Arboix Adrià, Solà Elsa, Castillo Marta, Baena José Miguel
Unitat de Patologia Vascular Cerebral, Servei de Neurologia, Hospital del Sagrat Cor Barcelona, España.
Med Clin (Barc). 2003 Sep 13;121(8):292-4. doi: 10.1016/s0025-7753(03)73921-9.
To determine vascular risk factor (VRF) profiles in transient ischemic attack (TIA) and ischemic stroke.
We studied 239 patients with TIA and 1,473 ischemic stroke patients included in a prospective stroke registry over a 10-year period.
Main VRF were: hypertension, hyperlipidemia, diabetes mellitus and atrial fibrillation. In the multivariate analysis, prior ischemic stroke (OR=1.65; 95% CI, 1.07-2.56), atrial fibrillation (OR=1.60; 95% CI, 1.14-2.26) and current use of warfarin treatment (OR=0.34; 95% CI, 0.13-0.94) were the only independent risk factors associated with ischemic stroke.
Different potentially modifiable vascular risk factor profiles were identified in ischemic stroke versus TIA. This suggests that there are pathogenic differences between TIA and ischemic strokes.