Factores de riesgo en la enfermedad cerebrovascular aguda: estudio comparativo entre el infarto y la hemorragia cerebral en 1.702 pacientes

• Autores: A. Arboix Damunt, E. Sanchez, M. Balcells
• Localización: Medicina clínica, ISSN 0025-7753, Vol. 116, Nº. 3 (Enero), 2001, págs. 89-91
• Idioma: español
• Títulos paralelos:
  • Different vascular risk factor profiles in ischemic stroke versus intracerebral hemorrhage: a study in 1,702 consecutive patients with acute stroke
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• Resumen

  • Background: To characterize the vascular risk factor profiles in ischemic stroke and in intracerebral hemorrhage.

    Patients and method: The study population consisted of 1,473 consecutive ischemic stroke patients and 229 consecutive intracerebral hemorrhagic patients collected in the Sagrat Cor Hospital of Barcelona Stroke Registry over a 10-year period. The prevalence of vascular risk factors in ischemic stroke and in intracerebral hemorrhage was analyzed by means of univariate analysis and a logistic regression model.

    Results: Hypertension was present in 52% of ischemic stroke patients and in 60.7% of intracerebral hemorrhagic patients. The pattern of risk factors associated with ischemic stroke included valve heart disease (OR = 5.96; 95% CI, 1.42-24.88), transient ischemic attack (OR = 4.16; 95% CI, 2-8.64), atrial fibrillation (OR = 2.95; 95% CI, 1.88-4.64), previous brain infarct (OR = 2.58; 95% CI, 1.53-4.35), ischemic heart disease (OR = 2.55; 95% CI, 1.41-4.62), hyperlipidemia (OR = 2.12; 95% CI, 1.32-3.4), hypertension (OR = 0.64; 95% CI, 0.48-0.87), chronic liver disease (OR = 0.32; 95% CI, 0.14-0.73), previous cerebral hemorrhage (OR = 0.24; 95% CI, 0.09-0.64) and oral anticoagulant therapy (OR = 0.11; 95% CI, 0.03-0.36).

    Conclusions: Different potentially modifiable vascular risk factors profiles were identified in ischemic versus hemorrhagic stroke