Clinical and instrumental indices and features of risk factors for patients with recurrent ischemic stroke
ARTICLE PDF (Українська)

Keywords

recurrent ischemic stroke, risk factors, stroke diagnosis, stroke prevention

How to Cite

Mykytei, O. (2016). Clinical and instrumental indices and features of risk factors for patients with recurrent ischemic stroke. East European Journal of Neurology, (6(12), 27-36. https://doi.org/10.33444/2411-5797.2016.6(12).27-36

Abstract

The aim of the study was to improve the diagnostic approach in patients with re-ischemic stroke based on the analysis of risk factors for the dynamics of neurological deficiency, taking into account clinical and instrumental indices. We were examined 124 patients, of which 94 patients with ischemic stroke in acute period, which arrived in the hospital for up to 2 days after the onset of the disease and were observed in the neurological department. The control group consisted of 30 patients with hypertensive encephalopathy. The analysis of the indicators of daily blood pressure monitoring, duplex scan of vessels of the head and neck in patients with repetitive ischemic stroke indicates a progressive course of stroke, changes in the elastic properties of the vascular wall of the major arter- ies, and a decrease in their speed indicators, which leads to progression of the decrease in the volume of cerebral blood flow Brain of patients. The conducted research allowed to improve the efficiency of diagnostics of the development of repeat ischemic stroke by studying the features of central and cerebral hemodynamics.

https://doi.org/10.33444/2411-5797.2016.6(12).27-36
ARTICLE PDF (Українська)

References

1. Фонякин А. В. Актуальные направления вторичной профилактики ишемического инсульта / А. В. Фонякин, Л. А. Гераскина // Нервные болезни. – 2012. – № 2. – С. 2–7.
2. Кузнецов В. В. Фибрилляция предсердий как патогенетический механизм развития кардиоэмболического инсульта / В. В. Кузнецов, М. С. Егорова // Ліки України. – 2011. – № 4 (150). – С. 46–49.
3. Лазаренко А. Объединяя усилия в борьбе с инсультом / Лазаренко А. // Медична газета «Здоров’я України». – 2012. – № 3 (280). – С. 8.
4. Мымренко С. Н. Фибрилляция предсердий: вопросыпатогенеза,алгоритмыдиагностики, клиническая значимость, стратегии лечения / Мымренко С. Н. // Ліки України. – 2014. – № 2 (178). – С. 27–32.
5. Keerthi M. Mohan, Charles D.A. Wolfe, Anthony G. Rudd, Peter U. Heuschmann, Peter L. Kolominsky-Rabas, Andrew P. Grieve. Risk and Cumulative Risk of Stroke Recurrence A Systematic Review and Meta-Analysis// Downloaded from http://stroke.ahajournals.org/ by guest on July 5, 2016.
6. Evenson KR, Foraker RE, Morris DL, Rosamond WD. A comprehensive review of prehospital and in-hospital delay times in acute stroke care//Int J Stroke. 2009;4:187–199.
7. Li C, Hedblad B, Rosvall M, Buchwald F, Khan FA, Engstro¨m G. Stroke incidence, recurrence, and case-fatality in relation to socioeconomic position: a population-based study of middleaged Swedish men and women//Stroke. 2008;39:2191–2196.
8. Camm A. J. Atrial fibrillation and risk / Camm A. J. // Clin. Cardiol. – 2012. – Vol. 35 (Suppl.). – P. 1–2.
9. Markus H. Stroke medicine / Markus H., Pereira A., Cloud G. // Oxford University Press. – 2010. – 567 р.
10. Кузнецова С. М. Современные представления о кардиоэмболическом инсульте / С. М. Кузнецова, М. С. Егорова // Журнал неврології ім. Б. М. Маньковського. – 2013. – № 1. – С. 18–25.
11. Мурашко Н. К. Асимптомный инсульт / Н. К. Мурашко, В. И. Липко // Мистецтво лікування. – 2011. – № 4 (80). – С. 34–37.
12. Диагностика и лечение фибрилляции предсердий. Рекомендации рабочей группы по нарушениям сердечного ритма Ассоциации кардиологов Украины. – К., 2011. – 140 с.