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CJP 2023, 9 - : e9 |
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Khalilian M R, Azizi Malmiri R, Tahouri T, Ghazavi M. Evaluation of Cardiac Findings in Pediatric Patients with Acute Ischemic Stroke: A Brief Report and Review of Current Literature. CJP 2023; 9
URL: http://caspianjp.ir/article-1-187-en.html
URL: http://caspianjp.ir/article-1-187-en.html
MD; Assistant Professor of Pediatric Cardiology; Department of Pediatrics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; , khalilian-m@sbmu.ac.ir
Abstract: (1132 Views)
Background and Objective: A stroke is defined as an impairment of cerebral blood flow that results in neurologic symptoms and has ischemic and hemorrhagic forms. The ischemic type is more common in children. Congenital and acquired heart diseases are common causes of ischemic stroke in children. The aim of the present study was to describe the cardiac findings in pediatric patients younger than 14 years who were admitted with acute ischemic stroke.
Methods: This cross-sectional study was conducted to evaluate the cardiac findings in 21 patients under 14 years of age admitted with acute ischemic stroke to Golestan General Hospital, Ahvaz, Iran, over a 5-year period between 2013 to and 2018. All patients underwent a thorough cardiac examination that included electrocardiography as well as echocardiography and, if necessary, contrast echocardiography. Patients also underwent MRI of the brain and hematologic laboratory tests. Descriptive data were analyzed using SPSS 23.
Findings: Out of 21 patients, 5 (23.8%) had abnormal echocardiography, whereas 16 (76.2%) patients had normal echocardiography. The patients with normal echocardiography underwent contrast echocardiography, which was positive for patent foramen ovale in only one patient. Of the total of 5 patients with abnormal echocardiography, 2 patients had congenital heart disease, 2 patients had dilated cardiomyopathy, and one patient had left atrial myxoma.
Conclusion: In any pediatric patient with acute stroke, cardiac causes should be considered as the main risk factor, and a thorough cardiologic examination would be necessary.
Methods: This cross-sectional study was conducted to evaluate the cardiac findings in 21 patients under 14 years of age admitted with acute ischemic stroke to Golestan General Hospital, Ahvaz, Iran, over a 5-year period between 2013 to and 2018. All patients underwent a thorough cardiac examination that included electrocardiography as well as echocardiography and, if necessary, contrast echocardiography. Patients also underwent MRI of the brain and hematologic laboratory tests. Descriptive data were analyzed using SPSS 23.
Findings: Out of 21 patients, 5 (23.8%) had abnormal echocardiography, whereas 16 (76.2%) patients had normal echocardiography. The patients with normal echocardiography underwent contrast echocardiography, which was positive for patent foramen ovale in only one patient. Of the total of 5 patients with abnormal echocardiography, 2 patients had congenital heart disease, 2 patients had dilated cardiomyopathy, and one patient had left atrial myxoma.
Conclusion: In any pediatric patient with acute stroke, cardiac causes should be considered as the main risk factor, and a thorough cardiologic examination would be necessary.
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