Risk factors for recurrence of large atherosclerotic cerebral infarction
DAI Yingyi
HUANG Zhixin
LIU Xintong
WANG Qizhang
Abstract：Objective To explore the risk factors for recurrence of large atherosclerotic cerebral infarction in first-episode patients. Methods The consecutive patients with acute cerebral infarction diagnosed in the Department of Neurology were screened for large atherosclerotic cerebral infarction by CTA/MRA examination,and all the confirmed patients were followed up for 1 year.The patients were divided into recurrent ischemic stroke group and non-recurrent group according to occurrence of cerebrovascular events during the follow-up.Results A total of 256 eligible patients were included in this study,and all of them completed the follow-up. During the 1-year follow-up, 30 (11.7%) patients had ischemic cerebrovascular stroke events. Univariate analysis showed significant differences in alcohol drinking (P=0.028), smoking (P=0.007), high-density lipoprotein cholesterol (HDL; P=0.045), ischemic heart disease (P=0.002), antihypertensive agents (P=0.036) and statin use (P=0.016) between the recurrent group and non-recurrent group.Cox regression analysis showed that irregular use of statins(RR=0.410, P=0.043), smoking (RR=2.253, P=0.043), HDL (RR=0.327, P=0.029), and ischemic heart disease (RR=8.566, P<0.001) were correlated with recurrent ischemic stroke.Conclusion The first-episode patients with irregular use of statins,low HDL levels, smoking and ischemic heart disease are at higher risks for having ischemic stroke recurrence.
Keywords：cerebral infarctionrecurrent strokerisk factor
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1678-1682 )