Heart Disease Contributes to High Stroke Mortality in Poland


Context: The Case-Fatality Rates for Ischemic Stroke in Poland Are 3 Times Higher Than in the United States. the Reason for This Difference is Uncertain. Objective: to Explore Whether Cardiac Comorbidity Contributes to High Case-Fatality Rates for Ischemic Stroke in Poland. Design: Prospective Collection of Data on Ischemic Stroke by using a Structured Data Collection Instrument. Setting: A Regional Neurological Hospital in Warsaw. Intervention: Standard Medical Care Was Provided to All Ischemic Stroke Patients. Outcome Measure: Survival at 30 Days, Stroke Lesion Size and Location by Computerized Tomographic Scan, Stroke Syndrome. Results: 252 Patients with Ischemic Stroke Were Registered. overall 30-Day Case-Fatality Rate Was Significantly Higher in the Group of Patients with Atrial Fibrillation (AF) (28.6% V 13.9%) and Congestive Heart Failure (CHF) (29.1% V 12.7%) Than in Those Without These Comorbidities. in Patients with Either AF or CHF, Ischemic Lesions Seen on Computed Tomography (CT) Scans Were More Likely to Be Very Large (Occupying More Than 1 Lobe) and Were More Likely to Involve Both Superficial and Deep Structures of the Brain. Large Hemispheric Syndromes Were More Likely in Patients with AF (38.5% V 18.5%) and CHF (33.8% V 18.9%) Than in Those Without These Comorbidities. Conclusions: Strokes Caused by CHF or AF Tend to Be Larger and Are More Likely to Lead to Death. the High Prevalence of Cardiac Disease May Be One Cause of High Stroke Mortality in Poland.




H2020 Marie Skłodowska-Curie Actions, Grant None

Keywords and Phrases

Heart disease; Stroke mortality

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Article - Journal

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© 2023 Elsevier, All rights reserved.

Publication Date

01 Jan 2000