PMID: 19921553Nov 19, 2009Paper

Prevalence of the metabolic syndrome in patients with transient ischemic attack or non-cardioembolic stroke

Neurología : publicación oficial de la Sociedad Española de Neurología
A Gil-NúñezGrupo de Investigadores del Estudio APICA

Abstract

The presence of metabolic syndrome (MS) in patients with ischemic stroke has been analyzed in few studies and there is evidence that the coexistence of MS and stroke increases the subsequent risk of vascular recurrences, regardless of the classical risk factors (RF). One of the main objectives of the APICA study (prevalence of peripheral arterial disease and metabolic syndrome in acute cerebral ischemia) is to analyze this prevalence in Spain in patients with acute cerebral ischemia and to identify clinical variables with a higher risk of MS. An epidemiologic, observational, longitudinal, multicenter study including patients over 50 with non-cardioembolic transient ischemic attack (TIA) or ischemic stroke, consecutively recruited. The definition criteria of MS are those of the Adult Treatment Panel III-modified (ATP-IIIm) and of the International Diabetes Federation (IDF) 2005. The statistical analysis was made using the SPSS 15.0 program. A multivariate analysis was performed with the logistic regression models to determine factors associated independently with MS by both criteria. In the study, 977 patients were analyzed: 651 (66.7%) were men and mean age was 69.1 years. Approximately two thirds had MS, 66.8% according to the...Continue Reading

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