Stroke Mimics: A five-year follow-up study from the Qatar Stroke Database.
J Stroke Cerebrovasc Dis
; 29(10): 105110, 2020 Oct.
Article
em En
| MEDLINE
| ID: mdl-32912536
ABSTRACT
BACKGROUND AND PURPOSE:
Mimics comprise a third of patients presenting with an acute stroke. There is limited information on their natural history.METHODS:
We evaluate long term major cardiovascular events (MACE) in stroke mimics in a prospective database from Qatar.RESULTS:
Between Feb 2014 and Jan 2019, 481 patients (male 238; female 243) mean age 57.5 years (±18.0), with 399 (83%) medical mimics and 82 (17%) functional mimics were evaluated. Imaging revealed previous old stroke in 26.6% and small vessel disease in 5%. MACE occurred in 57 (11.9%) and there were 31 deaths (6.4%) with majority of deaths (5.6%) from cardiovascular causes. MACE was significantly higher in patients with previous stroke, p < 0.0001), coronary artery disease, pâ¯=â¯0.002), diabetic, pâ¯=â¯0.01), and hypertensive on admission, p < 0.0001. MACE were also significantly higher in patients where imaging showed a previous stroke, pâ¯=â¯0.006).CONCLUSION:
The occurrence of MACE during follow-up suggests that patients with existing vascular disease require aggressive management of vascular risk factors.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acidente Vascular Cerebral
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Stroke Cerebrovasc Dis
Assunto da revista:
ANGIOLOGIA
/
CEREBRO
Ano de publicação:
2020
Tipo de documento:
Article