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Date Published: 18/11/2024
Abstract Views: 31
Views pdf: 15
DOI: https://doi.org/10.51298/vmj.v544i1.11757
Issue
Vol. 544 No. 1 (2024)
Section
Các bài báo
How to Cite
Mai, N. Q. (2024). RESEARCH ON RISK FACTORS FOR RECURRENT ISCHEMIC STROKE AT THE NEUROLOGY DEPARTMENT OF AN GIANG CENTRAL GENERAL HOSPITAL. Vietnam Medical Journal, 544(1). https://doi.org/10.51298/vmj.v544i1.11757

RESEARCH ON RISK FACTORS FOR RECURRENT ISCHEMIC STROKE AT THE NEUROLOGY DEPARTMENT OF AN GIANG CENTRAL GENERAL HOSPITAL

Nhật Quang Mai

Main Article Content

Abstract

Background: Recurrent ischemic stroke remains a challenge in spite of the recent advances in secondary stroke prevention. Information regarding risk factors for recurrent ischemic stroke is limited. So we conducted this research. Objective: Clinical characteristics of recurrent ischemic stroke and identify the association between some independent risk factors and stroke recurrence. Methods: Cross – sectional study in January 2022 to August 2023 and recruited 245 patients at neurology department of An Giang Central General Hospital. Result: The mean age of the paticipants was 69±13 years old, and 149 (60,8%) of the 245 patients were male. The first and second stroke recurrence rates were 75,1% and 24,9%. Recurrent ischemic stroke had a statistically significant association with: antiplatelet therapy, statin therapy, hypertension, diabetes, atrial fibrillation, extracranial internal carotid artery occlusion, high LDL-C. Conclusion: Age, hypertension, diabetes, atrial fibrillation, extracranial internal carotid artery occlusion, high LDL-C were independently associated with increased risk of stroke recurrence.

Article Details

Keywords

risk factors, late recurrent, associated, acute ischemic stroke.

References

Đinh Hữu Hùng (2014), Nguy cơ tái phát sau đột quỵ thiếu máu não cục bộ cấp theo phân tầng một số yếu tố liên quan, luận văn tiến sĩ y học, TP.HCM.
2. Vũ Anh Nhị, Bùi Châu Tuệ (2011). "Tiên lượng bệnh nhân nhồi máu não tái phát bằng bảng điểm nguy cơ đột quỵ Essen", Y học Thành phố Hồ Chí Minh, Tập 15, Phụ bản của Số 1, tr.579 – 586.
3. Cao Phi Phong, Ngô Bá Minh (2011). "Xác định bệnh nhân có nguy cơ cao đột quỵ thiếu máu sau cơn thiếu máu não thoáng qua hoặc đột quỵ nhẹ bằng thang điểm ABCD2 ", Y học Thành phố Hồ Chí Minh, Tập 15, Phụ bản của Số 1, tr.603 – 608.
4. Nguyễn Bá Thắng (2020), Đột quỵ, giáo trình thần kinh học, đại học Y Dược TP.HCM, NXB ĐHQG TP.HCM, trang 111.
5. Burke J. P., Sander S., Shah H., Zarotsky V., Henk H. (2010). Impact of persistence with antiplatelet therapy on recurrent ischemic stroke and predictors of nonpersistence among ischemic stroke survivors. Curr Med Res Opin, 26(5): 1023-1030.
6. George N., et al (2017), “Age- and sex-specific analysis of patients with embolic stroke of undetermined source”, American Academy of Neurology, 89(6), pp.526.
7. Petty G. W., et al. (1998), "Survival and recurrence after first cerebral infarction: a population-based study in Rochester, Minnesota, 1975 through 1989", Neurology, 50(1), pp. 208-216.
8. Roquer J, et al. (2011), "Value of carotid intima-media thickness and significant carotid stenosis as markers of stroke recurrence", Stroke, 42(11), 3099-3104.
9. Tsivgoulis G, et al. (2006), "Common carotid artery intima-media thickness and the
risk of stroke recurrence", Stroke, 37(7), pp.1913-1916.
10. Wang Y, et al. (2013), "Association of hypertension with stroke recurrence depends on ischemic stroke subtype", Stroke, 44(5), pp.1232-1237.