Cerebral hemodynamic abnormalities of patients with ischemic stroke who are opium addicted: A study by transcranial doppler ultrasonography

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Moadabi Yaser; SABERI ALIA; HOSEINI SAJJAD; Karimi Ashkan; YOUSEFZADEH CHABOK SHAHROKH

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Journal: Current Journal of Neurology Year:2019 | Volume:18 | Issue:2 Page(s): 76-81

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Title

Cerebral hemodynamic abnormalities of patients with ischemic stroke who are opium addicted: A study by transcranial doppler ultrasonography

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Keywords

Opium

Doppler Transcranial Ultrasonography

Stroke

Blood Flow Velocity

Abstract

Background: Ischemic Stroke as the major cause of mortality and morbidity worldwide has different risk factors. One of its modifiable risk factors is Opium addiction whose role is not clear yet. This study aimed at assessing the hemodynamic parameters in ischemic Stroke patients addicted to Opium using transcranial Doppler (TCD) ultrasonography and comparing them with non-addicted patients. Methods: This comparative cross-sectional study was conducted in an academic hospital in the north of Iran in 2016. All the patients diagnosed as ischemic Stroke underwent cerebrovascular ultrasound in the first 4 days of symptoms onset. Frequency of hemodynamic abnormalities confirmed by pulsatility index (PI) and mean flow velocity (MFV) were determined and compared between the two groups. The data were analyzed by chi-square test, t-test, and multiple logistic regression models using SPSS software. Results: A total of 353 patients with ischemic Stroke (92 addicted and 261 non-addicted patients) were enrolled in the study. Univariate analysis indicated that the PI and MFV differences were statistically significant between two groups of addicted and nonaddicted patients (P = 0. 0001). By multivariate logistic regression model, the age [odds ratio (OR) = 1. 143], diabetes mellitus (DM) (OR = 3. 875), hypertension (HTN) (OR = 2. 557), and Opium usage (OR = 9. 615) had influence on PI and only Opium usage (OR = 3. 246) had influence on MFV. Conclusion: Opium usage affects the cerebral hemodynamic parameters and increases the chance of having abnormal PI as ten-fold and abnormal MFV as three-fold.

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APA: Copy

Moadabi, Yaser, SABERI, ALIA, HOSEINI, SAJJAD, Karimi, Ashkan, & YOUSEFZADEH CHABOK, SHAHROKH. (2019). Cerebral hemodynamic abnormalities of patients with ischemic stroke who are opium addicted: A study by transcranial doppler ultrasonography. CURRENT JOURNAL OF NEUROLOGY (IRANIAN JOURNAL OF NEUROLOGY), 18(2), 76-81. SID. https://sid.ir/paper/764019/en

Vancouver: Copy

Moadabi Yaser, SABERI ALIA, HOSEINI SAJJAD, Karimi Ashkan, YOUSEFZADEH CHABOK SHAHROKH. Cerebral hemodynamic abnormalities of patients with ischemic stroke who are opium addicted: A study by transcranial doppler ultrasonography. CURRENT JOURNAL OF NEUROLOGY (IRANIAN JOURNAL OF NEUROLOGY)[Internet]. 2019;18(2):76-81. Available from: https://sid.ir/paper/764019/en

IEEE: Copy

Yaser Moadabi, ALIA SABERI, SAJJAD HOSEINI, Ashkan Karimi, and SHAHROKH YOUSEFZADEH CHABOK, “Cerebral hemodynamic abnormalities of patients with ischemic stroke who are opium addicted: A study by transcranial doppler ultrasonography,” CURRENT JOURNAL OF NEUROLOGY (IRANIAN JOURNAL OF NEUROLOGY), vol. 18, no. 2, pp. 76–81, 2019, [Online]. Available: https://sid.ir/paper/764019/en

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