Implications of alterations in ventricular function in patients with Ischemic Stroke.

Abstract

This study wanted to demonstrate the impact of Heart Failure in patients who presented ischemic stroke, on functional recovery and prognosis during hospitalization, both in patients with a clinical diagnosis of Heart Failure and in asymptomatic patients, relating systolic and diastolic ventricular dysfunction. A prospective, observational study was carried out. 112 patients with ischemic stroke were evaluated, they were divided into three groups, according to left ventricular function: patients with Normal Ventricular Function, patients with Altered Systolic Function and patients with Altered Diastolic Function. The NIHSS scale (at admission, 48 hours and discharge), functional prognosis, neurological and extra neurological complications were compared in each group. The group with Altered Systolic Function was associated with a higher incidence of clinical and neurological complications, also in the group with Altered Diastolic Function, but with a lower proportion. Higher mortality was observed in both groups, compared to patients with Normal Ventricular Function. The group of patients with Altered Systolic Function presented a worse functional prognosis, with a worsening during hospitalization. They presented a worse prognosis of initial disease and of recovery evaluated in the short term, during hospitalization. The group of patients with Altered Diastolic Function presented a poor functional prognosis, although in a lower proportion than the previous one. It was associated with a significant worsening during hospitalization, both in patients with a good and poor prognosis.