[Perpetual cardiac fibrillation and predictors of sudden cardiac arrhythmic death in patients with ischemic stroke].
OBJECTIVE
To study predictors of sudden cardiac arrhythmic death in patients with perpetual cardiac fibrillation (PCF) and ischemic stroke.


METHODS
230 patients with ischemic stroke were examined. 22 (9.6%) patients of them (group 1) had PCF, 208 (90.4%) patients (group 2) had sinus rhythm. The groups were matched by sex, stage of ischemic stroke, presence of ischemic heart disease. Echocardiography and Holter monitoring were made in all the examinees.


RESULTS
Zones of left ventricular dyskinesia and high-grade extrasystoles occurred more frequently in group 1. Ventricular extrasystoles were also frequent in this group. A close correlation was found between the zones of left ventricular dyskinesis and ventricular extrasystoles of high gradations.


CONCLUSIONS
Thus, most of the patients with ischemic stroke and PCF have ventricular arrhythmia resultant from systolic dysfunction of the left ventricle and related to the risk of sudden cardiac death.
Foniakin
A V
AV
Geraskina
L A
LA
Suslina
Z A
ZA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000150:complications* / Q000503:physiopathology; D002545:Brain Ischemia / Q000150:complications* / Q000503:physiopathology; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged