Background and aims
To study the forms and features of the clinical duration of ischemic stroke in patients with coronavirus infection (COVID-19).
Methods
Analyzed 76 cases of ischemic stroke in two groups. The main group (n = 34; 44.7%) patients with ischemic stroke, in combination with COVID-19. The comparison group patients (n = 42; 55.3%) with ischemic stroke without clinical and laboratory confirmations of COVID-19. For confirmation of the diagnosis were used MSCT of the brain and laboratory PCR diagnostics.
Results
The average age of patients in the main group was 65.4 ± 2.3 and in the control group was 68.7 ± 1.8 years old. Comparison by sex showed that in both groups was a significant predominance of men in proportion with 2:1. The subtypes of ischemic stroke in the main group was dominated with unspecified and cardioembolic subtypes – 47.1% (n = 16) and 23.5% (n = 8), respectively. Atherothrombotic and lacunar subtypes were in 20.6% (n = 7) and 8.8% (n = 3) patients, respectively. In control group patients, the proportion of atherothrombotic subtype was 54.8% (n = 23), cardioembolic – 19.0% (n = 8), unspecified – 9.5% (n = 4) and lacunar – 16.7% (n = 7). The severity of ischemic stroke according to the NIHSS scale in the main group averaged 20.13 ± 8.16 more than in the control group 12.3 ± 7.61, p < 0.001. Assessment of the disability degree according to the Rankin scale showed that in the main group higher number than the control group with 6.00 and 4.00 respectively.
Conclusions
In ischemic stroke with COVID-19 patients, age characteristics have not been established. The predominant subtypes of the ischemic stroke in COVID-19 patients were unspecified and cardioembolic subtyoes.