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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kao, Chih-Chin Wu, Che-Hsiung Lin, Yen-Hung Chang, Chin-Chen Chen, Hsi-Hsien Wu, Mai-Szu Wu, Vin-Cent Wu, Kwan-Dun |
| Spatial Coverage | Taiwan |
| Description | Country affiliation: Taiwan Author Affiliation: Kao CC ( Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan); Wu CH ( Division of Nephrology, Taipei Tzu Chi General Hospital, Taiwan.); Lin YH ( Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.); Chang CC ( Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan.); Chen HH ( Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan.); Wu MS ( Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan); Wu VC ( Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. Electronic address: q91421028@ntu.edu.tw.); Wu KD ( Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.) |
| Abstract | BACKGROUND: High aldosterone concentrations are associated with the risk of stroke that is independent of blood pressure levels. We investigated the risk of ischemic stroke in primary aldosteronism (PA) patients. METHODS: This retrospective case-control study was based on the Taiwan Primary Aldosteronism Investigation (TAIPAI) database from 2004 to 2010. The study group comprised the patients who developed ischemic stroke after the diagnosis of PA. The PA patients who did not develop stroke were matched according to age and sex as the control group. A multivariate logistic regression model was performed to determine the risk factors of ischemic stroke. RESULTS: Of 339 patients diagnosed with PA, 22 patients (6.5%) developed de novo ischemic stroke. The PA patients with stroke suffered from a longer hypertensive period (11.0±6.5 vs 7.8±8.3, P=.007) and a higher prevalence of proteinuria than those who did not develop stroke (40.9% vs 12.9%, P=.002). A multivariate logistic regression model showed that PA patients with proteinuria (HR 3.58, P=.02), preexisting coronary artery disease (HR 11.12, P<.001) or left ventricular hypertrophy (HR 3.09, P=.047) were associated with an increased risk of ischemic stroke. CONCLUSIONS: Proteinuria, a medical history of coronary artery disease or left ventricular hypertrophy, was associated with an increased risk of ischemic stroke in PA patients. Our results suggest that a public health initiative is necessary to enhance the follow-up of proteinuria and to manage subsequent stroke among patients with aldosteronism. |
| File Format | HTM / HTML |
| ISSN | 00098981 |
| Volume Number | 438 |
| e-ISSN | 18733492 |
| Journal | Clinica Chimica Acta |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2015-01-01 |
| Publisher Place | Netherlands |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Clinical Chemistry Discipline Laboratory Medicine Brain Ischemia Complications Hyperaldosteronism Stroke Adult Case-control Studies Female Humans Male Middle Aged Retrospective Studies Taiwan Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Biochemistry (medical) Clinical Biochemistry Biochemistry |
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