhaylov inhospitalstrokeinpatientsaftercardiacsurgeryorinvasiveinterventions AT eagrichuk inhospitalstrokeinpatientsaftercardiacsurgeryorinvasiveinterventions |