Stroke and Heart Failure: Clinical Features, Access to Care, and Outcomes.

  • Pongmoragot J
  • Lee D
  • Park T
 et al. 
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Abstract

BACKGROUND AND OBJECTIVES: Limited information is known regarding acute ischemic stroke (AIS) and heart failure (HF). The aim of the study was to evaluate clinical characteristics, predisposing factors, and outcomes in AIS with HF.

METHODS: We included AIS patients admitted to the institutions participating in the Registry of the Canadian Stroke Network. HF was defined as history of pre-existing HF or pulmonary edema present at the time of arrival. The primary outcome was death or disability at discharge (modified Rankin Scale score >3). Secondary outcomes included disposition, death at 3 months and at 1 year, and 30-day hospital readmissions.

RESULTS: Among 12,396 patients, HF was found in 1124 (9.1%) patients. HF was associated with higher risk of death at 30 days (24.5% versus 11.2%, P 
CONCLUSIONS: In this large cohort study, HF was observed in 9.1% of AIS patients. HF is an independent predictor of death and disability and hospital readmissions after stroke at 30 days.

Author-supplied keywords

  • Stroke
  • heart failure
  • outcomes
  • quality of care

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Authors

  • Jitphapa Pongmoragot

  • Douglas S Lee

  • Tai Hwan Park

  • Jiming Fang

  • Peter C Austin

  • Gustavo Saposnik

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