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dc.contributor.authorΖουρούδη, Σοφίαel
dc.contributor.authorZouroudi, Sofiaen
dc.date.accessioned2023-06-19T09:45:30Z-
dc.date.available2023-06-19T09:45:30Z-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/32866-
dc.identifier.urihttp://dx.doi.org/10.26268/heal.uoi.12667-
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rightsinfo:eu-repo/semantics/openAccess*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectΑγγειακό εγκεφαλικό επεισόδιοel
dc.subjectStrokeen
dc.subjectΣτεφανιαία νόσοςel
dc.subjectMyocardial ischemiaen
dc.titleΥποκλινική στεφανιαία νόσος σε ασθενείς με αγγειακό εγκεφαλικό επεισόδιοel
dc.titleDetecting myocardial ischemia with 99m technetium-tetrofosmin myocardial perfusion imaging in ischemic strokeen
dc.typemasterThesisen
dc.typeinfo:eu-repo/semantics/doctoralThesis*
heal.typedoctoralThesisel
heal.type.enDoctoral thesisen
heal.type.elΔιδακτορική διατριβήel
heal.dateAvailable2023-06-19T09:46:31Z-
heal.languageelel
heal.accessfreeel
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείαςel
heal.publicationDate2022-12-01-
heal.abstractΜελετήθηκε η κατάσταση του μυοκαρδίου σε ασθενείς με πρόσφατο αγγειακό εγκεφαλικό επεισόδιο χωρίς ιστορικό καρδιακής νόσου. Ο έλεγχος διενεργήθηκε με σπινθηρογράφημα αιμάτωσης του μυοκαρδίου με τετραφωσμίνη (99mTc-TFSPECT). Στη μελέτη συμπεριελήφθησαν 52 ασθενείς με μέση ηλικία 55,6 έτη. Από τους 52 ασθενείς, οι 32 είχαν MIS, με SSS ≥4 (62%), ενώ 20 ασθενείς είχαν SSS <4 ( 38%). Όλα τα μη φυσιολογικά 99mTc-TFSPECT ήταν χωρίς κλινικά ευρήματα. Οπότε προέκυψε μη φυσιολογική αιμάτωση του μυοκαρδίου σε ποσοστό 62% σε ασθενείς με πρόσφατο εγκεφαλικό επεισόδιο.el
heal.abstractTo assess the myocardial status in patients with stroke, employing myocardial perfusion imaging (MPI) with 99mTechnetium-tetrofosmin (99mTc-TF)-single-photon emission computed tomography (SPECT). Methods: Fifty-two patients with ischemic stroke were subjected to 99mTc-TF-SPECT MPI within 1 month after stroke occurrence. None of the patients had any history or symptoms of coronary artery disease or other heart disease. Myocardial perfusion imaging was evaluated visually using a 17-segment polar map. Myocardial ischemia (MIS) was defined as present when the summed stress score (SSS) was >4; MIS was defined as mild when SSS was 4 to 8, and moderate/severe with SSS ≥ 9. Patients with SSS >4 were compared to patients with SSS <4. Parameters such as age, body mass index, waist perimeter, smoking habits, and medical history (diabetes mellitus, dyslipidemia, etc) were evaluated according to MPI results. Results: Myocardial ischemia was present in 32 (62%) of 52 patients with stroke. Among them, 20 (62%) of 32 patients had mild abnormalities and 12 (38%) of 32 had moderate/severe. The age and waist perimeter showed a tendency to relate to severe MIS when patients with SSS >9 were compared to patients with SSS <4. In MPI-positive patients, an age was to be association with SSS, with the oldest age exhibiting the highest SSS (P Ό .01). The association of age with SSS remained statistically significant in the multivariate analysis (P Ό .04). Conclusion: The study suggested that more than half of patients with stroke without a history of cardiac disease have MIS. Although most of them have mild MIS, we suggest a thorough cardiological evaluation in this group of patients for future prevention of severe myocardial outcome.en
heal.advisorNameΓιαννόπουλος, Σωτήριοςel
heal.committeeMemberNameΓιαννόπουλος, Σωτήριοςel
heal.committeeMemberNameΚυρίτσης, Αθανάσιοςel
heal.committeeMemberNameΚονιτσιώτης, Σπυρίδωνel
heal.committeeMemberNameΦωτόπουλος, Ανδρέαςel
heal.committeeMemberNameΝάκα, Αικατερίνηel
heal.committeeMemberNameΣιόκα, Χρύσαel
heal.committeeMemberNameΑλεξίου, Γεώργιοςel
heal.academicPublisherΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.academicPublisherIDuoiel
heal.numberOfPages64 σ.el
heal.fullTextAvailabilitytrue-
Appears in Collections:Διδακτορικές Διατριβές - ΙΑΤ

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