Comparison of clinical outcomes in elderly stroke patients with LAA and those with cardiogenic embolism-induced LVO
10.3969/j.issn.1009-0126.2018.01.011
- VernacularTitle:老年大动脉粥样硬化型与心源性栓塞型大血管闭塞脑卒中患者临床预后的对比研究
- Author:
Guo DU
1
;
Bo ZHENG
;
Qingsong WANG
;
Cui YANG
Author Information
1. 610083,成都军区总医院神经内科
- Keywords:
atherosclerosis;
death,sudden,cardiac;
stroke;
magnetic resonance angiography;
recurrence;
mortality
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2018;20(1):42-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical outcomes in elderly stroke patients with large artery atheroclerosis (LAA) and those with cardiogenic embolism (CE)-induced large vessel occlusion (LVO).Methods One hundred and twenty-two ≥65 years old sroke patients with LVO who underwent CT angiography or MR angiography in our hospital from June 2013 to June 2017 were divided into LAA group (n=62) and CE-induced LVO group (n =60) according to the TOAST Classification.Their NIHSS scores on admission and after discharge,good outcome after 3 months of stroke,recurrence rate and mortality of stroke were recorded and compared.Results No significant difference was found in the recurrence rate and mortality of stroke between the two groups (P＞0.05).The good outcome rate was significantly higher while the NIHSS score at discharge was significantly lower in CE-induced LVO group than in LAA group (33.33％ vs 17.74％,P=0.048;10.50±1.24 vs 11.83±1.53,P=0.001).No significant difference was found in the occlusion sites between the two groups (P＞0.05).Conclusion The recovery of neurological function is poorer in stroke patients with LVO than in those with CE-induced LVO.However,no significant difference can be found in the recurrence rate and mortality of stroke between the two groups.
