Long-term survival of ischemic stroke

Revista clínica española
L Mérida-RodrigoJ García-Alegría

Abstract

Ischemic stroke is a serious vascular disease whose long term prognosis in all of its dimensions is not known. We have studied the long-term survival and its predictors after a first episode of acute ischemic stroke (atherothrombotic and cardioembolic). A retrospective cohort study was made of patients with a first episode of ischemic stroke. The ictus was classified into atherothrombotic, cardioembolic, lacunar and undetermined. Patients were followed up for 10 years. A total of 415 cases (60% men) with mean age of 68.4 years, were included. Mean follow-up was 66 months (95% CI: 24-108 months). Overall survival at 10 years was 55.4% (54.9-55.9) (atherothrombotic, 57.7% vs cardioembolic, 43.7%, P=.002). In the multivariate analysis, variables related to mortality in acute ischemic stroke were age, chronic renal failure, dyslipidemia, history of heart failure, atrial fibrillation (AF), presenting as hemiplegia, signs of acute ischemia and perilesional edema in the brain scan on hospital admission. Involvement of the territory of right middle cerebral artery and treatment with statins were associated to a better prognosis. Survival of patients after ischemic stroke at ten year is over 40%, and atherothrombotic stroke as a better ...Continue Reading

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Citations

May 21, 2013·Revista Clínica Espanõla·A López-SuárezR Solís-Díaz
Apr 9, 2013·Revista Clínica Espanõla·J Montes-SantiagoWorking Group on Heart Failure and Atrial Fibrillation of the Spanish Society of Internal Medicine (SEMI)
Mar 13, 2013·Revista Clínica Espanõla·F J Félix-RedondoD Fernández-Bergés
Dec 4, 2012·Medicina clínica·Miguel Camafort-Babkowski, Alfonso López-Soto
Apr 10, 2012·Revista clínica española·C Sierra
Jul 30, 2014·Neurología : publicación oficial de la Sociedad Española de Neurología·F de Andrés-NogalesGrupo de Investigación Estudio CODICE
Jan 27, 2015·Revista clínica española·C Suárez Fernándezen nombre del Grupo de Trabajo de Riesgo Vascular de la SEMI
Apr 25, 2020·Journal of Comparative Effectiveness Research·Carmen Suárez FernándezFrancesc Formiga

Related Concepts

Brain Ischemia
Retrospective Studies
Incidence Studies
Acute Cerebrovascular Accidents
Atrial Fibrillation
Brain
Heart Failure
Kidney Failure, Chronic
Male Population Group
Vascular Diseases

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