Türk Beyin Damar Hast Derg. 1999; 5(3): 69-71

ISCHEMIC CEREBROVASCULAR DISEASES ACORDING TO CARDIAC OR ARTERIAL EMBOLIC SOURCE

Sibel KARÞIDAй, Aysu ÞEN¹, Þule KARAASLAN¹, Fügen SÖNMEZ¹, Sefer GÜNAYDIN¹, Baki ARPACI¹

We compared clinical and laboratory data between 70 cardiac embolism and 87 arterial embolic patients selected from the 516 patients with cerebral infarction. Patients with cardiogenic embolism were younger in comparison to the arterial embolic patients ( 53±14 yr versus 64±11 yr , p<0.0001). We detected significantly higher rate of transient ischemic attacks (38 % versus 10 %), ischemic heart disease (25% versus 13%) and obesity ( 33% versus 18%) in arterial embolic patients than in cardiac embolic patients. ýt has been shown that in cardioembolic strokes abrupt onset is more obvious observed, whereas the progressive course was more dominant in arterial embolic strokes.

Keywords: Cardiac embolism, Arterial embolism, stroke

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KARDÝYAK VEYA ARTERYEL EMBOLÝK KAYNACA GÖRE ÝSKEMÝK SEREBROVASKÜLER HASTALIKLAR

Sibel KARÞIDAй, Aysu ÞEN¹, Þule KARAASLAN¹, Fügen SÖNMEZ¹, Sefer GÜNAYDIN¹, Baki ARPACI¹
Bakýrköy Ruh ve Sinir Hast. Hastanesi ve BÝTAM (Bakýrköy Ýnme Taný Araþtýrma Merkezi), Ýstanbul

516 serebral enfarktlý hasta arasýndan seçilen 70 kardiyak embolik ve 87 arteryel embolik hastada klinik ve laboratuar bulgularý karþýlaþbnldý. Kardiojenik embolizmli hastalar, arteryel embolik hastalara göre daha gençti ( 53±14 yýl ve 64±11 yýl , p< 0.0001). Kardiyak embolik hastalara göre arteryel embolik hastalarda daha yüksek oranda geçici iskemik atak (%38 ve% 10), iskemik kalp hastalýðý ( %25 ve %13) ve obesite ( %33 ve %18) tespit edildi. Kardiojenik stroklarda akut baþlangýcýn daha mutad olduðu, halbuki progressif seyirin arteryel embolik inmelerde daha belirgin olduðu görüldü.

Anahtar Kelimeler: Kardiyak embolism, Arteryel embolism, inme.

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