Nakicevic Amina, Alajbegovic Salem, Alajbegovic Lejla
Neurology Clinic, Clinical Center of Sarajevo University, Sarajevo, Bosnia and Herzegovina.
Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina.
Mater Sociomed. 2017 Mar;29(1):40-44. doi: 10.5455/msm.2017.29.40-44.
The outcome of stroke, especially lethal one is significant, as in the hemorrhagic as well as in ischemic stroke.
was to show the impact on the stroke outcome of tachycardia correlated with lesion localization.
Material for our work was patients who were treated due to the stroke at the Neurology Clinic Sarajevo in the period from 31 March 2015 until 01 January 2016. A total of 544 stoke patients were treated in the reporting period, 221 (44.6%) died. There were 70.9% patients with ischemic and 29.1% with hemorrhagic stroke. Each patient underwent ECG, which registered tachycardia during admission and on third day of hospitalization.
In relation to the presence of tachycardia on admission there were statistically significant differences in the group of patients with hemorrhage and ischemia in relation to presence of tachycardia (p <0.01). In the group of patients with hemorrhage coma was more present (78.9%), while tachycardia was statistically more often in those with loss of consciousness than in the group with coma. Group of patients with ischemia has 52.75% of the patients with tachycardia without statistical correlation between the presence and absence of disorders of consciousness. Midline lesions were statistically more often associated with paroxysmal tachycardia in relation to the lateral lesions (p <0.01). Statistical analysis shows that there are statistically significant differences between observed groups χ=35.576, p=0.0001. Lethal outcome of hemorrhagic stroke was 55.45%, 32.6% for ischemia. A significant statistical significance of ischemic and hemorrhagic stroke compared to the lethal outcome correlated with the registered tachycardia and medial lesion localization.
Tachycardia on admission in patients with stroke is a relevant negative predictor for stroke outcome. Medial localization of changes significantly affects the occurrence of tachycardia and lethal outcome of stroke which is statistically significantly more associated with hemorrhagic stroke.
中风的结局，尤其是致命性结局意义重大，无论是出血性中风还是缺血性中风。
旨在揭示与病变部位相关的心动过速对中风结局的影响。
我们研究的材料是2015年3月31日至2016年1月1日期间在萨拉热窝神经科诊所因中风接受治疗的患者。报告期内共治疗了544例中风患者，其中221例（44.6%）死亡。缺血性中风患者占70.9%，出血性中风患者占29.1%。每位患者均接受心电图检查，记录入院时及住院第三天的心动过速情况。
就入院时心动过速的存在情况而言，出血性和缺血性中风患者组在心动过速存在方面存在统计学显著差异（p<0.01）。出血性中风患者组昏迷更为常见（78.9%），而心动过速在意识丧失患者中在统计学上比昏迷患者组更为常见。缺血性中风患者组有52.75%的患者出现心动过速，意识障碍的有无之间无统计学相关性。与外侧病变相比，中线病变在统计学上更常与阵发性心动过速相关（p<0.01）。统计分析表明，观察组之间存在统计学显著差异，χ=35.576，p=0.0001。出血性中风的致命结局为55.45%，缺血性中风为32.6%。与登记的心动过速和内侧病变部位相关的缺血性和出血性中风的致命结局具有显著统计学意义。
中风患者入院时的心动过速是中风结局的一个相关负面预测指标。病变的内侧定位显著影响心动过速的发生以及中风的致命结局，在统计学上与出血性中风的相关性更强。
