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Clinical Characteristics, Management, and Outcomes of Suspected Poststroke Acute Coronary Syndrome
Joint Authors
Figueredo, Vincent M.
Lu, Marvin
Ziccardi, Mary R.
Biso, Sylvia
De Venecia, Toni Anne
Wongrakpanich, Supakanya
Yadlapati, Sujani
Kishlyansky, Marina
Rammohan, Harish Seetha
Source
Cardiology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-09
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Acute coronary syndrome (ACS) can complicate acute ischemic stroke, causing significant morbidity and mortality.
To date, literatures that describe poststroke acute coronary syndrome and its morbidity and mortality burden are lacking.
Methods.
This is a single center, retrospective study where clinical characteristics, cardiac evaluation, and management of patients with suspected poststroke ACS were compared and analyzed for their association with inpatient mortality and 1-year all-cause mortality.
Results.
Of the 82 patients, 32% had chest pain and 88% had ischemic ECG changes; mean peak troponin level was 18, and mean ejection fraction was 40%.
The medical management group had older individuals (73 versus 67 years, p<0.05), lower mean peak troponin levels (12 versus 49, p<0.05), and lower mean length of stay (12 versus 25 days, p<0.05) compared to those who underwent stent or CABG.
Troponin levels were significantly associated with 1-year all-cause mortality.
Conclusion.
Age and troponin level appear to play a role in the current clinical decision making for patient with suspected poststroke ACS.
Troponin level appears to significantly correlate with 1-year all-cause mortality.
In the management of poststroke acute coronary syndrome, optimal medical therapy had similar inpatient and all-cause mortality compared to PCI and/or CABG.
American Psychological Association (APA)
Biso, Sylvia& Lu, Marvin& De Venecia, Toni Anne& Wongrakpanich, Supakanya& Ziccardi, Mary R.& Yadlapati, Sujani…[et al.]. 2017. Clinical Characteristics, Management, and Outcomes of Suspected Poststroke Acute Coronary Syndrome. Cardiology Research and Practice،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1150961
Modern Language Association (MLA)
Biso, Sylvia…[et al.]. Clinical Characteristics, Management, and Outcomes of Suspected Poststroke Acute Coronary Syndrome. Cardiology Research and Practice No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1150961
American Medical Association (AMA)
Biso, Sylvia& Lu, Marvin& De Venecia, Toni Anne& Wongrakpanich, Supakanya& Ziccardi, Mary R.& Yadlapati, Sujani…[et al.]. Clinical Characteristics, Management, and Outcomes of Suspected Poststroke Acute Coronary Syndrome. Cardiology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1150961
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150961