Status of recurrence risk factor in patients with mild ischemic stroke in recovery phase

Background and Purpose: The purpose of this study was to obtain fundamental information of recurrence risk factor (RF) in patients with mild ischemic stroke (IS). Methods: Consecutive patients with acute IS who met a criteria of modified Rankin Scale 0-2 were enrolled in this study. Exclusion criteria were as follows: over 80 yo, cardiogenic stroke, dementia, psychiatry disorder, extracorporenal dialysis. The following data were assessed during the hospitalized phase and after 6 months from onset: hypertension (HT), dyslipidemia (DL), diabetes mellitus (DM), obesity, smoking, alcohol, and physical activity (PA). Results: A total of 106 patients were enrolled in the study. The percent of patients with RF in the hospitalized phase were HT 75.3%, DL 65.1%, DM 30.7%, obesity 29.2%, smoking 62.2%, alcohol 31.1%, PA 64.2%. The number of risk factors per patient was 0: 1.9%, 1: 8.5%, 2: 13.2%, 3 or more: 76.4%. Similarly, after 6 months from onset (68 subjects) the percents were HT 36.8%, HL 29.4%, DM 11.8%, obesity 20.6%, smoking 16.2%, alcohol 13.2%, PA 51.5%. In particularly, obesity and PA did not achieve guideline recommendations. Conclusion: The possession rate of RF was high, and most patients did not achieve guideline recommendations in the recovery phase. Progressive preventive intervention is important for patients with mild IS.