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| | Record ID | 003445 |
| | Publication type | Journal Article |
| | Title | Cardiogenic Embolisation And Ischaemic Stroke: A Review Of Cases Seen At The University Of Nigeria Teaching Hospital Enugu |
| | Source of Record | WHO Regional Office for Africa, Library, Brazzaville, Congo |
| | Author(s) | Ikeh, V.; Onwuekwe, I.; Nwosu, C. |
| | Journal Title | Journal of Medical Investigation and Practice |
| | ISSN | 9783-1230 |
| | Date of publication | 2005 |
| | Volume and n° | 4 |
| | Pages | 4-7 |
| | Language | English |
| | Descriptor | Embolization;
Ischaemic Stroke
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| | Descriptor-Geographic | Nigeria
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| | Abstract | A review of hospital admissions for stroke between January 1980 and December 1999 at the medical wards of the University of Nigeria Teaching Hospital in Enugu, Nigeria was undertaken to ascertain the frequency, patterns and risk factors associated with ischaemic strokes attributable to cardiogenic brain embolization. The results showed that of 450 medical admissions for ischaemic stroke, 5.1 (23 cases) were cerebral infarction related to cardiogenic embolism. There was a male preponderance (5.7 males:2 females). The highest rate of cerebral embolism was seen in the age group 50-59 years. The commonest observed risk factors included hypertension in association with atrial fibrillation (AF; 21.7) and hypertensive left ventricular hypertrophy (17.4). The right cerebral hemispheres were more frequently affected (43.5). The relative risk of cerebral cardioembolism attributed to AF, cardiomyopathy, and hypertension were 13.34 (confidence interval, CI 11.5, 15.5), 9.8 (CI 6.3, 1.6), and 0.27 (CI 6.1, 2.2), respectively. There is a need for physicians to properly identify patients at risk for cardiogenic cerebral arterial embolization in whom anticoagulation may be beneficial. |
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