Purpose: to show the value of the Doppler echocardiogram and the Holter-ECG performed systematically during the etiological assessment of a first episode of ischemic stroke. Methods and patients: this was a prospective and descriptive study, carried out from May 1 to October 31, 2020 (six months) in the cardiology and neurology departments of the Brazzaville University Hospital Center. It included patients who had a first episode of ischemic stroke confirmed on brain scan and carried out a cardiological assessment. Results: fifty patients were included, including 26 women. The mean age was 63.9 ± 12.8 years (34 - 82 years). Transthoracic echocardiography and ECG detected emboligenic heart disease in 42 cases (84%), major heart disease in 38 cases (76%). The major emboligenic heart disease was dilated cardiomyopathy in 17 cases (34%); ischemic heart disease in 6 cases (12%), mitral stenosis in 2 cases (4%), and atrial fibrillation in 13 cases (26%). The Holter-ECG revealed permanent atrial fibrillation in 13 patients (26%), paroxysmal atrial fibrillation in 1 patient, paroxysmal atrioventricular block in one patient. Conclusion: in our work, the echocardiogram and the Holter -ECG made it possible to identify twenty-nine thromboembolic causes of stroke. These explorations are essential in the etiological assessment.
| Published in | Cardiology and Cardiovascular Research (Volume 8, Issue 1) |
| DOI | 10.11648/ccr.20240801.13 |
| Page(s) | 14-20 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Ischemic Stroke, Emboligenic Heart Disease, Holter-ECG, Echocardiogram
| [1] | Crozier S, Woimant F. Cerebrovascular accidents. Rev Prat 2009; 59: 117-25. |
| [2] | Arboix a. acute cardioembolic cerebral infarction: answers to clinical questions. Current cardiology reviews 2012; 8 (1): 54-67. |
| [3] | Garnier. P Price of management of embolic strokes of cardiac origin Cardiological realities, September 2006, n° 219. |
| [4] | Sirakhé Camara, Aichetou Ahmed, Houleymata Ba et al. Ischemic strokes of cardioembolic origin: about 101 cases collected at the National Cardiology Center of Nouakchott (Mauritania). Tunisian Journal of Cardiology 2 Quarter 2019; Vol 15 No. 2-2: 61-72. |
| [5] | D’ouazzane CM, Betaich K, Fettouhi et al. Ischemic stroke seen by the cardiologist. Heart and vessels 2012; 12: 23-27. |
| [6] | Calvet d, Bracard s, Mas J-l. Treatment of arterial and venous cerebral ischemia. Formalized expert recommendations: Management of stroke by the intensivist. rev neurol 2012; 168(6): 512-521. |
| [7] | Derumeaux G. Cardiac explorations of ischemic stroke in: Leger JM, Mas JL. Treatise on neurology. Stroke. Paris: W Kluwer, 2009: 407-18. |
| [8] | Benzarouel D, Chbakou L, Hattaoui M. Cardiological investigations after a stroke. The cardiologist's point of view. Rev Marocaine de cardiol 2012; 21: 34. |
| [9] | Zhang L, Harrison JK, Goldstein LB. Echocardiography for the detection of cardiac source of embolism in patients with stroke or transient ischemic attack. J stroke cerebrovasc Dis 2012; 21: 577–82. |
| [10] | Bendris L, Khatouri A. Ischemic strokes. Frequency of cardiovascular etiologies documented by a thorough cardiovascular assessment. About 110 cases. Ann Cardiol Angeiol 2012; 61: 252-6. |
| [11] | Bellalem A, Amroune AA, Amiril L, Ayadi N, Malouna D. Epidemiology of ischemic strokes and classification of subtypes according to the TOAST criteria in Sétif, Algeria. Rev Neurol 2007; 164: 18. |
| [12] | Coulibaly S, Diakité S, Diall IB et al. Cerebrovascular accidents: risk factors, evolution and prognosis in cardiology department B of Point G Bamako University Hospital. Mali Med 2010; 25: 32-6. |
| [13] | Damorou F, Togbossi S, Pessinaba et al. Cerebrovascular accidents and emboligenic cardiovascular conditions. Mali Med 2008; 1: 31-33. |
| [14] | Kimbally - kaky G, Nkoua JL, Oboa AS, Bouramoué C. Cerebral embolisms with a cardiac origin: about 21 cases. Card Trop, 1991; 17: 5-11. |
| [15] | Chauvel C, Cohen A. Contribution of cardiac ultrasound in stroke. Rean Urg 1997; 6: 541-546. |
| [16] | Knebel F, Masuhr F, Von Hausen W et al. Transoesophageal echocardiography in patients with cryptogenic cerebral ischemia. Cardiovasc Ultrasound 2009; 7: 1-8. |
| [17] | De Bruijn SFTM, Agema WRP, Lammers GJ et al. Transoesophageal echocardiography is superior to transthoracic echocardiography in manegement of any age with transient ischemic attack or stroke. Stroke 2006; 37: 2531-4. |
| [18] | Mboup CM, Sarr AS, Khadiatou D, Fall DP. Etiological aspects of ischemic stroke in Senegal. The Pan African Medical journal 2015; 22: 201. |
| [19] | Sene d F, Basse a, ndiaye M et al. Management of strokes in Senegal. rev neurol. 2007; 163 (8): 823-827. |
| [20] | lackland dT, roccella eJ, deutsch aF et al. Factors influencing the decline in stroke mortality a statement from the american Heart association american strok association. stroke 2014; 45(1): 315-353. |
| [21] | Bejot Y, Caillier M, Rouaud et al. Epidemiology of stroke. Med Press 2007; 36: 117-27. |
| [22] | Vinsonneau V, Leblanc A, Buchet JF et al. Diagnostic profitability of transthoracic and transesophageal cardiac ultrasound and Holter-ECG performed systematically during the etiological assessment of a first ischemic stroke. Retrospective study of 220 patients. Ann Card Angeiol 2014; 63: 217-21. |
| [23] | Hamady OA. epidemiological aspects of cardiological accidents of a stroke arterial cerebrovascular accidents hospitalized at the Ischemic Center. Moroccan Journal of Cardiology 2011; 3: 11national cardiology (Mauritania): about 274 cases 18. Méd Thesis 2015, n°14. 28-Pugin d. Stroke management in intensive care: measures. |
| [24] | kouna n. P, Millogo a, siemefo KF et al. general therapeutic aspects. formalized epidemiological and progressive recommendations for vascular accidents from experts. neurological review 2012; 168 (6): 490-500. |
| [25] | M'Baye Ps, dubecq C et al. ischemic and:. hemorrhagic strokes in dakar, senegal: a hospital-based aJns 2007; 12-17 (26) 29-sagui e. |
| [26] | Balogou a, grunitzky eg, assogba K et al. accidents study. stroke. 2005; 36(9): 1844-7. |
| [27] | Fatou T, Jean-Baptiste anzouan Kakou et al. cerebrovascular accidents in young subjects, the neurological department of the chu campus of lomé. epidemiological aspects of stroke aJn 2008; 2(27): 44-5. |
| [28] | damorrou F, Togbossi e, Pessinaba s et al. cerebrovascular accidents (CVA) and emboligenic cardiovascular conditions. Mali Medical 2008; 23(1): 31-33. 12. |
| [29] | Kato Y, Hayashi T, Tanahashi n, Kobayashi s. Cardioembolic stroke is the most serious problem in the aging society: Japan standard stroke registry study. Journal of stroke and Cerebrovascular diseases 2015; 24(4): 811-814. |
| [30] | Lazzaro MA, Krishnan K, Prabhakaran S. Detection of atrial fibrillation with concurrent holter monitoring and continuous cardiac telemetry following ischemic stroke and transient ischemic attack. J Stroke cerebrovasc Dis 2012; 21: 89-93. |
| [31] | Ondzé-Kafata L I, Kissima-Traoré A, Amounya-Zobo S et al. Long-term electrocardiogram in patients with stroke in Brazzaville: 81 cases. Mali Med 2014: 29; 13-16. |
| [32] | Walkmann D, Tuller D, Wustmann K et al. Frequent atrial premature beats predict paroxysmal atrial fibrillation in stroke patients: an opportunity for a new diagnostic. Stroke 2007; 38: 2292-4. |
| [33] | Elijovien L, Josephon SA, Fung GL, Smith WS. Intermittent atrial fibrillation may account for a large proportion of otherwise cryptogenic stroke: a study of 30 day cardiac monitors. J Stroke cerebrose Dis 2009; 18: 185-9. |
| [34] | Kane A, Sab A, Sarr M et al. Cerebral embolisms of cardiac origin in young subjects. Rev Cardiol Too 1997; 23: 51-7. |
| [35] | Ondzé Kafata L I, Kissima -Traoré A, Amounya-Zobo S et al. Cardiovascular risk factors and cardiac Doppler ultrasound in patients with ischemic stroke in Brazzaville: 83 cases. Mali Med 2014; 1: 20-24. |
| [36] | Amdem MC, R3 and Verreault S, FRCPC MD. cardioembolic stroke. Semiology and etiological investigation. The Clinician 2008; 12: 61-5. |
APA Style
Ngamami, S. F. M., Kimbekete, L. O., Landa, C. M. K., Letomo, K. M. N., Bakekolo, R. P., et al. (2024). Cardioembolic Cerebral Accident: Epidemiological and Paraclinical Aspects at the Brazzaville University Hospital. Cardiology and Cardiovascular Research, 8(1), 14-20. https://doi.org/10.11648/ccr.20240801.13
ACS Style
Ngamami, S. F. M.; Kimbekete, L. O.; Landa, C. M. K.; Letomo, K. M. N.; Bakekolo, R. P., et al. Cardioembolic Cerebral Accident: Epidemiological and Paraclinical Aspects at the Brazzaville University Hospital. Cardiol. Cardiovasc. Res. 2024, 8(1), 14-20. doi: 10.11648/ccr.20240801.13
AMA Style
Ngamami SFM, Kimbekete LO, Landa CMK, Letomo KMN, Bakekolo RP, et al. Cardioembolic Cerebral Accident: Epidemiological and Paraclinical Aspects at the Brazzaville University Hospital. Cardiol Cardiovasc Res. 2024;8(1):14-20. doi: 10.11648/ccr.20240801.13
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author = {Solange Flore Mongo Ngamami and Ludwine Orlane Kimbekete and Christian Michel Kouala Landa and Kivie Mou-moue Ngolo Letomo and Rog Paterne Bakekolo and Eric Gibrel Kimbally Kaky and Ruddy Junior Taty and Gankama Thibault Naibe and Jospin Karel Makani Bassoukouahou and Macair Ossou-Nguiet and Fikahem Ellenga Mbolla},
title = {Cardioembolic Cerebral Accident: Epidemiological and Paraclinical Aspects at the Brazzaville University Hospital},
journal = {Cardiology and Cardiovascular Research},
volume = {8},
number = {1},
pages = {14-20},
doi = {10.11648/ccr.20240801.13},
url = {https://doi.org/10.11648/ccr.20240801.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.ccr.20240801.13},
abstract = {Purpose: to show the value of the Doppler echocardiogram and the Holter-ECG performed systematically during the etiological assessment of a first episode of ischemic stroke. Methods and patients: this was a prospective and descriptive study, carried out from May 1 to October 31, 2020 (six months) in the cardiology and neurology departments of the Brazzaville University Hospital Center. It included patients who had a first episode of ischemic stroke confirmed on brain scan and carried out a cardiological assessment. Results: fifty patients were included, including 26 women. The mean age was 63.9 ± 12.8 years (34 - 82 years). Transthoracic echocardiography and ECG detected emboligenic heart disease in 42 cases (84%), major heart disease in 38 cases (76%). The major emboligenic heart disease was dilated cardiomyopathy in 17 cases (34%); ischemic heart disease in 6 cases (12%), mitral stenosis in 2 cases (4%), and atrial fibrillation in 13 cases (26%). The Holter-ECG revealed permanent atrial fibrillation in 13 patients (26%), paroxysmal atrial fibrillation in 1 patient, paroxysmal atrioventricular block in one patient. Conclusion: in our work, the echocardiogram and the Holter -ECG made it possible to identify twenty-nine thromboembolic causes of stroke. These explorations are essential in the etiological assessment.
},
year = {2024}
}
TY - JOUR T1 - Cardioembolic Cerebral Accident: Epidemiological and Paraclinical Aspects at the Brazzaville University Hospital AU - Solange Flore Mongo Ngamami AU - Ludwine Orlane Kimbekete AU - Christian Michel Kouala Landa AU - Kivie Mou-moue Ngolo Letomo AU - Rog Paterne Bakekolo AU - Eric Gibrel Kimbally Kaky AU - Ruddy Junior Taty AU - Gankama Thibault Naibe AU - Jospin Karel Makani Bassoukouahou AU - Macair Ossou-Nguiet AU - Fikahem Ellenga Mbolla Y1 - 2024/02/05 PY - 2024 N1 - https://doi.org/10.11648/ccr.20240801.13 DO - 10.11648/ccr.20240801.13 T2 - Cardiology and Cardiovascular Research JF - Cardiology and Cardiovascular Research JO - Cardiology and Cardiovascular Research SP - 14 EP - 20 PB - Science Publishing Group SN - 2578-8914 UR - https://doi.org/10.11648/ccr.20240801.13 AB - Purpose: to show the value of the Doppler echocardiogram and the Holter-ECG performed systematically during the etiological assessment of a first episode of ischemic stroke. Methods and patients: this was a prospective and descriptive study, carried out from May 1 to October 31, 2020 (six months) in the cardiology and neurology departments of the Brazzaville University Hospital Center. It included patients who had a first episode of ischemic stroke confirmed on brain scan and carried out a cardiological assessment. Results: fifty patients were included, including 26 women. The mean age was 63.9 ± 12.8 years (34 - 82 years). Transthoracic echocardiography and ECG detected emboligenic heart disease in 42 cases (84%), major heart disease in 38 cases (76%). The major emboligenic heart disease was dilated cardiomyopathy in 17 cases (34%); ischemic heart disease in 6 cases (12%), mitral stenosis in 2 cases (4%), and atrial fibrillation in 13 cases (26%). The Holter-ECG revealed permanent atrial fibrillation in 13 patients (26%), paroxysmal atrial fibrillation in 1 patient, paroxysmal atrioventricular block in one patient. Conclusion: in our work, the echocardiogram and the Holter -ECG made it possible to identify twenty-nine thromboembolic causes of stroke. These explorations are essential in the etiological assessment. VL - 8 IS - 1 ER -
Health Sciences Faculty, Marien Ngouabi University, Brazzaville, Republic of Congo
Hospital Teaching of Brazzaville, Brazzaville, Republic of Congo
Health Sciences Faculty, Marien Ngouabi University, Brazzaville, Republic of Congo
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