Association of inferior division MCA stroke location with populations with atrial fibrillation incidence.

Arterial territories Atrial fibrillation Infarction volume Magnetic resonance imaging Stroke

Journal

Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560

Informations de publication

Date de publication:
Apr 2023
Historique:
received: 13 06 2022
revised: 17 08 2022
accepted: 16 03 2023
medline: 24 4 2023
pubmed: 24 4 2023
entrez: 24 04 2023
Statut: epublish

Résumé

Considering the anatomical features of Middle Cerebral Artery (MCA) bifurcation, larger emboli are more likely to enter the inferior division over the superior division. Since emboli of cardiac origin are larger on average than emboli of arterial origin, we hypothesize that the infarcts in temporal and parietal lobes are more likely associated to atrial fibrillation than those in the frontal lobes, therefore occurring more often in populations with higher incidence of atrial fibrillation, such as male (compared to women) and white (compared to black) patients. We included 197 patients with MCA "temporoparietal predominant" infarcts and 105 with "frontal predominant" infarcts. Variations between stroke location (frontal or temporoparietal), sex, and race were examined via Chi-square test. Male patients were more likely than female patients to be afflicted by temporoparietal strokes versus frontal strokes, while white patients had greater likelihood than black patients to be afflicted by temporoparietal strokes versus frontal strokes. Patients with confirmed diagnosis of atrial fibrillation display more temporoparietal strokes compared to frontal strokes. Temporoparietal MCA ischemic strokes occur more frequently in male and white patients: populations with known increased incidence of atrial fibrillation. In addition, population-specific anatomical characteristics of the MCA bifurcation might favor the larger cardiac emboli to enter the inferior division and cause temporoparietal infarcts. This association can help guide search for the most likely etiology of infarcts.

Sections du résumé

BACKGROUND AND AIM OBJECTIVE
Considering the anatomical features of Middle Cerebral Artery (MCA) bifurcation, larger emboli are more likely to enter the inferior division over the superior division. Since emboli of cardiac origin are larger on average than emboli of arterial origin, we hypothesize that the infarcts in temporal and parietal lobes are more likely associated to atrial fibrillation than those in the frontal lobes, therefore occurring more often in populations with higher incidence of atrial fibrillation, such as male (compared to women) and white (compared to black) patients.
METHODS METHODS
We included 197 patients with MCA "temporoparietal predominant" infarcts and 105 with "frontal predominant" infarcts. Variations between stroke location (frontal or temporoparietal), sex, and race were examined via Chi-square test.
RESULTS RESULTS
Male patients were more likely than female patients to be afflicted by temporoparietal strokes versus frontal strokes, while white patients had greater likelihood than black patients to be afflicted by temporoparietal strokes versus frontal strokes. Patients with confirmed diagnosis of atrial fibrillation display more temporoparietal strokes compared to frontal strokes.
CONCLUSION CONCLUSIONS
Temporoparietal MCA ischemic strokes occur more frequently in male and white patients: populations with known increased incidence of atrial fibrillation. In addition, population-specific anatomical characteristics of the MCA bifurcation might favor the larger cardiac emboli to enter the inferior division and cause temporoparietal infarcts. This association can help guide search for the most likely etiology of infarcts.

Identifiants

pubmed: 37089357
doi: 10.1016/j.heliyon.2023.e15287
pii: S2405-8440(23)02494-5
pmc: PMC10113841
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e15287

Informations de copyright

©2023PublishedbyElsevierLtd.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Ganghyun Kim (G)

Department of Neuroscience, Johns Hopkins University, Baltimore, MD, USA.

Emilia Vitti (E)

Department of Neurology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Melissa D Stockbridge (MD)

Department of Neurology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Jeffrey L Saver (JL)

Department of Neurology, School of Medicine, University of California, Los Angeles, CA, USA.

Argye E Hillis (AE)

Department of Neurology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Department of Physical Medicine & Rehabilitation, and Department of Cognitive Science, Johns Hopkins University, Baltimore, MD, USA.

Andreia V Faria (AV)

Department of Radiology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Classifications MeSH