AI Article Synopsis
- Patients with cyanotic congenital heart disease (CCHD) and polycythemia are at higher risk for strokes during childhood, but there's mixed data on stroke prevalence in adults.
- Studies report a 10-13% rate of strokes and transient ischemic attacks in adults with complex CCHD, but others argue these events are rare.
- Treatment for polycythemia through phlebotomy is infrequently used due to risks, and the text details a case of an adult male with CCHD who suffered an acute ischemic stroke.
Article Abstract
It is widely recognized that polycythemic patients with cyanotic congenital heart disease (CCHD) are at an increased risk for developing cerebrovascular accidents in the pediatric age-group. The literature provides conflicting and scarce data related to the prevalence of such events among the adult population. A prevalence rate of 10-13% of stroke and transient ischemic attacks has been reported in a cohort of adult patients with complex CCHD, but others have claimed that such events are rare. The treatment of hyperviscosity secondary to polycythemia with prophylactic phlebotomy is only rarely used in such patients, as it has been reported to result in decreased exercise tolerance and an increased frequency of stroke events. We describe a case of an adult male with CCHD and secondary polycythemia, manifesting as an acute ischemic stroke.
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| http://dx.doi.org/10.59556/japi.72.0618 | DOI Listing |
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