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| Open Access |
https://doi.org/10.55640/
TO ASSESS THE RELATIONSHIP BETWEEN CHANGES IN HEMODYNAMIC PARAMETERS AND POST-STROKE RECOVERY INDICATORS IN PATIENTS WITH CARDIOEMBOLIC STROKE
Dildora Khaydarova,Dilbar Khodjieva,Zarnigor Nurova , Department of Neurology and Medical Psychology Tashkent Medical Academy Tashkent,Uzbekistan,Department of Neurology Bukhara state medical institute Bukhara, Uzbekistan,Department Folk Medicine, occupational diseases and allergology Bukhara state medical institute Bukhara, UzbekistanAbstract
Cardioembolic stroke (CES) is a growing part of ischemic strokes and may have increased several-fold in recent decades. However, the study suggests several potential strategies to halt the expected increase in cardioembolic stroke. Although the causes of one-third of strokes are unknown, it is increasingly accepted that most of these cryptogenic strokes are due to embolic causes rather than cerebrovascular disease, which has recently led to the development of embolic stroke of unknown origin as a specific target.
Patients with cardioembolic stroke due to atrial fibrillation are difficult to treat in the acute phase of the disease. By identifying blood biomarkers that cause ischemic stroke, it is possible to find the etiological cause of cardioembolic stroke and thereby provide patients with correct diagnosis and treatment guidelines. Scientists have found that there is a direct correlation between changes in the amount of natriuretic peptides and heart rhythm. It has been found that the amount of LP-PLA2 in the blood indicates the risk of ischemic stroke among patients with atherosclerosis of large vessels.
Cardioembolic stroke due to atrial fibrillation shows a connection between the rhythms that cause large focal damage to brain cells. In the presence of an inflammatory process and the interaction of amino acids, the p38MAPK gene is activated and ischemic brain damage occurs. The results obtained in this research activity were found to have practical significance for the diagnosis of CES. The introduction of neuroimaging methods into clinical practice makes it possible to detect acute circulatory disorders at an early stage, to establish etiopathogenetic relationships between heart and brain pathology, and, as a result, to choose the right path for the treatment of patients. When suspected of cardiocerebral infarction, the diagnosis can be confirmed using CT, CT angiogram, CT perfusion, MRI, MRA (magnetic resonance angiography), MRS (magnetic resonance spectroscopy), and ECG methods of examination of the brain.
Keywords
atrial fibrillation, cardioembolic stroke, sinus rhythm
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