کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3039784 1579683 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Autonomic symptoms in hypertensive patients with post-acute minor ischemic stroke
ترجمه فارسی عنوان
نشانه های خودمختاری در بیماران مبتلا به فشار خون بالا با سکته مغزی ایسکمیک پس از حاد
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی


• Autonomic symptoms in ischemic stroke were higher than in hypertensive patients without stroke.
• Gastrointestinal, urinary, cardiovascular and erectile dysfunction symptoms were frequent.
• Autonomic symptoms scores in ischemic stroke patients were associated with depression scores.
• Autonomic symptoms scores were not associated with the characteristic of the ischemic stroke.
• Quantitative assessment of different autonomic symptom domains in stroke patients is useful.

BackgroundMost studies regarding autonomic dysfunction in ischemic stroke are limited to heart rate and blood pressure changes during the acute phase. However, there are few data on quantitative assessment of autonomic symptoms. We sought to assess autonomic symptoms in hypertensive ischemic stroke patients.MethodsIn 100 hypertensive patients (45 with symptomatic ischemic stroke (6 months after stroke onset) and 55 without stroke), we assessed autonomic symptoms using the Scale for Outcomes in Parkinson disease-Autonomic (SCOPA-AUT).ResultsThe age (mean ± standard deviation) for the stroke group was 66 ± 12 and 63 ± 15 for the without stroke group (P = 0.8). Orthostatic hypotension occurred in 3.6% of the stroke group and 4.4% in the group without stroke. The total SCOPA-AUT score was higher in the stroke group compared with the group without stroke (P = 0.001). Domain scores for gastrointestinal (P = 0.001), urinary (P = 0.005) and cardiovascular (P = 0.001) were higher in the stroke group. No differences were found when comparing the total SCOPA-AUT scores for stroke subtypes (P = 0.168) and for lateralization (P = 0.6). SCOPA AUT scores were correlated with depression scores (P = 0.001) but not with stroke severity (P = 0.2).ConclusionAutonomic symptoms, especially, gastrointestinal, urinary and cardiovascular function, were significantly increased in hypertensive patients with minor ischemic stroke. Symptoms were associated with depression but not with the characteristic of the stroke.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Neurology and Neurosurgery - Volume 139, December 2015, Pages 188–191
نویسندگان
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