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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Jaffre, Aude Ruidavets, Jean Bernard Calviere, Lionel Viguier, Alain Ferrieres, Jean Larrue, Vincent |
| Description | Country affiliation: France Author Affiliation: Jaffre A ( Department of Neurology, CHU Toulouse Rangueil, 31059 Toulouse, France.); Ruidavets JB ( Department of Epidemiology and INSERM U558, CHU Toulouse Purpan, 31059 Toulouse, France.); Calviere L ( Department of Neurology, CHU Toulouse Rangueil, 31059 Toulouse, France.); Viguier A ( Department of Neurology, CHU Toulouse Rangueil, 31059 Toulouse, France.); Ferrieres J ( Department of Epidemiology and INSERM U558, CHU Toulouse Purpan, 31059 Toulouse, France.); Larrue V ( Department of Neurology, CHU Toulouse Rangueil, 31059 Toulouse, France. Electronic address: larrue.v@chu-toulouse.fr.) |
| Abstract | BACKGROUND AND PURPOSE: Studies of risk factors for ischemic stroke in the young have generally considered ischemic stroke as a whole. The purpose of the present study was to evaluate the association of traditional cardiovascular risk factors with etiological subtypes of ischemic stroke in young adults. METHODS: Retrospective review of data from patients aged 16-54 years consecutively treated for first-ever ischemic stroke in an academic stroke unit. Definite causes of stroke were classified using the ASCO (A for atherothrombosis, S for small vessel disease, C for cardiac source, O for other cause) classification system. We used multinomial logistic regression analysis to evaluate associations of age, gender, smoking, hypertension, diabetes and blood lipids with each etiological subtype. RESULTS: A total of 400 patients were included: 244 men (61.1%), 156 women (38.9%); mean age (SD) 44.5 (8.5) years. A definite cause of stroke could be identified in 202 (50.5%) patients. Definite causes of stroke included: atherothrombosis, 72 (18.0%) patients; cardioembolism, 37 (9.25%) patients; small vessel disease, 28 (7.0%) patients; other definite cause, 65 (16.25%) patients including 44 patients with carotid or vertebral artery dissection. Atherothrombosis was associated with age, smoking, diabetes, hypertension and low HDL-cholesterol. Small vessel disease was associated with age and hypertension. Cardioembolism was associated with age. CONCLUSION: The risk factor profile differs between etiological subtypes of ischemic stroke in young adults. Our findings emphasize the impact of smoking, diabetes, hypertension and low HDL-cholesterol as risk factors for atherothrombosis, and of hypertension as a risk factor for small vessel disease in young adults. |
| File Format | HTM / HTML |
| ISSN | 03038467 |
| Volume Number | 120 |
| e-ISSN | 18726968 |
| Journal | Clinical Neurology and Neurosurgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2014-05-01 |
| Publisher Place | Netherlands |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Neurology Discipline Neurosurgery Brain Ischemia Classification Etiology Stroke Adolescent Adult Age Factors Female Humans Male Middle Aged Retrospective Studies Risk Factors Young Adult Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology (clinical) Surgery |
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