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Gongor, Baigalmaa

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Товч нэр
Gongor, Baigalmaa
Бүтэн нэр
Gongor Baigalmaa
Латин нэр
Gongor Baigalmaa
Албан тушаал
Судлаач
Харьяалал

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    Item type:Publication,
    Comparative Study of Ischemic Stroke in Patients Aged Above and Below 50 Years Admitted to a Tertiary Care Hospital in Ulaanbaatar
    (Mongolian National University of Medical Sciences, 2016-11-25)
    Delgermaa Tsagaankhuu
    ;
    Tsagaankhuu Guntev
    ;
    Tuvshinjargal Dashjamts
    ;
    Baigalmaa Gongor
    ;
    Tovuudorj Avirmed
    Objectives: The aim of this study was to compare characteristics of ischemic stroke between young (20-49 years) and old (50-89 years) patients undergoing investigations and treatment according to one common protocol in a tertiary hospital. Methods: This hospital-based prospective study included 90 young and 130 old patients with acute ischemic stroke. Data regarding the etiology of the stroke, diagnostic test results and degree of functional improvement of patients were examined during their observation. Results: Common causes for stroke in the young patients were current smoking (53.3%), heavy alcohol consumption (51.1%), cardiac embolism (36.0%), migraine with aura (25.5%), infective diseases (15.6%), and oral contraceptive use (14.4%). Leading causes for ischemic stroke in old patients were the conventional risk factors such as hypertension (75.4%), atherosclerosis (66.9%), and diabetes mellitus (26.9%). Most of the young stroke patients demonstrated good functional outcomes, at the time of discharge (71.1%) and at three weeks (86.6%) according to the Rankin Scale. Conclusion: There are significant differences between young and old patients with ischemic stroke regarding to risk factors, etiological subtypes and improvement of functional deficits associated with the stroke.
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    Efficacy and Safety of Thrombolytic Therapy in Mongolian Young Adults with Acute Ischemic Stroke
    (Mongolian National University of Medical Sciences, 2023-06-30)
    Gongor, Baigalmaa
    ;
    Tsagaankhuu, Delgermaa
    ;
    Banzrai, Chimedlkham
    ;
    Guntev, Tsagaankhuu
    Objectives: The study aimed to assess the safety and efficacy of intravenous thrombolysis (IVT) in Mongolian young patients with acute ischemic stroke (AIS).Methods: Data of 30 AIS patients aged <50 years who were treated with IVT between 2013 and 2023 at the Stroke Department of Third Central Hospital were retrospectively analyzed. For outcome comparison, 60 controls with AIS not treated with IVT and 60 older controls (>50 years) treated with IVT matched age, gender and baseline NIHSS score were selected. Functional outcome at three (3) months defined as “Favorable” and “Unfavorable” (modified Rankin Scale score 0-1 vs 2-6). Symptomatic intracerebral hemorrhage (sICH) was defined according to the SITS-MOSTStudy.Results: “Favorable” outcome at 3 months was significantly higher in young IVT-treated patients (53.3% vs 30.0%, p < 0.05) compared with their matched young and older controls treated with IVT (53.3% vs 26.7%, p = 0.019). The sICHoccurred in 3% of young IVT-treated patients and in 5% of older controls but this difference was nonsignificant. Mortality rate was 21.7% (p = 0.245) among older controls, whereas in young IVT-treated and matched young controls 10% during the 3months follow-up.Conclusions: IVT is safe and beneficial for Mongolian young adults with AIS.