頁籤選單縮合
題 名 | Recurrent Stroke: Subtypes and Risk Factors |
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作 者 | Mei,Shing-nin; | 書刊名 | Acta Neurologica Taiwanica |
卷 期 | 7:1 1998.03[民87.03] |
頁 次 | 頁7-13 |
分類號 | 415.922 |
關鍵詞 | Stroke recurrence; Cerebral infarction; Intracerebral hemorrhage; Subarachnoid hemorrhage; Risk factors; |
語 文 | 英文(English) |
英文摘要 | Storke recurrence is fairly common after an initial stroke, often leading to severe disability and mortality. The relationship between recurrent stroke and risk factors has not been well established. In addition, whether the aggressive management of the risk factors of stroke will minimize stroke recurrence is still a subject of controversy. Over a one-year period, I retrospectively studied stroke recurrence in 598 stroke patients. Overall, 144(24%) patients were found to have stroke recurrence; 22 patients died during the survey. The recurrent stroke subtypes were cerebral infarction, 81.2%; intracerebral hemorrhage, 16%; and subarachnoid hemorrhage, 2.8%. The frequency of risk factors was as follows: hypertension, 78.5%; diabetes mellitus, 39.6%; smoking, 34.7%; cardiac abnormalities, 34%; hyperlipidemia, 30.6%; and hyperuricemia, 21.1%; Neither the occurrence of hypertension nor diabetes in the patients was found to have significant difference between the regularly-and irregularly-treated groups. Ischemic heart disease was the most highly significat factor to be associated with recurrent stroke. The cumulative stroke recurrence rate was 11% on the first year and 20.7% on the fifth year. In conclusion, there was no obvious evidence of the reduction of stroke recurrence after the effective treatment of risk factors. It may, however, reduce morbidity and mortality. Therefore, aggressive management of risk factors appears to be necessary for the secondary prevention of stroke recurrence. |
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