001     285001
005     20260202111530.0
024 7 _ |a 10.1093/esj/23969873251346008
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037 _ _ |a DZNE-2026-00135
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Stengl, Helena
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245 _ _ |a Myocardial injury in patients with acute ischemic stroke: Prevalence and types of triggers of myocardial demand ischemia.
260 _ _ |a London
|c 2026
|b Sage Publishing
336 7 _ |a article
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520 _ _ |a Acute myocardial injury occurs in about every fourth patient in the early phase after ischemic stroke. It may be caused by an imbalance between myocardial oxygen supply and demand, potentially leading to type 2 myocardial infarction (MI). However, little is known about the prevalence of potential triggers of such demand ischemia in acute stroke.Consecutive patients with and without post-stroke acute myocardial injury (elevated high-sensitivity cardiac troponin T [hs-cTnT] levels with a rise/fall >20%) were matched for age and sex and retrospectively screened for presence of predefined triggering conditions of myocardial demand ischemia and fulfillment of diagnostic criteria for acute MI.Among 508 stroke patients analyzed (median age 81 [73-86] years, 52% female), predefined potential triggers of demand ischemia were present in 107/254 (42%) patients with acute myocardial injury and in 61/254 (24%) matched controls (adjusted OR 2.30, 95%CI 1.51-3.52, p < 0.001). Patients with a trigger were older, more often female, had more severe strokes, and more often insular cortex involvement. The most prevalent triggers were respiratory failure, sustained hypertension, supraventricular tachyarrhythmia, and hemodynamic shock. MI criteria were fulfilled in 44/254 (17%) patients with acute myocardial injury including 27/44 (61.4%) with a trigger of demand ischemia (i.e. suspected type 2 MI).Conditions triggering a myocardial oxygen demand/supply mismatch are highly prevalent in patients with acute myocardial injury detected after stroke, notably in those fulfilling the criteria of acute MI. Stroke-specific aspects such as stroke severity or lesion location may play a role in the development of such triggers.
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650 _ 7 |a 4th UDMI
|2 Other
650 _ 7 |a Ischemic stroke
|2 Other
650 _ 7 |a Stroke-Heart Syndrome
|2 Other
650 _ 7 |a acute myocardial injury
|2 Other
650 _ 7 |a central autonomic network%
|2 Other
650 _ 7 |a demand ischemia
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650 _ 7 |a high-sensitivity cardiac troponin T
|2 Other
650 _ 7 |a type 2 MI
|2 Other
650 _ 7 |a Troponin T
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Ischemic Stroke: complications
|2 MeSH
650 _ 2 |a Ischemic Stroke: epidemiology
|2 MeSH
650 _ 2 |a Prevalence
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Retrospective Studies
|2 MeSH
650 _ 2 |a Myocardial Ischemia: epidemiology
|2 MeSH
650 _ 2 |a Myocardial Ischemia: etiology
|2 MeSH
650 _ 2 |a Troponin T: blood
|2 MeSH
650 _ 2 |a Myocardial Infarction: epidemiology
|2 MeSH
650 _ 2 |a Myocardial Infarction: etiology
|2 MeSH
650 _ 2 |a Stroke: complications
|2 MeSH
650 _ 2 |a Stroke: epidemiology
|2 MeSH
700 1 _ |a Böhme, Sophie
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700 1 _ |a Richter, Oskar
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700 1 _ |a Hellwig, Simon
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700 1 _ |a Klammer, Markus G
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700 1 _ |a Ganeshan, Ramanan
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700 1 _ |a Reimann, Laura
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700 1 _ |a Audebert, Heinrich J
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700 1 _ |a Doehner, Wolfram
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700 1 _ |a Nolte, Christian H
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700 1 _ |a Endres, Matthias
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700 1 _ |a Scheitz, Jan F
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773 _ _ |a 10.1093/esj/23969873251346008
|g Vol. 11, no. 1, p. 23969873251346008
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|t European stroke journal
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|y 2026
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