Основні поняття
Patients with ischemic stroke face a significantly higher risk of myocardial infarction compared to those with cervical artery dissection alone.
Анотація
The research compares the risk of myocardial infarction (MI) post-stroke and cervical artery dissection (CeAD). Key points include:
- Stroke patients have nearly double the risk of MI within a year compared to those with CeAD.
- CeAD alone does not show an increased risk of MI.
- The study used data from New York and Florida inpatient databases.
- Patients with AIS alone had the highest MI risk, followed by those with concurrent CeAD and AIS.
- Patients with CeAD alone had no elevated risk of MI.
- The study adjusted for common cardiac risk factors.
- The importance of managing underlying risk factors for patients with both stroke and CeAD was emphasized.
- The study acknowledged limitations such as potential factors influencing MI risk not accounted for.
- José Biller commented on the study's execution and limitations.
Статистика
"Compared with patients with migraine and other transient neurological events, those with an ischemic stroke have almost double the risk for myocardial infarction (MI) within a year."
"Of the total sample, 16,469 (2.32%) had MI within 1 year."
"Patients with AIS alone still had the highest risk for MI (adjusted hazard ratio [aHR], 2.20; 95% CI, 1.92-2.52; P < .001)."
Цитати
"These findings suggest CeAD might be less severe in the context of cardiovascular disease."
"Most patients with CeAD are relatively young, between 30 and 50 years with a mean age of about 40 years."