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Neurology, Neuropsychiatry, Psychosomatics

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CARDIOGENIC INSULTS

https://doi.org/10.14412/2074-2711-2009-18

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Abstract

Based on the current data available in the literature and the results of his studies, the author characterizes the implication of cardiac diseases in the pathogenesis of cardioembolic and hemodynamic insults. Cardiogenic insults are demonstrated to account for as high as 40% of all the causes of ischemic insult. The leading causes of cardioembolic stroke are considered to be nonrheumatic atrial fibrillation, postinfarct changes, and rheumatic heart disease. The pathogenesis of hemodynamic insult (HDI) may be also caused by cardiac pathology that can singly affect blood pressure levels via cardiac output variations. Silent myocardial ischemia, atrial fibrillation, and sick sinus syndrome are regarded as the most common cardiogenic causes of HDI. The importance of a target cardiological study of patients with ischemic insult is accentuated for the effective secondary prevention of cardiogenic insults.

About the Authors

A. V. Fonyakin
Neurology Research Center, Russian Academy of Medical Sciences
Russian Federation
Moscow


L. A. Geraskina
Neurology Research Center, Russian Academy of Medical Sciences
Russian Federation
Moscow


References

1. <div><p>Суслина З.А., Пирадов М.А. (ред.). Инсульт: диагностика, лечение, профилактика. М.: МЕДпресс-информ 2008;288 с.</p><p>Wilterdink J.L., Furie K.L., Easton D. Cardiac evaluation of stroke patients. Neurology 1998; 51 (Suppl. 3):23-6.</p><p>Oppenheimer S.M., Lima J. Neurology and the heart. J Neurol Neurosurg Psychiatry 1998;64:289-97.</p><p>Arning C., Meritt H. Differential diagnosis between cerebral hemorrhage and cerebral thrombosis. Arch Inter Med 1935;56:435-56.</p><p>Whisnant J.P., Fitzgibbons J., Kurland L. et al. Natural history of stroke in Roshester, Minnesota, 1945-1954. Stroke 1971;2:11-22.</p><p>Шевченко Ю.Л., Одинак М.М., Михайленко А.А. и др. Кардиоэмболический инсульт. Учебное пособие. СПб., 1998;66 c.</p><p>Суслина З.А., Верещагин Н.В., Пирадов М.А. Подтипы ишемических нарушений мозгового кровообращения: диагностика и лечение. Consilium medicum 2001;3(5):218-21.</p><p>Albers G.W., Comess K.A., De Rook F.A. et al. Transesophageal echocardiographic findings in stroke subtypes. Stroke 1994;25:23-8.</p><p>Cerebral Embolism Task Force. Cardiogenic brain embolism. Arch Neurol 1986;43:71-84.</p><p>Cerebral Embolism Task Force. Cardiogenic brain embolism: second report of the Cerebral Embolism Task Force. Arch Neurol 1989;46:727-43.</p><p>Bogousslavsky J., Melle G.V., Regli F. The Lausanne Stroke Study: analysis of 1000 consecutive patients with first stroke. Stroke 1988;19:1083-92.</p><p>Petty G.W., Brown R.D., Whisnant J.P. et al. Ischemic stroke subtypes. A population-based study of functional outcome, survival and recurrence. Stroke 2000;31:1062-8.</p><p>Urbinelli R., Bolard P. , Lemesle M. et al. Stroke patterns in cardio-embolic infarction in a population-based study. Neurol Res 2001;23:309-14.</p><p>Norris J.M., Frogatt G.M., Hachinski V.C. Cardiac arrhythmias in acute stroke. Stroke 1978;9:392-6.</p><p>Britton M., de Faire U., Helmer C. et al. Arrhythmias in patients with acute cerebrovascular disease. Act Med Scand 1979;205:425-8.</p><p>Corbalan R., Arriagada D., Braun S. et al. Risk factors for systemic embolism in patients with paroxysmal atrial fibrillation. Am Heart J 1992;24:149-53.</p><p>Yamanouchi H., Mizutani Y., Matsushita S. et al. Paroxysmal atrial fibrillation: high frequency of embolic brain infarction in eldery autopsy patients. Neurology 1997;49:1691-4.</p><p>Фонякин А.В., Гераскина Л.А., Суслина З.А. Стратификация причин кардиоэмболического инсульта. Неврологич журнал 2002;2:8-11.</p><p>Фонякин А.В., Гераскина Л.А., Суслина З.А. Сравнительная оценка постоянной и пароксизмальной фибрилляции предсердий в патогенезе кардиоцеребральной эмболии. Кардиология 2002;7:4-6.</p><p>Mooe Th., Tienen D., Karp K. et al. Long-term follow-up of patients with anterior myocardial infarction complicated by left ventricular thrombus in the thrombolytic era. Heart 1996;75:252-6.</p><p>Hellerstein H.K., Martin J.W. Incidence of tromboembolic lesions accompanying myocardial infarction. Am Heart J 1947;33:443-6.</p><p>Easton J.D., Sherman D.G. Management of cerebral embolism of cardiac origin. Stroke 1980;11:433-44.</p><p>Fukuda Y., Nakamura K. The incidence of tromboembolism and hemocoagulative background in patients with rheumatic heаrt disease.</p><p>Сторожаков Г.И., Гендлин Г.Е., Латышева Е.В. и др. Больные с клапанными пороками сердца - лечение у терапевта до и после хирургической коррекции. Ж сердеч недостат 2002;6:300-5.</p><p>Онищенко Е.Ф. Открытое овальное окно и инсульт в клинической практике. СПб.: ЭЛБИ, 2005;191 с.</p><p>Meister S.G., Grossman W., Dexter L. et al. Paradoxical embolism: Diagnosis during life. Am J Med 1972;53:292-8.</p><p>Bassand J.P., Bihr E., Becque O. et al. Cerebral emboli of cardiac origin. J Neuroradiol 1979;6:117-26.</p><p>Caplan L.R. Brain embolism, revisited. Neurology 1993;43:1281-7.</p><p>Overell J.R., Bone I., Lees K.R. Interatrial septal abnormalities and stroke: a meta-analysis of case-control studies. Neurology 2000;55:1172-9.</p><p>Drighil A., Mosalami H., Elbadaoui N. et al. Patent foramen ovale: a new disease? Int J Cardiol 2007;122:1-9.</p><p>Homma S., Di Tullio M.R., Sacco R.L. et al. Characteristics of patent foramen ovale associated with cryptogenic stroke: a biplane transesophageal echocardiographic study. Stroke 1994;25:582-6.</p><p>Steiner M.M., Di Tullio M.R., Rundeck T. et al. Patent foramen ovale size and embolic brain imaging findings among patients with ischemic stroke. Stroke 1998;29:944-8.</p><p>Schuchlenz H.W., Weihs W., Horner S. et al. The association between the diameter of a patent foramen ovale and the risk of embolic cerebrovascular events. Am J Med 2000;109:456-62.</p><p>De Castro S., Cartoni D., Fiorelli M. et al. Contrast and two-dimensional transesophageal echocardiography identify PFO patients at higher risk for recurrent embolism. Cerebrovasc Dis 1996;6(Suppl.2):150.</p><p>Nendaz M.R., Sarasin F.P., Junod A.F. et al. Preventing stroke recurrence in patients with patent foramen ovale: antithrombotic therapy, foramen closure, or therapeutic abstention? A decision analytic perspective. Am Heart J 1998;135(3):532-41.</p><p>Homma S., Di Tullio M.R., Sacco R.L. et al. Surgical closure of patient foramen ovale in cryptogenic stroke patients. Stroke 1997;28:2376-87.</p><p>Bridges N.D., Hellenbrand W., Latson L. et al. Transcatheter closure of patent foramen ovale after presumed paradoxocal embolization. Circulation 1992;86:1902-8.</p><p>Ende D.J., Chopra P.S., Rao P.S. Transcatheter closure of atrial septal defect or patent foramen ovale with the buttoned device for prevention of recurrence of paradoxical embolism. Am J Cardiol 1996;78:233-6.</p><p>Thijs V., Schrooten M., Budts W. Patent foramen ovale with presumed paradoxical embolism: percutaneous closure or antithrombotic therapy? Cerebrovasc Dis 2003;16(Suppl.4):74.</p><p>Billinger K., Reschke M., Trpels T. et al. Transcatheter closure of patent foramen ovale for secondary prevention of TIAS and strokes: acute results and follow up in 597 patients. Cerebrovasc Dis 2003;16(Suppl. 4):73.</p><p>Ranoux D., Cohen A., Cabanes L. et al. Patent foramen ovale: is stroke due to paradoxical embolism? Stroke 1993;24:31-4.</p><p>Steiner M.M., Di Tullio M.R., Rundeck T. et al. Patent foramen ovale size and embolic brain imaging findings among patients with ischemic stroke. Stroke 1998;29:944-8.</p><p>Bogousslavsky J., Garazi S., Jeanrenaud X. et at. Stroke recurrence in patients with patent foramen ovale: the Lausanne Study. Neurology 1996;46:1301-5.</p><p>Arquizan C., Coste J., Touboul P.-J. et al. Is a patent foramen ovale a family trait? A tran-scranial Doppler sonographic study. Stroke 2001;32:1563-6.</p><p>Ворлоу Ч.П., Деннис М.С., ван Гейн Ж. и др. Инсульт. Практическое руководство для ведения больных. СПб.: Политехника,1998;630 с.</p><p>Sacco R.L., Adams R., Albers G. et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack. Stroke 2006;37:577-617.</p><p>Mooe Th., Eriksson P., Stegmayr B. Ischemic stroke after acute myocardial infarction. Stroke 1997;28:762-7.</p><p>Denny-Brown D. The treatment of recurrent cerebrovascular symptoms and the question of "vasospasm". Med Clin Norh Am 1951;35:1457-74.</p><p>Шмидт Е.В., Лунев Д.К., Верещагин Н.В. Сосудистые заболевания головного и спинного мозга. М., 1976.</p><p>Bladin Ch.F., Chambers B.R. Clinical features, pathogenesis, and computed tomographic characteristics of internal watershed infarction. Stroke 1993;24:1925-32.</p><p>Симоненко В.Б., Широков Е.А. Гемодинамический инсульт. Клиническая медицина 1999;6:4-9.</p><p>Mitchinson M.J. The hypotensive stroke. Lancet 1980;1:244-6.</p><p>Kelley R.E., Kovacs A. Mechanisms of in-hospital cerebral ischemia. Stroke 1986;17:430-3.</p><p>Weiller C., Ringelstein E.B., Reiche W. et al. Clinical and hemodynamic aspects of low-flow infarcts. Stroke 1991;22:1117-23.</p><p>Kahn H.S. Primary orthostatic cerebral ischemia. J Neurol Neurosurg Psychiatry 1984;47:754-5.</p><p>Roine R.O., Raininko R., Erkinjuntti T. et al. Magnetic resonance imaging findings associated with cardiac arrest. Stroke 1993;24:1005-14.</p><p>Bladin Ch.F., Chambers B.R. Frequency and pathogenesis of hemodynamic stroke. Stroke 1994;25:2179-82.</p><p>Bogousslavsky J., Regli F. Unilateral watershed cerebral infarcts. Neurology 1986;36:373-7.</p><p>Фонякин А.В., Гераскина Л.А., Суслина З.А. Кардиальная патология при различных патогенетических подтипах ишемического инсульта. Клин мед 2002;1:25-8.</p><p>Кушаковский М.С. Фибрилляция предсердий. СПб.: Фолиант, 1999;176 с.</p><p>Corday E., Irving D.W. Effect of cardiac arrhythmias on the cerebral circulation. Am J Cardiol 1960;6:803-7.</p><p>Clark D., Plumb V., Kay G. The hemodynamics of atrial fibrillation: The independent effect on an irregular RR interval. Circulation 1995;92:108-14.</p><p>Petersen P. , Kastrup J., Videbaek R. et al. Cerebral blood flow before and after cardioversion of atrial fibrillation. J Cerebr Blood Flow Metab 1989;9:422-5.</p><p>Верткин А.Л., Мартынов И.В., Гасилин В.С. и др. Безболевая ишемия миокарда. М.: Тетрафарм, 1995;104 с.</p><p>Фонякин А.В., Гераскина Л.А., Суслина З.А. Гемодинамическая оценка пароксизмальных нарушений ритма и эпизодов немой ишемии миокарда у больных с ишемическим инсультом (применение бимониторирования ЭКГ и АД). Вест аритмол 2000;19: 36-41.</p><p>Фонякин А.В., Суслина З.А., Гераскина Л.А. Кардиологическая диагностика при ишемическом инсульте. СПб.: Инкарт, 2005; 226 с.</p><p>Суслина З.А., Фонякин А.В. Кардиальные аспекты патогенеза и профилактики ишемических инсультов. Креативная кардиология 2007; 1-2: 220-30.</p><p>Kaste M. Statins in threatened stroke. Stroke 2003; 34: 351-3.</p><p>Amarenco P. , Bogousslavsky J., Callahan A. 3rd et al., for the SPARCL investigators. High-dose atorvastatin after stroke or transient ischemic attack. N Engl J Med. 2006; 355: 549-59.</p><p>Roine R.O., Raininko R., Erkinjuntti T. et al. Magnetic resonance imaging findings associated with cardiac arrest. Stroke 1993; 24: 1005- 14.</p></div><br />


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For citations:


Fonyakin A.V., Geraskina L.A. CARDIOGENIC INSULTS. Neurology, Neuropsychiatry, Psychosomatics. 2009;1(1):23-28. (In Russ.) https://doi.org/10.14412/2074-2711-2009-18

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)