Recurrent and Non-Recurrent Stroke Had Differences Cardiovascular Risk Factors : Results From One Ischemic Stroke Registry in a Southeast Asia Country

• Main Author: Suwanno, Juk
• Format: Web Resource
• Language: English
• Published: Morressier 01.01.2017
• DOI: 10.26226/morressier.5cb58cf9c668520010b56a0e

Background and Aims:Patients with a history of recurrent stroke had highest risk for developing new episode of recurrent. Possibility, they had multiplex cardiovascular disease (CVD) risk factors. Few studies in Southeast Asian examined CVD risk in recurrent stroke. We compared the prevalence and amount of CVD risk among ischemic stroke with a history of recurrent versus non-recurrent.Methods:We included 3,135 ischemic strokes, who were admitted to a tertiary care hospital in Southern Thailand during October 2011 to February 2016. Approximately 11% (n=339) were recurrent. Five CVD risk were identified based on the Essen Stroke Risk Score included hypertension, diabetes, previous myocardial infarction (MI), peripheral arterial disease, and others CVD except MI and atrial fibrillation (AF). Other four were AF, hypercholesterolemia, smoking, and alcohol drinking.Results:There were more elderly in recurrent group (OR 1.29, 95%CI 1.05-1.58), compared with non-recurrent. Recurrent group had higher rates of hypertension (OR 2.17, 95%CI 1.71-2.75), diabetes (OR 1.36, 95%CI 1.09-1.69), AF (OR 1.81, 95%CI 1.22-2.71), hypercholesterolemia (OR 2.14, 95%CI 1.75-2.62), and smoking (OR 1.30, 95%CI 1.06-1.59]). Non-recurrent had higher rates of MI (OR 1.12, 95%CI 1.11-1.13) and others CVD (OR 1.12, 95%CI 1.11-1.13). Recurrent group had a greater number of CVD risk (meanu00b1SD, 2.49u00b11.34 vs 1.94u00b11.22, t=7.24, p=0.000), compared with non-recurrent group.Conclusions:Multiplex CVD risk in recurrent stroke was found in our studied. Hypertension, diabetes, hypercholesterolemia, AF, and smoking were five among nine common CVD risk among recurrent stroke. Specific CVD risk reduction protocols are needed to implement in order to prevent stroke recurrent.