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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina


A. Alajbegović, Dž. Kantardžić, E. Suljić, S. Alajbegović, M. Hrnjica, H. Resić and I. Kulenović
Clinic of Neurology, Institute of Nephrology, Clinic of Endocrinology, Diabetes and Metabolic Disorders, Clinical Centre University of Sarajevo, Cantonal Hospital Zenica, Bosnia and Herzegovina

Cerebrovascular stroke is the leading cause of mortality and the main cause of disability in European adults. According to AHA "profile of apoplectic personality is determined by: systolic blood presure bigger than 160 mm Hg, diastolic blood pressure more than 95 mm Hg, family history of cardiovascular diseases, hypercholesterolemia, smoking, alcohol drinking and diabetes mellitus". The aim of this work is to make correlation between early and late epileptic seizures, during and after cerebrovascular stroke with some cardiological diseases connected with hypertension. This study is retrospective, including ten-years period (from 01.01.1998 until 31.12.1998) On the Clinic of Neurology Clinical Centre University of Sarajevo. Total group of the patients with cerebrovascular stroke consisted of 7001 patients (53,6% with thrombosis, 17,35% with embolic ethiology, 21,96% with intracerebral haemorrhage and 1,17% with subarachnoidal haemorrhage), with incidence of symptomatic epileptic seizures coming up to 3,38%. Cardiologic diseases relevant for this study had been as follows: absolute arythmia, subdecompensated heart state, well-treated cardiac decompensation, pectoral angina, state after myocardial infarction, extrasystolic heart beats. Results indicates statistically significant difference in patients with early versus late epileptic seizures, in correlation with cardiologic diseases: those with early epileptic fits had been "more cardiologically sick" then those with late seizures; the first mentioned group suffered from pectorial angina, heart decompensation, chronic subdecompensated state; statistical ratio showed 1,1:0,6. Regarding absolute arythmia there has not been statistically significant difference between two examined groups. Wide can conclude that patients with cerebrovascular disease and early epileptic fits had been significantly more cardiologically sick comparing to patients with stroke and late epileptic fits, in whom morphological changes of the brain behaved in neurophysiological sence as epileptogenic focus.

Drugi kongres kardiologa i angiologa Bosne i Hercegovine
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