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Cerebrovasc Dis. 2008;26(1):38-40. doi: 10.1159/000135651. Epub 2008 May 30.

The complications of cardioembolic stroke: lessons from the VISTA database.

Author information

1
University of Texas at Houston, Vascular Neurology Program, Houston, Tex. 77030, USA. hen.hallevi@uth.tmc.edu

Abstract

BACKGROUND:

Cardioembolic stroke (CES) accounts for 20-30% of ischemic strokes. We attempted to describe the complications of CES.

METHODS:

We analyzed a cohort of CES patients from the VISTA database who were not given thrombolytics.

RESULTS:

397 patients were included. Recurrent stroke occurred in 2.5% (10/397); stroke progression in 7.8% (31/397); systemic bleeding in 3% (12/397), and hemorrhagic transformation (HT) in 1.5% (6/397). A bimodal temporal distribution was observed for HT. The mortality rate was 103/397 (25.9%) and was associated with stroke progression and recurrence.

CONCLUSIONS:

HT is common in CES patients and presents in a bimodal distribution. Stroke progression is the most frequent serious complication. Further study is indicated to identify predictors of stroke progression.

PMID:
18511870
DOI:
10.1159/000135651
[Indexed for MEDLINE]

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