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July2014 Vol.51 Issue:        3       (Supp.) Table of Contents
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Impact of Heart Failure on Ischemic Stroke Severity and Short Term Prognosis: An Egyptian Study

Taha K. Aloush, Lobna M. El-Nabil, Mahmoud Haroon,

Nahed Salah, Maha A. Nada, Hosam Azmy

Department of Neurology, Ain Shams University; Egypt


Background: Heart failure with impaired systolic function is thought to be associated with severer stroke presentation and increased incidence of long-term mortality and morbidity after ischemic stroke. Objective: To assess the impact of heart failure on ischemic stroke severity and short-term prognosis and to explore if this group has specific features on imaging studies of the intra- or extra-cranial vessels. Methods: The study included two hundreds patients diagnosed with acute ischemic stroke within 3days in Stroke unit, Ain Shams University specialized hospital. They underwent clinical, laboratory investigations and radiological examination including echocardiography, magnetic resonance image (MRI) of the brain and magnetic resonance arteriography (MRA). They were reassessed after one month using National Institute of Health Stroke Scale (NIHSS). Results: Heart failure (HF) patients were 11% of the whole sample. They tended to have partial anterior circulation infarcts (62.5%), 87.5% had Leukoaraiosis which is higher than that for the whole group. HF patients tended to have significant intracranial vessel stenosis (87.5% of patients compared to 79.1% for the whole sample), they also tended to score higher on the NIHSS compared to  the whole group at admission and at follow up).Conclusion: Heart failure tends to have a negative impact on the severity and prognosis of ischemic stroke patients. [Egypt J Neurol Psychiat Neurosurg.  2014; 51(3): 295-301]

Key Words: ischemic stroke, heart failure, NIHSS, MRA

Correspondence to Lobna Mohammad Elnabil, Department of Neurology, Ain Shams University, Cairo, Egypt. Tel.: +201001120127    Email:

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