Increased pulse wave velocity in patients with acute lacunar infarction doubled the risk of future ischemic stroke View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-11-17

AUTHORS

Naoki Saji, Kenta Murotani, Hirotaka Shimizu, Toshiyuki Uehara, Yasushi Kita, Kenji Toba, Takashi Sakurai

ABSTRACT

The aim of this study was to determine whether pulse wave velocity (PWV), a marker of vascular endothelial impairment and arteriosclerosis, predicts future ischemic stroke in patients who developed acute lacunar infarction. Patients with a first-ever ischemic stroke due to acute lacunar infarction were enrolled in this study. An oscillometric device (Form PWV/ABI; Omron Colin, Tokyo, Japan) was used to measure brachial–ankle PWV 1 week after stroke onset. Patients were followed for at least 5 years. The main end point of the study was recurrent ischemic stroke. Event-free survival was analyzed using Kaplan–Meier plots and log-rank tests. The risk of recurrent ischemic stroke was estimated using the Cox proportional-hazards model. Of the 156 patients (61% male, mean age: 69.2±11.3 years) assessed in this study, 29 developed recurrent ischemic stroke. The median brachial–ankle PWV value was 20.4 m s−1. Patients with high PWV values had a greater risk of recurrent ischemic stroke than patients with low PWV values (28% vs. 15%, P=0.08). Kaplan–Meier curve analysis showed that patients with high PWV values had a less favorable (that is, free of recurrent ischemic stroke) survival time (P=0.015). A multivariate Cox proportional-hazards model identified high PWV as an independent predictor of recurrent ischemic stroke after adjusting for age, sex and blood pressure (hazard ratio 2.35, 95% confidence interval, 1.02–5.70, P=0.044). In patients with acute lacunar infarction, a high PWV predicts a twofold greater risk of future ischemic stroke, independent of patient age, sex and blood pressure levels. More... »

PAGES

371-375

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/hr.2016.157

DOI

http://dx.doi.org/10.1038/hr.2016.157

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1041429063

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27853164


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