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Autonomic symptoms in hypertensive patients with post-acute minor ischemic stroke

Idiaquez, J and Farias, H and Torres, F and Vega, J and Low, DA (2015) Autonomic symptoms in hypertensive patients with post-acute minor ischemic stroke. CLINICAL NEUROLOGY AND NEUROSURGERY, 139. ISSN 0303-8467

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Abstract

Background

Most studies regarding autonomic dysfunction in ischemic stroke are limited to heart rate and blood pressure changes during the acute phase. However, there are few data on quantitative assessment of autonomic symptoms. We sought to assess autonomic symptoms in hypertensive ischemic stroke patients.

Methods

In 100 hypertensive patients (45 with symptomatic ischemic stroke (6 months after stroke onset) and 55 without stroke), we assessed autonomic symptoms using the Scale for Outcomes in Parkinson disease-Autonomic (SCOPA-AUT).

Results

The age (mean ± standard deviation) for the stroke group was 66 ± 12 and 63 ± 15 for the without stroke group (P = 0.8). Orthostatic hypotension occurred in 3.6% of the stroke group and 4.4% in the group without stroke. The total SCOPA-AUT score was higher in the stroke group compared with the group without stroke (P = 0.001). Domain scores for gastrointestinal (P = 0.001), urinary (P = 0.005) and cardiovascular (P = 0.001) were higher in the stroke group. No differences were found when comparing the total SCOPA-AUT scores for stroke subtypes (P = 0.168) and for lateralization (P = 0.6). SCOPA AUT scores were correlated with depression scores (P = 0.001) but not with stroke severity (P = 0.2).

Conclusion

Autonomic symptoms, especially, gastrointestinal, urinary and cardiovascular function, were significantly increased in hypertensive patients with minor ischemic stroke. Symptoms were associated with depression but not with the characteristic of the stroke.

Item Type: Article
Uncontrolled Keywords: 1103 Clinical Sciences, 1109 Neurosciences
Subjects: Q Science > QP Physiology
R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Sport & Exercise Sciences
Publisher: ELSEVIER SCIENCE BV
Related URLs:
Date Deposited: 09 Mar 2016 15:30
Last Modified: 09 Oct 2016 23:50
DOI or Identification number: 10.1016/j.clineuro.2015.10.005
URI: http://researchonline.ljmu.ac.uk/id/eprint/3134

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