University of South Carolina School of Medicine-Greenville, Greenville, SC 29605, USA.
Future Cardiol. 2022 Sep;18(10):797-807. doi: 10.2217/fca-2022-0059. Epub 2022 Sep 2.
This study investigated demographic and clinical risk factors associated with severity in acute ischemic stroke (AIS) patients with a history of coronary artery disease (CAD). Multivariate logistic regression models were used to determine specific factors associated with worsening or improving neurologic functions among AIS patients with CAD treated in the telestroke. AIS patients with CAD, peripheral vascular disease (OR: 3.995; 95% CI: 1.035-15.413; p = 0.044) and hypertension (OR: 6.056; 95% CI: 1.207-30.374; p = 0.029) were associated with worsening neurologic functions. Our findings suggest the need to develop strategic management to improve the care of AIS patients with a history of CAD that present with hypertension and peripheral vascular disease in the telestroke network.
本研究调查了与伴有冠状动脉疾病（CAD）的急性缺血性脑卒中（AIS）患者严重程度相关的人口统计学和临床风险因素。多变量逻辑回归模型用于确定在远程卒中治疗中伴有 CAD 的 AIS 患者中，与神经功能恶化或改善相关的特定因素。伴有 CAD、外周血管疾病（OR：3.995；95%CI：1.035-15.413；p=0.044）和高血压（OR：6.056；95%CI：1.207-30.374；p=0.029）的 CAD 患者与神经功能恶化相关。我们的研究结果表明，需要制定战略管理措施，以改善远程卒中网络中伴有高血压和外周血管疾病的 CAD 病史的 AIS 患者的护理。
