Bibliographic citations
Chavez, M., (2023). Factores asociados al infarto cerebral de circulación posterior en el Hospital Nacional Adolfo Guevara Velasco, Cusco, 2018 - 2023 [Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/6078
Chavez, M., Factores asociados al infarto cerebral de circulación posterior en el Hospital Nacional Adolfo Guevara Velasco, Cusco, 2018 - 2023 []. PE: Universidad Andina del Cusco; 2023. https://hdl.handle.net/20.500.12557/6078
@misc{sunedu/3602303,
title = "Factores asociados al infarto cerebral de circulación posterior en el Hospital Nacional Adolfo Guevara Velasco, Cusco, 2018 - 2023",
author = "Chavez Ore, Manuel Ángel",
publisher = "Universidad Andina del Cusco",
year = "2023"
}
Background: Cerebral infarctions cause high rates of morbidity, mortality, and disability; Therefore, there are well-studied factors and etiologies to improve its treatment; unfortunately, the data is based on anterior circulation infarctions. Unfortunately, there is very limited information on the factors associated with posterior circulation infarctions, therefore it is essential to identify the associated factors. Objective: Determine the main factors associated with the development of a posterior circulation cerebral infarction in patients at the Adolfo Guevara Velasco National Hospital, period 2018 -2023. Method: It is an observational, analytical, and cross-sectional study. The factors to be measured were determined according to the literature (signs and symptoms, arterial hypertension, atrial fibrillation, among others). Within the inclusion criteria, any patient who had suffered a heart attack within the study period, which had been corroborated by CT or MRI, was considered. Results: A total of 478 patients were obtained, of which 200 developed posterior circulation infarctions. The main factors related to the development of a posterior circulation infarction are Nystagmus (OR: 30.77 95% CI 10.96 - 86.34), Visual field alterations (OR: 12.05 95% CI 5.010 - 28.98), Ataxia (OR: 9.51 95% CI 5.94 - 15.21), Vertigo or dizziness (OR: 7.04 95% CI: 4.40 - 11.26). High blood pressure (OR: 0.57 95% CI 0.39 - 0.83) and atrial fibrillation (OR: 0.48 95% CI 0.30 - 0.77). They were factors with a lower probability of developing subsequent heart attacks. Conclusions: It was determined that the main factors associated with posterior circulation infarctions were signs and symptoms such as nystagmus, vertigo, ataxia, among others. This is not the case with antecedents such as high blood pressure and atrial fibrillation, having a lower probability of developing subsequent heart attacks.
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