Title |
Stroke recurrence in the different subtypes of ischemic stroke. The importance of the intracranial disease
|
---|---|
Published in |
Arquivos de Neuro-Psiquiatria, October 2018
|
DOI | 10.1590/0004-282x20180095 |
Pubmed ID | |
Authors |
Marcos C Lange, Gustavo Ribas, Valeria Scavasine, Renata Dal-Prá Ducci, Danielle C. Mendes, Viviane de Hiroki Flumignan Zétola, Norberto Cabral, Tatjana Rundek |
Abstract |
The aim of the study was to analyze the long-term recurrence rate in patients with a first-ever ischemic stroke secondary to intracranial large artery atherosclerosis (LAA) in a Brazilian population. All stroke patients admitted to the hospital between October 2012 and September 2015 were evaluated. The stroke mechanism subtypes were classified as cardioembolism, LAA, small-vessel occlusion, other determined etiologies, and stroke of undetermined etiology. The 359 first-ever ischemic stroke patients were followed up for a mean time of 21.6 ± 15.1 months. The LAA intracranial (38.9%) and extracranial (24.6%) stroke patients presented with a higher stroke recurrence. Intracranial LAA [HR, 10.2 (3.6-29.1); p < 0.001] and extracranial LAA [HR, 5.05 (1.79-14.2); p = 0.002] were the only conditions to show positive correlation with the recurrence rate, after adjusting for risk factors, thrombolysis, and National Institutes of Health Stroke Scale score at admission. Intracranial LAA presents a higher incidence of recurrence of ischemic stroke when compared with other etiologies in a Southern Brazilian population. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 31 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 4 | 13% |
Student > Bachelor | 4 | 13% |
Student > Postgraduate | 3 | 10% |
Researcher | 3 | 10% |
Other | 1 | 3% |
Other | 4 | 13% |
Unknown | 12 | 39% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 23% |
Nursing and Health Professions | 3 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 6% |
Biochemistry, Genetics and Molecular Biology | 1 | 3% |
Agricultural and Biological Sciences | 1 | 3% |
Other | 3 | 10% |
Unknown | 14 | 45% |