THE INFLUENCE OF MYOCARDIAL INFARCTION ASSOCIATION IN ISCHEMIC CEREBRAL STROKE SUBJECTS ON THE 30 DAYS VITAL AND NEUROLOGICAL PROGNOSIS
Abstract:
The association of stroke and acute myocardial infarction may be considered either a
consequence of the stroke, or a separate entity. Purpose: To appreciate the short term (30-days)
evolution of the subjects that associate acute myocardial infarction to cerebral stroke within minimum
one and maximum 7 days from the onset of the cerebral stroke using several parameters. Material and
Methods: There were included 55 subjects divided in two groups: group A – association of myocardial
infarction to stroke within 1 – 7 days from stroke’s onset; group B – case control group having subjects
with stroke and no myocardial infarction. Results: The burden of cardiovascular diseases did not differ
significantly in the two groups, with the exception of hypertension and stroke history that were
associated to group A, together with CRP presence, lower HDL cholesterol and higher CT/HDL
cholesterol ratio when screened. In the intra-group analysis, persistent hypertension at 72 hours and
hyperglycemia at 48 hours correlated to a severe neurological status (p<0.05, CI95%). The occurrence
of myocardial infarction leads to a depreciation of the neurological status in group A subjects at 15 and
30 days when compared to group B subjects (p<0.05,CI95%). The mortality in the groups did not differ
significantly. Conclusions: The association of a myocardial infarction to an ischemic stroke is an
independent negative prognostic factor without influencing the mortality. When other risk factors are
present they may be omitted in favor for the myocardial infarction on the respect to 30-days prognosis.
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