Search for a command to run...
Hemispheric ischemic stroke (IS) is widely known to claim to be one of the prevalent factors of disability and mortality worldwide, influencing the cardiac function in different degree as well. Purpose of the work. The aim of the study is a step forward in comprehensive understanding the features of cardiac hemodynamics in right-sided ischemic stroke (RSIS), left-sided ischemic stroke (LSIS) and individuals without clinical evidence or history of IS, referred for ultrasound examination for non-cerebrovascular indications. Materials and methods. The transthoracic echocardiography (TTE) was conducted using phased-array probe with available working range of 1.0 – 5.0 MHz, accounting for left ventricle sonography recommendations and protocols, after assessing the data distribution type the results of TTE of 111 patients with IS and 51 age- and gender groups-matched individuals without clinical evidence or history of ischemic stroke, referred for ultrasound examination for non-cerebrovascular indications, were analysed with suitable parametric and non-parametric methods. Results. The results of the TTE in the elderly (mean age 65.98±13.01 years old) presented the overall decrease in left ventricle systolic function in IS patients, however, more obviously in LSIS. In the current study left ventricle systolic and diastolic volume tended to correlate positively with weak association with National Institutes of Health Stroke Scale (NIHSS) on discharge. Conclusions. The elderly ischemic stroke individuals showed left ventricle dilatation and decreased contracting function as compared to the individuals with no ischemic stroke presentation or history, with being more significant in the left-sided ischemic stroke, that should be interpreted as additional findings rather than a primary determinant or strong evidence of distinct stroke lateralisation affect on the cardiac function. Further researches upon moderate to large samples are needed to study the stroke-heart syndrome in various popupations comprehensively.