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Stroke:心血管危险因素会影响卒中复发、老年痴呆风险

2016-07-19 Mechront 译 MedSci原创

根据新的研究,如果首次卒中前存在心血管疾病的危险因素,如高血压,那么随后的5年时间里,卒中和老年痴呆的风险都将更高。来自伊拉斯姆斯大学医学中心的M. Arfan Ikram博士对1237例首次脑卒中患者和4928名对照组人群进行了研究,比较两组的卒中和老年痴呆风险。Ikram和同事计算了两组人群的卒中和老年痴呆发病率,并估计了首次卒中前心血管危险因素的人群归因危险度。数据显示,首次卒中后1年时间内

根据新的研究,如果首次卒中前存在心血管疾病的危险因素,如高血压,那么随后的5年时间里,卒中和老年痴呆的风险都将更高。

来自伊拉斯姆斯大学医学中心的M. Arfan Ikram博士对1237例首次脑卒中患者和4928名对照组人群进行了研究,比较两组的卒中和老年痴呆风险。

Ikram和同事计算了两组人群的卒中和老年痴呆发病率,并估计了首次卒中前心血管危险因素的人群归因危险度。

数据显示,首次卒中后1年时间内,卒中组与对照组相比,卒中风险为3倍,老年痴呆风险为2倍。

卒中组患者首次卒中前心血管危险因素的人群归因危险度对于复发性卒中而言为39% (95% CI, 18-66),对于老年痴呆而言为10% (95% CI, 0-91)。

对于非卒中组,数据相似。

研究人员写道,首次卒中后复发性卒中和卒中后痴呆的长期风险仍然很高,并且首次卒中前的心血管危险因素对风险的影响很大,强调了优化初级预防的需要。

原始出处:

Portegies MLP, et al.Prestroke Vascular Pathology and the Risk of Recurrent Stroke and Poststroke Dementia. Stroke. 2016;doi:10.1161/STROKEAHA.116.014094.

Pre-stroke CV risk factors may indicate higher stroke, dementia risk.Healio.July 18, 2016

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    2016-12-16 巴黎夜雨

    做好一级预防,远离卒中和痴呆,

    0

  2. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Wed Jul 20 19:30:00 CST 2016, time=2016-07-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=93914, encodeId=a146939149e, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Wed Jul 20 19:29:00 CST 2016, time=2016-07-20, status=1, ipAttribution=)]
    2016-10-11 ylzr123

    好文值得点赞!继续关注学习。

    0

  4. 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    2016-09-25 1e10c84am36(暂无匿称)

    文章很好值得关注

    0

  5. 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  7. 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  8. 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  9. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Wed Jul 20 19:30:00 CST 2016, time=2016-07-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=93914, encodeId=a146939149e, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Wed Jul 20 19:29:00 CST 2016, time=2016-07-20, status=1, ipAttribution=)]
    2016-07-20 doctorJiangchao

    值得学习

    0

  10. 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    2016-07-20 doctorJiangchao

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