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재발성 뇌경색의 위험인자에 대한 분석:1개 대학병원 신경과 외래 환자들을 대상으로

Analysis of Risk Factors for Recurrent Ischemic Stroke:Based on Data of Outpatient Clinic in an University Hospital

박기형|이규용|이영주|김희태|김승현|김주한|김명호|윤웅용|정부
대한신경과학회 (Korean Neurological Association)|2004.12|대한신경과학회지 (Journal of the Korean Neurological Association)|제22권 제6호|pp. 598-603

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참고문헌

주제분류신경과학

초록

Abstract

Background: Risk factors for recurrent stroke have been evaluated in a few community-based epidemiologic studies. This study aims to estimate the risk factors of recurrent ischemic stroke. Methods: All patients enrolled as acute ischemic stroke patients from Jan. 1998 to Dec. 2000, and who had visited out-patient clinics at regular intervals with a good compliance were included as subjects. Subjects with poor compliance and those expired were excluded. Subjects with recurrent ischemic stroke were selected according to the diagnostic criteria for recurrent ischemic stroke. Their demographic characterisics (age, sex), risk factors of stroke (hypertension, diabetes mellitus, hyperlipidemia, cardiac disease, transient ischemic attack, smoking, alcohol), and types of stroke (TOAST classification) were analyzed to identify the factors responsible for recurrent ischemic stroke. Results: Among 599 patients with ischemic stroke, 43 patients (7.2%) were identified as having recurrent stroke (27 men and 16 women; mean age=66.3 years). Hypertension and hyperlipidemia were the risk factors which were statistically significant in inducing recurrent ischemic stroke. According to the TOAST classification, cardioembolism was more prevalent in recurrent ischemic stroke. Conclusions: Hypertension, hyperlipidemia, cardioembolism plays a significant role in recurrent ischemic stroke. Therefore, the control of these risk factors appears to be important for reducing further recurrent ischemic stroke.

참고문헌 (29)

  1. "Predictors of mortality and recurrence after hospitalized cerebral infarction in an urban community;the Northern Manhattan Stroke Study", 44, pp.626~634 (1994)
  2. "A clinical feature of recurrent cerebrovascular accidents", 7, pp.1~9 (1989)
  3. "A multifactorial analysis of risk factors for recurrence of ischemic stroke", 25, pp.958~962 (1994)
  4. "Long-term risk of first recurrent stroke in the Perth Community Stroke Study", 29, pp.2491~2500 (1998)
  5. "Epileptic seizures after a first stroke:the Oxfordshire Community Stroke Project", 315, pp.1582~1587 (1997)
  6. "Stroke recurrence: predictors, severity, and prognosis.", and prog(sis), pp.891~895 (1997)
  7. "Epidemiology of ischemic stroke subtypes according to TOAST criteria and long-term survival in ischemic stroke subtypes", pp.2735~2740 (2001)
  8. "Long-term risk of recurrent stroke after a first-ever stroke", 25, pp.333~337 (1994)
  9. "Survival and recurrence after first cerebral infarction a population-based study in Rochester 1975 through 1989", pp.208~216 (1998)
  10. "Pathophysiological patterns of stroke recurrence", 7, pp.5~9 (1997)
  11. "Risk factors for early recurrence after ischemic stroke Long-term prognosis after a minor stroke 10-year mortality and major stroke recurrence rates in a hospital- based cohort", pp.2118 12 126~2124 132 (1998)
  12. "Stroke in the Lehigh Vally:risk factors for recurrent stroke", 37, pp.503~507 (1987)
  13. "Survival and recurrence following stroke:The Framingham study", 13, pp.290~295 (1982)
  14. "Hypertension and risk of stroke recurrence", 25, pp.1605~1610 (1994)
  15. "A clinical study of transient ischemic attacks preceding cerebral infarcts", 14, pp.9~16 (1996)
  16. "Severely impaired cerebrovascular reactivity predicts stroke and TIA risk in patients with carotid artery stenosis and occlusion", 124, pp.457~467 (2001)
  17. "Stroke recurrence within 2 years after ischemic infarction", 22, pp.155~161 (1991)
  18. "Stroke rates in patients with lacunar and large vessel cerebral infarctions", 114, pp.128~137 (1993)
  19. "Control of hypertension and risk of stroke recurrence", 33, pp.2652~2657 (2002)
  20. "Statins and stroke Therapies 2003", pp.49~58 (2003)
  21. "HMG-CoA reductase inhibitors(statins)a promising approach to stroke prevention", 54, pp.790~796 (2000)
  22. "The onset of ischemic stroke in the coronary heart disease patients", 16, pp.761~768 (1998)
  23. "A comparative study on cerebral infarction in patients with nonvalvular and valvular atrial fibrillation", 9, pp.11~17 (1991)
  24. "Risk of stroke during long term anticoagulant therapy in patients after myocardial infarction", 39, pp.301~307 (1996)
  25. "Stroke recurrence in diabetes Does control of blood glucose reduce risk", pp.1153~1157 (1997)
  26. "Do transient ischemic attacks have a neuroprotective effect", pp.2089~2094 (2000)
  27. "A comparison of risk factors for recurrent TIA and stroke in patients diagnosed with TIA", 60, pp.280~285 (2003)
  28. "Comparison of population-based models of risk factors for TIA and ischemic stroke", 53, pp.532~536 (1999)
  29. "Cigarette smoking,alcohol use,and subarachnoid hemorrhage", 23, pp.1242~1249 (1992)

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