Acute Ischemic Stroke and #COVID-19 | Stroke
▻https://www.ahajournals.org/doi/abs/10.1161/STROKEAHA.120.031786
Les patients covid-19 (plus de 8000 patients) ne font pas plus d’#infarctus_cérébral que les patients sans covid-19
We found a low occurrence (1.3%) of acute ischemic stroke among COVID-19 patients. A similar prevalence (1%) of ischemic stroke was seen among patients without COVID-19 in our analysis.
On retrouve les facteurs de risque vasculaires classiques (ce qui confirme certaines études et en infirme d’autres)
Our findings suggest that most of the COVID-19 patients who develop acute ischemic stroke have preexisting cardiovascular risk factors for large vessel atherosclerosis, small vessel disease, and cardioembolism similar to acute ischemic stroke patients without COVID-19. Our findings may be somewhat different from the earlier observations from smaller case series that suggested that patients with COVID-19 who developed acute ischemic stroke were younger and without preexisting cardiovascular risk factors.16,22,23 Other studies have reported findings similar to our findings7,13,15 suggesting that even if COVID-19 was a predisposing factor, the risk was mainly seen in those who were already at risk for acute ischemic stroke due to other cardiovascular risk factors.
Les pronostics fonctionnel et vital sont par contre plus péjoratifs,
Patients with COVID-19 and acute ischemic stroke have a much higher occurrence of multisystem involvement including acute kidney injury, hepatic failure, and respiratory failure. Our findings of higher in-hospital mortality and discharge to destination other than home in COVID-19 patients with ischemic stroke compared with those without stroke have been identified in other studies.