Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Cardioembolic Stroke, the Most Common Subtype of Stroke in Covid 19: A Single Center Experience From Isfahan, Iran Publisher



Tajmirriahi M1 ; Esfahani MM1 ; Amouaghaei Z1 ; Mansori N1 ; Miralaei P1 ; Lalehzar SS1 ; Shirani P1, 2, 3 ; Saadatnia M1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Neurosurgery, University of Cincinnati, Cincinnati, OH, United States
  3. 3. Department of Neurology, University of Cincinnati, Cincinnati, OH, United States

Source: Journal of Research in Medical Sciences Published:2023


Abstract

Background: Some studies showed the cerebrovascular manifestation in patients with recently pandemic coronavirus 2 named the coronavirus disease 2019 (COVID-19). However, there are rare reports about stroke subtypes in these patients. Here, we reported the stroke subtype in patients with laboratory-confirmed diagnosis of COVID-19 and treated at our hospitals, which are located in Isfahan, Iran. Materials and Methods: This is a retrospective, observational case series. Data were collected from March 01, 2020, to May 20, 2020, at three designated special care centers for COVID-19 of Isfahan University of Medical Sciences. The study included 1188 consecutive hospitalized patients with laboratory-confirmed diagnosis of COVID-19. Results: Of 1188 COVID-19 patients, 7 (0.5%) patients developed stroke. Five (0.4%) had ischemic arterial stroke, 1 (0.08%) hemorrhagic stroke and 1(0.08 %) cerebral venous and sinus thrombosis. Sixty percent of ischemic stroke were cardioembolic stroke (CE) and the rest 2 (40%) were embolic stroke of undetermined source. Three male patients (40%) had stroke as a presenting and admitted symptom of COVID-19. Four patients (57%) had severe COVID-19. Conclusion: Stroke was an uncommon manifestation in COVID-19 patients. CE was a common subtype of stroke in COVID-19 patients in our centers. © 2023 Journal of Research in Medical.
Related Docs
View other Related Docs
1. Sars-Cov-2 and Stroke Characteristics: A Report From the Multinational Covid-19 Stroke Study Group, Stroke (2021)
2. On-Admission Versus In-Hospital Thromboembolism Due to Covid-19 Infection. What Is the Particular Characteristic of Those With Early Thrombotic Events?, Advances in Respiratory Medicine (2021)
3. New-Onset Acute Ischemic Stroke Following Covid-19: A Case-Control Study, Journal of Research in Medical Sciences (2022)
4. Watershed Infarction in Covid-19: The Necessity of Neuroimaging in Patients With Subtle Neurological Symptoms, Current Journal of Neurology (2023)
5. Cerebral Venous Sinus Thrombosis Associated With Sars-Cov-2; a Multinational Case Series, Journal of the Neurological Sciences (2020)
6. Asymptomatic Carriers of Coronavirus Disease 2019 Among Healthcare Workers in Isfahan, Iran, Future Virology (2021)
7. A Review of Pathophysiological Mechanism, Diagnosis, and Treatment of Thrombosis Risk Associated With Covid-19 Infection, IJC Heart and Vasculature (2022)
8. Adrenal Insufficiency in Coronavirus Disease 2019 (Covid-19)-Infected Patients Without Preexisting Adrenal Diseases: A Systematic Literature Review, International Journal of Endocrinology (2021)
Experts (# of related papers)
View all Related Experts
Mohammad Saadatnia (13)
Nizal Sarrafzadegan (11)
Other Related Docs
9. Survey of Coronary Catheterization Laboratory Activity in Iran During the Coronavirus Disease-2019 Pandemic, ARYA Atherosclerosis (2021)
10. The Clinical Manifestation and Outcome of Covid-19 in Patients With a History of Ischemic Heart Disease; a Retrospective Case-Control Study, BMC Cardiovascular Disorders (2023)
11. Association Between Clinical Characteristics and Laboratory Findings With Outcome of Hospitalized Covid-19 Patients: A Report From Northeast Iran, Interdisciplinary Perspectives on Infectious Diseases (2021)
12. The Covid-19 Pandemic: A Systematic Review of the Current Evidence; [Пандемия Covid-19: Систематический Обзор Современных Данных], Russian Journal of Infection and Immunity (2020)
13. Neuropsychiatric Manifestations of Covid-19 in Hospitalized Pediatrics: A Multicenter Cross-Sectional Study, Archives of Pediatric Infectious Diseases (2023)
14. Cerebellitis Following Covid-19 Infection: A Case-Based Systematic Review and Pooled Analysis, Heliyon (2024)
15. Neuro-Mucormycosis: Lessons From Covid-19-Associated Cases, Current Journal of Neurology (2023)
16. Difference Between Risk Factors of Anterior and Posterior Circulation Strokes, Journal of Research in Medical Sciences (2007)
17. Cardiovascular Risk Factors and Clinical Outcomes Among Patients Hospitalized With Covid-19: Findings From the World Heart Federation Covid-19 Study, Global Heart (2022)
18. Thrombotic Storm in Coronavirus Disease 2019: From Underlying Mechanisms to Its Management, Journal of Medical Microbiology (2022)
19. An Investigation to Find the Correlation Between Lupus Anticoagulant and Coagulation Abnormalities in Covid-19 Patients; a Narrative Review, Journal of Nephropathology (2024)
20. Cardiac Involvement According to Echocardiographic Findings in Severe Coronavirus Disease 2019, ARYA Atherosclerosis (2021)
21. Covid-19 and Dermatological Manifestations, Atlas of Dermatology, Dermatopathology and Venereology: Cutaneous Infectious and Neoplastic Conditions and Procedural Dermatology (2021)
22. Fulminant Encephalitis As a Sole Manifestation of Covid-19, Neurological Sciences (2020)
23. Current Status of Covid-19 Pandemic; Characteristics, Diagnosis, Prevention, and Treatment, Journal of Research in Medical Sciences (2020)
24. Rehabilitation, a Necessity in Hospitalized and Discharged People Infected With Covid-19: A Narrative Review, Physical Therapy Reviews (2021)
25. “Incidence, Characteristics and Prognosis of Cervical Artery Dissection-Induced Ischemic Stroke in Central Iran”, BMC Neurology (2022)
26. The Frequency of Antithrombotic Therapy in Management of Non-Valvular Atrial Fibrillation in Hospitalized Patients, Journal of Isfahan Medical School (2023)
27. Management of St-Segment-Elevation Myocardial Infarction During the Coronavirus Disease 2019 (Covid-19) Outbreak: Iranian“247” National Committee's Position Paper on Primary Percutaneous Coronary Intervention, Catheterization and Cardiovascular Interventions (2021)
28. Predictors of Cerebral Venous Thrombosis and Arterial Ischemic Stroke in Young Asian Women, Journal of Stroke and Cerebrovascular Diseases (2012)
29. Iranian Pediatric Covid-19 Epidemiology and Clinical Characteristics, Canadian Journal of Infectious Diseases and Medical Microbiology (2021)
30. A Multicenter Diagnostic Accuracy Study on Prehospital Stroke Screening Scales, Archives of Iranian Medicine (2021)
31. Chlamydia Pneumoniae Infection and Thrombotic Ischemic Stroke, Journal of Isfahan Medical School (2007)
32. Public Stroke Knowledge, Awareness, and Response to Acute Stroke in Isfahan Iran: What Is Less or Misinterpreted in Developing Countries, Journal of Stroke and Cerebrovascular Diseases (2021)
33. A Systematic Review of the Histopathologic Survey on Skin Biopsies in Patients With Corona Virus Disease 2019 (Covid-19) Who Developed Virus or Drug-Related Mucocutaneous Manifestations, Experimental Dermatology (2021)
34. Differential Diagnostic Utility of Clinical Laboratory Data in Patients With Severe and Non-Severe Covid-19, Shiraz E Medical Journal (2022)
35. A Study on the Effect of Aspirin on Clinical Symptoms, Laboratory Indices, and Outcomes in Patients With Covid-19, Journal of Nephropharmacology (2023)
36. Co-Detection of Human Herpes Viruses in Cerebrospinal Fluid Samples of Pediatric Patients With Multi-System Inflammatory Syndrome: A Single Center Experience in Isfahan, Iran, Archives of Pediatric Infectious Diseases (2024)
37. Epidemiologic Evaluation of Stroke Risk Factors Among Rural-Urban Patients in Isfahan University Hospitals, Iran, Journal of Isfahan Medical School (2012)
38. Electrolyte Abnormalities in Hospitalized Covid-19 Patients at Tertiary Referral Centers in Tehran: Hypermagnesemia As a Marker of Fatality: A Retrospective Cross-Sectional Study, Health Science Reports (2023)
39. Acute Necrotizing Encephalopathy in Adult Patients With Covid-19: A Systematic Review of Case Reports and Case Series, Journal of Clinical Neurology (Korea) (2023)
40. Skin Manifestations As Potential Symptoms of Diffuse Vascular Injury in Critical Covid-19 Patients, Journal of Cutaneous Pathology (2021)
41. Risk Factors, Clinical, and Laboratory Characteristics of Patients With a Diagnosis of Covid-19, Journal of Emergency Practice and Trauma (2022)
42. Age-Dependent Clinical Features and Prognosis of Covid-19 Patients, Tanaffos (2021)
43. Rhabdomyolysis Plus Hypocalcemia and Diabetic Ketoacidosis As Concurrent Rare Covid-19 Manifestations, Case Reports in Medicine (2021)
44. A Systematic Review on Mucocutaneous Manifestations of Covid-19 in Children, Iranian Journal of Dermatology (2022)
45. The Value of Thoracic Computed Tomography Scan Comparing to Reverse Transcription-Polymerase Chain Reaction for the Diagnosis of Covid-19, Journal of Research in Medical Sciences (2021)
46. Central Nervous System Vasculopathy Associated With Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2): A Novel Case Report From Iran, Journal of NeuroVirology (2021)
47. Sars-Cov-2 and Spinal Cord Ischemia: A Systematic Review on Clinical Presentations, Diagnosis, Treatment, and Outcomes, Spine Journal (2024)
48. Outcomes of Cerebral Venous Thrombosis Due to Vaccine-Induced Immune Thrombotic Thrombocytopenia After the Acute Phase, Stroke (2022)
49. Relation of Stroke Risk Factors With Specific Stroke Subtypes and Territories, Iranian Journal of Public Health (2015)
50. Covid-19 Management in the Emergency Ward, Journal of Research in Medical Sciences (2021)