Young cryptogenic ischemic stroke: A descriptive analysis of clinical and laboratory characteristics, outcomes and stroke recurrence

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F20%3A73603603" target="_blank" >RIV/61989592:15110/20:73603603 - isvavai.cz</a>

Alternative codes found

RIV/00098892:_____/20:N0000112

Result on the web

<a href="https://reader.elsevier.com/reader/sd/pii/S105230572030464X?token=9FFA5C44150FA28D7D5A84E852DE720ADC430BEEB54C698081DC75464A4B803FEAEE92B263A2932BC342E3ABE59F12CE" target="_blank" >https://reader.elsevier.com/reader/sd/pii/S105230572030464X?token=9FFA5C44150FA28D7D5A84E852DE720ADC430BEEB54C698081DC75464A4B803FEAEE92B263A2932BC342E3ABE59F12CE</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.105046" target="_blank" >10.1016/j.jstrokecerebrovasdis.2020.105046</a>

Result language

angličtina

Original language name

Young cryptogenic ischemic stroke: A descriptive analysis of clinical and laboratory characteristics, outcomes and stroke recurrence

Original language description

Abstract Background and purpose: Ischemic strokes (IS) occur also in young adults and despite an extensive work-up the cause of IS remains very often cryptogenic. Thus, effectiveness of secondary prevention may be unclear. We aimed to analyze a relationship among vascular risk factors (VRF), clinical and laboratory parameters, outcomes and recurrent IS (RIS) in young cryptogenic IS (CIS) patients. Subjects and Methods: The study set consisted of young acute IS patients &lt; 50 years enrolled in the prospective HISTORY (Heart and Ischemic STrOke Relationship studY) study registered on ClinicalTrials.gov (NCT01541163). All analyzed patients underwent transesophageal echocardiography, 24-h and 3-week ECG-Holter to assess cause of IS according to the ASCOD classification. Recurrent IS (RIS) was recorded during a follow-up (FUP). Results: Out of 294 young enrolled patients, 208 (70.7%, 113 males, mean age 41.6 +/- 7.2 years) were identified as cryptogenic. Hyperlipidemia (43.3%), smoking (40.6%) and arterial hypertension (37.0%) were the most frequent VRF. RIS occurred in 7 (3.4%) patients during a mean time of FUP 19 +/- 23 months. One-year risk of RIS was 3.4% (95%CI: 1.4-6.8%). Patients with RIS were older (47.4 vs. 41.1 years, p = 0.007) and more often obese (71.4 vs. 19.7%, p = 0.006), and did not differ in any of other analyzed parameters and VRF. Multivariate logistic regression analysis showed obesity (OR: 9.527; 95%CI: 1.777-51.1) and the previous use of antiplatelets (OR: 15.68; 95%CI: 2.430-101.2) as predictors of recurrent IS. Conclusion: Despite a higher presence of VRF in young CIS patients, the risk of

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30210 - Clinical neurology

Project

<a href="/en/project/NV17-30101A" target="_blank" >NV17-30101A: Risk factors of ischemic stroke in young patients and relation with epidemiologic, social and economic parameters and life style</a><br>

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Stroke &amp; Cerebrovascular Diseases

ISSN

1052-3057

e-ISSN

—

Volume of the periodical

29

Issue of the periodical within the volume

9

Country of publishing house

US - UNITED STATES

Number of pages

8

Pages from-to

105046-105053

UT code for WoS article

000560745600025

EID of the result in the Scopus database

2-s2.0-85086652349