Рентгенология & Радиология, 2013, LII 115-119

Computed tomographic, electrocardiographic and clinical investigations in patients with ischemic strokes

  1. Manchev, J. Toneva, M. Mitev, V. Milanova, E. Zafirova,T. Manolova2, I. Manchev

Abstract.The Computed Tomography (CT) is a widely available and reliable method for the diagnosis of cerebrovascular disease. It allows in the first hours of the occurrence of vascular events to be established the type of brain stroke and creates conditions for timely fibrinolytic or surgical treatment. In many cases where it cannot be performed echocardiographic examination modern electrocardiography (ECG) makes it possible to demonstrate the presence of cardiac disease. These two methods in combination with neurological status create conditions for determining the treatment strategy for ischemic brane stroke (IBS). We studied 222 patients (92 men and 110 women with a middle age 59.7 years) selected randomized. At a computed tomography study in the early hours of IBS were found pathological findings in 115 patients (51.8%) slightly more often in women. IBS in the carotid system were greatly predominant in comparison with those in the vertebrobasilar system (VBS), which can be explained with the blood flow to the brain stem. When ECG is most commonly met diagnosis: hypertension HSSN III stage II – III functional class NYUHA, ischemic cardiomyopathy in 64 patients overall, with almost equal frequency in men 30 (17.5%) and women – 34 (19.8%). In neurological examination significantly predominant clinical symptoms karoditnata vasculature, in 154 patients (69.3%) compared to that of the VBS- 68 (30.7%). Fulfilled study shows the need for better coordination of the activities of specialists in diagnostic imaging and neurologists for their work in specialized hospitals (Stroke Units).

Key words: COMPUTED TOMOGRAPHY. ELECTROCARDIOGRAPHY. ISCHEMIC STROKES