ANALIZA COMPARAT? A EVOLU?IEI NEUROLOGICE LA SUBIEC?II CARE ASOCIAZ? UN ACCIDENT VASCULAR CEREBRAL ISCHEMIC LA UN INFARCT MIOCARDIC ACUT VS. SUBIEC?I CU ACCIDENT VASCULAR CEREBRAL ISCHEMIC IZOLAT

摘要

The association of stroke to acute myocardial infarction(AMI)may be considered either a consequence of the myocardial ischemia, or separate entity.Purpose:To appreciate the short term(30-days)evolution of subjects that associate an ischemic cerebral stroke to an AMIwithin minimum one and maximum 6days from the onset of the myocardial infarction.Material and Methods:There were included 97subjects during 2005–2008,divided in two groups:group A–association of stroke to AMI; groupB–case control, subjects with stroke and no AMI.Results:The cardiovascular burden did not differ significantly in the two groups.In the intra-group analysis the presence of peripheral arterial disease,high total cholesterol/HDL-cholesterol ratio and post-AMI atrial fibrillation correlated to a more severe neurological status(p0.05,CI95%).The association of stroke to theAMI paradoxically leads to an appreciation of the neurological status at 30days(p0.05,CI95%).The mortality did not differ significantly.Conclusions:The association of a an ischemic stroke to a myocardial infarction is not a negative shot term neurological prognostic factor,without significantly influencing the mortality.