Document Detail

CHADS(2)- and CHA(2)DS(2)VASc Scores and Embolic Risk in Left Ventricular Hypertrabeculation/Noncompaction.
MedLine Citation:
PMID:  22142779     Owner:  NLM     Status:  Publisher    
BACKGROUND: Left ventricular hypertrabeculation/noncompaction (LVHT) is associated with stroke or embolism (S/E). The aim of this study was to assess if the Congestive heart failure, Hypertension, Age >75 years, Diabetes, and Stroke (CHADS(2)) and CHA(2)DS(2)VASc scores are different between LVHT-patients with and without stroke/embolism. METHODS: Records of LVHT patients were retrospectively screened. For stroke classification, the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria were applied, for peripheral embolism angiographic findings. Baseline data were compared between patients with and without S/E. RESULTS: In 26 of 169 patients (15%), stroke (n = 24) or peripheric embolism (n = 2) had occurred. S/E etiology was either cardioembolic (n = 18), atherosclerotic (n = 5), or undetermined (n = 3). S/E occurred before (n = 17) and after (n = 9) diagnosis of LVHT/NC. The prevalence of hypertension (62 vs 35%; P < .05), CHADS(2), and CHA(2)DS(2)-VASc scores were higher in patients with than without S/E (2.85 vs 1.26 and 3.69 vs 1.93, respectively; P < .001). CONCLUSIONS: S/E in LVHT is not always cardioembolic, but may also have an atherosclerotic cause. The CHADS(2) score may be useful for clinical decision-making about oral anticoagulation for the prevention of S/E in LVHT patients.
Claudia Stöllberger; Christian Wegner; Josef Finsterer
Related Documents :
19652249 - Clinical utility of 3 french infrapopliteal intervention in the setting of critical lim...
18467619 - Aminaphtone in idiopathic cyclic oedema syndrome.
6691049 - Foot-ground pressure pattern of standing hemiplegic patients. major characteristics and...
12579 - A metabolic approach to the evaluation of peripheral vascular disease.
22412029 - Late delirious behavior with 2009 h1n1 influenza: mild autoimmune-mediated encephalitis?
22341669 - Recurrent left atrial myxomas in carney complex: a genetic cause of multiple strokes th...
24515649 - Caspase-12 and rheumatoid arthritis in african-americans.
23871349 - Low stroke risk after elective cardioversion of atrial fibrillation: an analysis of the...
16048499 - Successful treatment with rfviia of spontaneous intracerebral hemorrhage in a patient w...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-3
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  -     ISSN:  1532-8511     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 National Stroke Association. Published by Elsevier Inc. All rights reserved.
Krankenanstalt Rudolfstiftung, Wien, Austria.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Giant Serpentine Aneurysm of the Distal Anterior Cerebral Artery.
Next Document:  Gender Difference in Stroke Case Fatality: An Integrated Study of Hospitalization and Mortality.