[The prevalence of atrial cardiomyopathy in patients with different types of acute ischemic stroke and its relationship with cryptogenic stroke].

• DOI: 10.3760/cma.j.cn112137-20220406-00714
• Publication Date: 2022-12-06
• Authors: Y Y Wang; X J Liu; Lulu Pei; Kun Liu; Ruifang Hu; X Wang; Wukong Sun; L Y Zhang; Jun‐Ge Liang; Yuming Xu; Bin Song
• Keywords: Stroke

Objective: To investigate the prevalence of atrial cardiomyopathy in patients with different types acute ischemic stroke and its relationship cryptogenic stroke. Methods: Patients within 7 days onset who were admitted to Department Neurology First Affiliated Hospital Zhengzhou University from January September 2019 prospectively consecutively enrolled. All included classified according TOAST classification Chi-square test was used compare among classifications. Multivariate logistic regression model analyze related factors Results: A total 1 098 enrolled study, including 661 males 437 females, a median age [M(Q1,Q3)] 61 (53, 68) years. The stroke[53.5% (46/86)] higher than that large artery atherosclerosis [38.0%(63/166), P=0.018] small vessel occlusion [19.4%(37/191), P<0.001], but lower cardioembolic group [97.3% (72/74), P<0.001]. analysis showed an associated factor for (OR=2.945, 95%CI: 1.766-4.911, P<0.001). Conclusions: Atrial is occlusion, cardiac embolism.目的： 探讨心房心肌病在不同类型急性缺血性卒中患者中的患病率及其与隐源性卒中的关系。 方法： 连续纳入2019年1—9月在郑州大学第一附属医院神经内科就诊的发病7 d内的急性缺血性卒中患者。所有纳入患者均按照缺血性卒中TOAST分型进行病因学分型。采用χ²检验比较心房心肌病在不同TOAST分型患者中的患病率差异。采用多因素logistic回归模型分析探讨隐源性卒中的相关因素。 结果： 本研究共纳入1 098例急性缺血性卒中患者，男661例，女437例，年龄［M（Q1，Q3）］61（53，68）岁，其中隐源性卒中患者128例（11.7%）。隐源性卒中患者心房心肌病患病率［53.5%（46/86）］高于大动脉粥样硬化组［38.0%（63/166），P=0.018］和小血管闭塞组［19.4%（37/191），P<0.001］，低于心源性栓塞组患者［97.3%（72/74），P<0.001］。多因素logistic回归分析显示心房心肌病是隐源性卒中的相关因素（OR=2.945，95%CI：1.766~4.911，P<0.001）。 结论： 心房心肌病与隐源性卒中有关，隐源性卒中患者心房心肌病的患病率高于大动脉粥样硬化组和小血管闭塞组卒中患者，低于心源性栓塞组患者。.