Journal article

Computed Tomography Perfusion Identifies Patients With Stroke With Impaired Cardiac Function

Carlos Garcia-Esperon, Neil J Spratt, Shyam Gangadharan, Ferdinand Miteff, Andrew Bivard, Thomas Lillicrap, Shinya Tomari, Christopher R Levi, Mark W Parsons

Stroke | LIPPINCOTT WILLIAMS & WILKINS | Published : 2020


Background and Purpose- Low left ventricular ejection fraction (LVEF) leads to worse outcomes after stroke. We hypothesized that the arterial input function (AIF) variability on perfusion computed tomography, especially the time between scan onset and end of AIF (SO-EndAIF), would reflect reduction of cardiac output. Methods- Retrospective analysis of consecutive stroke patients, who underwent computed tomography between January 2013 and September 2018, was performed in 2 parts. (1) To determine the correlation between SO-EndAIF and LVEF, all patients with a transthoracic echocardiogram performed ±6 months from the time of stroke were included. LVEF was dichotomized as either normal (≥50%) o..

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