Correlation Between Aortic Diameter and Carotid Intima Media Thickness (CIMT) With Functional Outcome in Acute Ischemic Stroke Patients
Ismail Setyopranoto*
and Nurul RakhmawatiDepartment of Neurology Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada Yogyakarta Indonesia and Dr Sardjito General Hospital, Yogyakarta, Indonesia
Corresponding Author E-mail: ismail.setyopranoto@ugm.ac.id
Abstract: Background: Stroke is a disease that causes high mortality and disability. The aortic diameter and carotid intima media thickness contribute to the functional outcome of ischemic stroke patients. Narrowing of the aortic diameter, carotid intima media thickness and ischemic stroke generally occurs because of the process of atherosclerosis. Objective: Proving the influence of aortic diameter with functional outcome in acute ischemic stroke patients. Material and Methods: The study design used a cross-sectional method with the first ischemic stroke subject treated at Dr. Sardjito General Hospital. Patients underwent echocardiographic examinations to assess aortic diameter and Carotid Intima Media Thickness (CIMT), whereas to assess functional outcomes of ischemic stroke, patients were examined by The National Institute of Health Stroke Scale (NIHSS). Results: Mean CIMT 0.8cm, with a range of 0.4-3.6, while the aortic diameter averages 29.2 ± 2.67 (22-35) mm. The functional stroke in this study used the NIHSS score, which obtained the average NIHSS score in this study was 6.13 ± 5.6 (1-25). This study showed no significant relationship between CIMT and ischemic functional stroke (p> 0.05), while a significant relationship was found between aortic diameter and functional stroke (p = 0.013; r = -0.332), ie diameter the aorta has a weak correlation strength to NIHSS, the lower the diameter, the greater the value of NIHSS, and vice versa. Conclusion: The aortic diameter is related to functional outcome but not to CIMT.
Keywords: Acute Ischemic Stroke; Aortic Diameter; Carotid Intima Media Thickness; Functional Outcome Back to TOC