Risk Factors for Postprocedural Arterial Ischemic Stroke in Children With Cardiac Disease
Details
Request a copy Under indefinite embargo.UNIL restricted access
State: Public
Version: Author's accepted manuscript
License: All rights reserved
Serval ID
serval:BIB_6D34A3071E60
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Risk Factors for Postprocedural Arterial Ischemic Stroke in Children With Cardiac Disease
Journal
Stroke
ISSN
0039-2499
1524-4628
1524-4628
ISSN-L
0039-2499
Publication state
Published
Issued date
09/2020
Peer-reviewed
Oui
Volume
51
Number
9
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Cardiac pathologies are the second most frequent risk factor (RF) in children with arterial ischemic stroke (AIS). This study aimed to analyze RFs for AIS in children with cardiac disease and cardiac intervention.
Data were drawn from the Swiss Neuropediatric Stroke Registry. Patients with cardiac disease and postprocedural AIS registered from 2000 until 2015 were analyzed for the cause of cardiac disease and for potential RFs.
Forty-seven out of 78 children with cardiac disease had a cardiac intervention. Of these, 36 presented a postprocedural AIS. Median time from cardiac intervention to symptom onset was 4 days (interquartile range, 2-8.5); time to diagnosis of AIS was 2 days (interquartile range, 0-5.8). Main RFs for postprocedural AIS were hypotension, prosthetic cardiac material, right-to-left shunt, arrhythmias, low cardiac output, and infections.
In children with postprocedural AIS, time to diagnosis was delayed. Most patients presented multiple potentially modifiable RFs as hemodynamic alterations and infections.
Data were drawn from the Swiss Neuropediatric Stroke Registry. Patients with cardiac disease and postprocedural AIS registered from 2000 until 2015 were analyzed for the cause of cardiac disease and for potential RFs.
Forty-seven out of 78 children with cardiac disease had a cardiac intervention. Of these, 36 presented a postprocedural AIS. Median time from cardiac intervention to symptom onset was 4 days (interquartile range, 2-8.5); time to diagnosis of AIS was 2 days (interquartile range, 0-5.8). Main RFs for postprocedural AIS were hypotension, prosthetic cardiac material, right-to-left shunt, arrhythmias, low cardiac output, and infections.
In children with postprocedural AIS, time to diagnosis was delayed. Most patients presented multiple potentially modifiable RFs as hemodynamic alterations and infections.
Keywords
Advanced and Specialized Nursing, Cardiology and Cardiovascular Medicine, Neurology (clinical)
Pubmed
Web of science
Open Access
Yes
Create date
27/08/2020 11:37
Last modification date
20/07/2022 6:37
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