Risk Factors for Ischemic Stroke After Acute Coronary Syndrome.
acute coronary syndrome
ischemic stroke
myocardial infarction
prevention
risk factors
Journal
Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524
Informations de publication
Date de publication:
18 07 2023
18 07 2023
Historique:
medline:
19
7
2023
pubmed:
8
7
2023
entrez:
8
7
2023
Statut:
ppublish
Résumé
Background Stroke incidence is elevated after acute coronary syndromes (ACS). The aim of this study was to characterize risk factors related to ischemic stroke (IS) after ACS. Methods and Results We conducted a retrospective registry study based on the data of 8049 consecutive patients treated for ACS between 2007 and 2018 in Tays Heart Hospital with a follow-up until December 31, 2020. Potential risk factors were identified by in-depth review of written hospital records and causes-of-death registry data maintained by Statistics Finland. The association between individual risk factors, early-onset IS (0-30 days after ACS, n=82), and late-onset IS (31 days to 14 years after ACS, n=419) were analyzed using logistic regression and subdistribution hazard analysis. In multivariable analysis, the most substantial risk factors for early- and late-onset IS were previous stroke, atrial fibrillation or flutter, and heart failure status depicted by the Killip classification. Left ventricular ejection fraction and coronary artery disease severity were significant risk factors for early-onset IS; age and peripheral artery disease were significant risk factors for late-onset IS. The risk of early-onset IS with ≥6 CHA
Identifiants
pubmed: 37421266
doi: 10.1161/JAHA.122.028787
pmc: PMC10382101
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e028787Commentaires et corrections
Type : ErratumIn
Références
Scand Cardiovasc J. 2020 Jun;54(3):146-152
pubmed: 31775530
Eur Heart J. 2007 Mar;28(6):685-91
pubmed: 16984929
PLoS One. 2010 Aug 13;5(8):e12150
pubmed: 20730096
Stroke. 2014 May;45(5):1324-30
pubmed: 24692479
Acta Neurol Scand. 2011 Dec;124(6):383-9
pubmed: 21355858
N Engl J Med. 2011 Sep 15;365(11):981-92
pubmed: 21870978
N Engl J Med. 2013 Nov 28;369(22):2093-104
pubmed: 24251359
Circulation. 2007 May 8;115(18):2398-409
pubmed: 17452609
Eur J Clin Invest. 2017 Nov;47(11):819-828
pubmed: 28804899
Clin Interv Aging. 2018 Mar 29;13:497-504
pubmed: 29636604
Lancet. 2018 Mar 10;391(10124):939-948
pubmed: 29478841
Stroke. 2006 Oct;37(10):2546-51
pubmed: 16960095
J Am Coll Cardiol. 1997 Oct;30(4):962-9
pubmed: 9316525
Stroke. 2014 Dec;45(12):3514-20
pubmed: 25370585
Am J Cardiol. 2019 Oct 1;124(7):1059-1063
pubmed: 31376914
Coron Artery Dis. 2012 Jan;23(1):9-15
pubmed: 22064650
J Am Coll Cardiol. 1993 Oct;22(4):1004-9
pubmed: 8409034
J Am Heart Assoc. 2019 Jul 2;8(13):e013032
pubmed: 31242821
Chest. 2012 Feb;141(2 Suppl):e637S-e668S
pubmed: 22315274
Am J Cardiol. 1967 Oct;20(4):457-64
pubmed: 6059183
Circ Cardiovasc Qual Outcomes. 2014 Jan;7(1):95-101
pubmed: 24399329
Chest. 2010 Feb;137(2):263-72
pubmed: 19762550
J Stroke Cerebrovasc Dis. 2022 Dec;31(12):106842
pubmed: 36309003
N Engl J Med. 2011 Aug 25;365(8):699-708
pubmed: 21780946
N Engl J Med. 2011 Sep 8;365(10):883-91
pubmed: 21830957
Am J Cardiol. 2019 Feb 1;123(3):402-408
pubmed: 30527796
Ann Thorac Surg. 2004 Mar;77(3):761-6; discussion 766-8
pubmed: 14992867
N Engl J Med. 2002 Sep 26;347(13):969-74
pubmed: 12324552
Am J Med. 2006 Apr;119(4):354.e1-9
pubmed: 16564779
N Engl J Med. 2009 Sep 17;361(12):1139-51
pubmed: 19717844
Eur Heart J. 2005 Oct;26(20):2114-9
pubmed: 15972293