Carotid disease in acute ischemic stroke patients of northern Israel
Background Carotid disease complicated by thrombosis or embolism is a frequent cause of acute ischemic stroke. The aim of the study was to determine factors associated with carotid disease in patients suffering from acute ischemic stroke in northern Israel. Methods Participants were 1378 acute ische...
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| Veröffentlicht in: | Acta neurologica Scandinavica 2012-12, Vol.126 (6), p.398-403 |
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| container_title | Acta neurologica Scandinavica |
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| creator | Telman, G. Sprecher, E. Kouperberg, E. |
| description | Background
Carotid disease complicated by thrombosis or embolism is a frequent cause of acute ischemic stroke. The aim of the study was to determine factors associated with carotid disease in patients suffering from acute ischemic stroke in northern Israel.
Methods
Participants were 1378 acute ischemic stroke patients, including 671 patients with and 707 patients without carotid plaques, as defined by cervical ultrasound.
Results
Logistic regression analysis of possible predictors revealed that age, male gender, diabetes, hyperlipidemia, and smoking were independent predictors for the presence of carotid plaque. Male gender was independently associated with the increased prevalence of carotid stenosis of 50% or more, as well as with symptomatic carotid plaques. Age was found to be the only independent factor influencing the extent (bilateral vs unilateral) of carotid disease among acute ischemic stroke patients in northern Israel. Although ethnicity was initially found to have an influence on the prevalence of carotid plaques (higher among Jews than Arabs), no such influence was found after logistic regression.
Conclusion
Our findings emphasize that demographic characteristics (age, gender) and vascular risk factors (diabetes, smoking and hyperlipidemia) rather than ethnic disparities are important determinants of carotid disease in acute ischemic stroke patients in northern Israel. |
| doi_str_mv | 10.1111/j.1600-0404.2012.01663.x |
| format | Article |
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Carotid disease complicated by thrombosis or embolism is a frequent cause of acute ischemic stroke. The aim of the study was to determine factors associated with carotid disease in patients suffering from acute ischemic stroke in northern Israel.
Methods
Participants were 1378 acute ischemic stroke patients, including 671 patients with and 707 patients without carotid plaques, as defined by cervical ultrasound.
Results
Logistic regression analysis of possible predictors revealed that age, male gender, diabetes, hyperlipidemia, and smoking were independent predictors for the presence of carotid plaque. Male gender was independently associated with the increased prevalence of carotid stenosis of 50% or more, as well as with symptomatic carotid plaques. Age was found to be the only independent factor influencing the extent (bilateral vs unilateral) of carotid disease among acute ischemic stroke patients in northern Israel. Although ethnicity was initially found to have an influence on the prevalence of carotid plaques (higher among Jews than Arabs), no such influence was found after logistic regression.
Conclusion
Our findings emphasize that demographic characteristics (age, gender) and vascular risk factors (diabetes, smoking and hyperlipidemia) rather than ethnic disparities are important determinants of carotid disease in acute ischemic stroke patients in northern Israel.</description><identifier>ISSN: 0001-6314</identifier><identifier>EISSN: 1600-0404</identifier><identifier>DOI: 10.1111/j.1600-0404.2012.01663.x</identifier><identifier>PMID: 22435882</identifier><identifier>CODEN: ANRSAS</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Age ; Age Factors ; Aged ; Biological and medical sciences ; carotid ; Carotid Artery Diseases - epidemiology ; Comorbidity ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Demography ; Diabetes mellitus ; Embolism ; ethnic ; Ethnic groups ; Female ; Humans ; Hyperlipidemia ; Ischemia ; ischemic stroke ; Israel - epidemiology ; Male ; Medical sciences ; Middle Aged ; Neurology ; Plaques ; Prevalence ; Regression analysis ; Risk Factors ; Smoking ; Stenosis ; Stroke ; Stroke - epidemiology ; Thrombosis ; Ultrasound</subject><ispartof>Acta neurologica Scandinavica, 2012-12, Vol.126 (6), p.398-403</ispartof><rights>2012 John Wiley & Sons A/S</rights><rights>2015 INIST-CNRS</rights><rights>2012 John Wiley & Sons A/S.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5203-80c9f94e4421412f815008f11d706aed0be2357e98ad949c993820a3678719d3</citedby><cites>FETCH-LOGICAL-c5203-80c9f94e4421412f815008f11d706aed0be2357e98ad949c993820a3678719d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0404.2012.01663.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0404.2012.01663.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26593243$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22435882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Telman, G.</creatorcontrib><creatorcontrib>Sprecher, E.</creatorcontrib><creatorcontrib>Kouperberg, E.</creatorcontrib><title>Carotid disease in acute ischemic stroke patients of northern Israel</title><title>Acta neurologica Scandinavica</title><addtitle>Acta Neurol Scand</addtitle><description>Background
Carotid disease complicated by thrombosis or embolism is a frequent cause of acute ischemic stroke. The aim of the study was to determine factors associated with carotid disease in patients suffering from acute ischemic stroke in northern Israel.
Methods
Participants were 1378 acute ischemic stroke patients, including 671 patients with and 707 patients without carotid plaques, as defined by cervical ultrasound.
Results
Logistic regression analysis of possible predictors revealed that age, male gender, diabetes, hyperlipidemia, and smoking were independent predictors for the presence of carotid plaque. Male gender was independently associated with the increased prevalence of carotid stenosis of 50% or more, as well as with symptomatic carotid plaques. Age was found to be the only independent factor influencing the extent (bilateral vs unilateral) of carotid disease among acute ischemic stroke patients in northern Israel. Although ethnicity was initially found to have an influence on the prevalence of carotid plaques (higher among Jews than Arabs), no such influence was found after logistic regression.
Conclusion
Our findings emphasize that demographic characteristics (age, gender) and vascular risk factors (diabetes, smoking and hyperlipidemia) rather than ethnic disparities are important determinants of carotid disease in acute ischemic stroke patients in northern Israel.</description><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>carotid</subject><subject>Carotid Artery Diseases - epidemiology</subject><subject>Comorbidity</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Demography</subject><subject>Diabetes mellitus</subject><subject>Embolism</subject><subject>ethnic</subject><subject>Ethnic groups</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperlipidemia</subject><subject>Ischemia</subject><subject>ischemic stroke</subject><subject>Israel - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Plaques</subject><subject>Prevalence</subject><subject>Regression analysis</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Stenosis</subject><subject>Stroke</subject><subject>Stroke - epidemiology</subject><subject>Thrombosis</subject><subject>Ultrasound</subject><issn>0001-6314</issn><issn>1600-0404</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1vEzEQhi0EoqH0LyBfkLjsMv7YtX3gUKUlqahaVapEb5brnVWdbnaDvRHpv8dLQrjWF89ontcePYRQBiXL5-uqZDVAARJkyYHxElhdi3L3hsyOg7dkBgCsqAWTJ-RDSqvccSXle3LCuRSV1nxGLuYuDmNoaBMSuoQ09NT57ZiL5J9wHTxNYxyekW7cGLAfEx1a2g9xfMLY06sUHXYfybvWdQnPDvcpuf9-eT9fFte3i6v5-XXhKw6i0OBNayRKyZlkvNWsAtAtY42C2mEDj8hFpdBo1xhpvDFCc3CiVlox04hT8mX_7CYOv7aYRrvOS2LXuR6HbbKMKaYNSMlegXKpKg1mQvUe9XFIKWJrNzGsXXyxDOxk267sJNVOUu1k2_61bXc5-unwy_Zxjc0x-E9vBj4fAJe869roeh_Sf66ujMhs5r7tud-hw5dXL2DPby6nKueLfT6kEXfHvIvPtlZCVfbnzcL-WPLFUjzM7Z34Ax7dptA</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Telman, G.</creator><creator>Sprecher, E.</creator><creator>Kouperberg, E.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>201212</creationdate><title>Carotid disease in acute ischemic stroke patients of northern Israel</title><author>Telman, G. ; Sprecher, E. ; Kouperberg, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5203-80c9f94e4421412f815008f11d706aed0be2357e98ad949c993820a3678719d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>carotid</topic><topic>Carotid Artery Diseases - epidemiology</topic><topic>Comorbidity</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Demography</topic><topic>Diabetes mellitus</topic><topic>Embolism</topic><topic>ethnic</topic><topic>Ethnic groups</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperlipidemia</topic><topic>Ischemia</topic><topic>ischemic stroke</topic><topic>Israel - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Plaques</topic><topic>Prevalence</topic><topic>Regression analysis</topic><topic>Risk Factors</topic><topic>Smoking</topic><topic>Stenosis</topic><topic>Stroke</topic><topic>Stroke - epidemiology</topic><topic>Thrombosis</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Telman, G.</creatorcontrib><creatorcontrib>Sprecher, E.</creatorcontrib><creatorcontrib>Kouperberg, E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Acta neurologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Telman, G.</au><au>Sprecher, E.</au><au>Kouperberg, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carotid disease in acute ischemic stroke patients of northern Israel</atitle><jtitle>Acta neurologica Scandinavica</jtitle><addtitle>Acta Neurol Scand</addtitle><date>2012-12</date><risdate>2012</risdate><volume>126</volume><issue>6</issue><spage>398</spage><epage>403</epage><pages>398-403</pages><issn>0001-6314</issn><eissn>1600-0404</eissn><coden>ANRSAS</coden><abstract>Background
Carotid disease complicated by thrombosis or embolism is a frequent cause of acute ischemic stroke. The aim of the study was to determine factors associated with carotid disease in patients suffering from acute ischemic stroke in northern Israel.
Methods
Participants were 1378 acute ischemic stroke patients, including 671 patients with and 707 patients without carotid plaques, as defined by cervical ultrasound.
Results
Logistic regression analysis of possible predictors revealed that age, male gender, diabetes, hyperlipidemia, and smoking were independent predictors for the presence of carotid plaque. Male gender was independently associated with the increased prevalence of carotid stenosis of 50% or more, as well as with symptomatic carotid plaques. Age was found to be the only independent factor influencing the extent (bilateral vs unilateral) of carotid disease among acute ischemic stroke patients in northern Israel. Although ethnicity was initially found to have an influence on the prevalence of carotid plaques (higher among Jews than Arabs), no such influence was found after logistic regression.
Conclusion
Our findings emphasize that demographic characteristics (age, gender) and vascular risk factors (diabetes, smoking and hyperlipidemia) rather than ethnic disparities are important determinants of carotid disease in acute ischemic stroke patients in northern Israel.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>22435882</pmid><doi>10.1111/j.1600-0404.2012.01663.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Age Age Factors Aged Biological and medical sciences carotid Carotid Artery Diseases - epidemiology Comorbidity Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Demography Diabetes mellitus Embolism ethnic Ethnic groups Female Humans Hyperlipidemia Ischemia ischemic stroke Israel - epidemiology Male Medical sciences Middle Aged Neurology Plaques Prevalence Regression analysis Risk Factors Smoking Stenosis Stroke Stroke - epidemiology Thrombosis Ultrasound |
| title | Carotid disease in acute ischemic stroke patients of northern Israel |
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