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Date Published: 12/04/2023
Abstract Views: 282
Views PDF: 223
DOI: https://doi.org/10.51298/vmj.v525i1A.4909
Issue
Vol. 525 No. 1A (2023)
Section
Các bài báo
How to Cite
Đặng , P. Đức. (2023). EVALUATION OF CLINICAL CHARACTERISTICS AND COLLATERAL CIRCULATION ACCORDING TO GENDER IN PATIENTS WITH ACUTE ISCHEMIC STROKE. Vietnam Medical Journal, 525(1A). https://doi.org/10.51298/vmj.v525i1A.4909

EVALUATION OF CLINICAL CHARACTERISTICS AND COLLATERAL CIRCULATION ACCORDING TO GENDER IN PATIENTS WITH ACUTE ISCHEMIC STROKE

Phúc Đức Đặng 1,
1 103 Military Hospital

Main Article Content

Abstract

Objectives: 1) Evaluation of some clinical characteristics by gender in patients with acute ischemic stroke. 2) Assess the degree of collateral circulation on 3-phase CTA by gender. Subjects and methods: 118 patients (67 male and 51 female) who underwent 3-phase CTA in the first 7 days from symptom onset, inpatient treatment at the Stroke Department, Military Hospital 103 from November 2021 to July 2022. To evaluate some clinical characteristics at admission and discharge; assess the degree of CS on 3-phase, 64-sequence CTA film according to the Calgary; determine the relationship between clinical characteristics and the degree of CS with gender. Results: male/female ratio=1.31; women group were older (p>0.05), had the high rate of atrial fibrillation (p<0.05), diabetes (p>0.05), dyslipidemia (p>0.05), low rate of hypertension (p>0.05) and smoking (p<0.05); disorder of consciousness were more common in women; the average NIHSS score at admission was 2.97 points higher in women than in men (p<0.05), the rate of good CS in women was lower (p<0.05) and the degree of severe disability at discharge (mRS 5-6) was higher (p>0.05). Conclusion: Female group had a higher rate of atrial fibrillation and poor CS than male group. AIS in women had disorder of consciousness and the mean NIHSS score at admission were higher in men.

Article Details

Keywords

Acute ischemic stroke, gender, collateral status, 3-phase computed tomography angiography.

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