TIA patients with higher ABCD3-I scores are prone to a higher incidence of intracranial stenosis, unstable carotid plaques and multiple-vessel involvement
The ABCD3-I criteria have proved to be effective for use in regular clinical practice to assist in transient ischemic attack (TIA) risk stratification and treatment. In this prospective study we aimed to explore the relationships between risk stratification and arterial stenosis location, carotid pl...
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Veröffentlicht in: | Functional neurology 2018-10, Vol.33 (4), p.217-224 |
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description | The ABCD3-I criteria have proved to be effective for use in regular clinical practice to assist in transient ischemic attack (TIA) risk stratification and treatment. In this prospective study we aimed to explore the relationships between risk stratification and arterial stenosis location, carotid plaque morphology and vessel involvement in 90 TIA patients, stratifying risk by ABCD3-I scores. Clinical variables such as total cholesterol, triglyceride, low-density lipoprotein cholesterol, glycosylated hemoglobin, homocysteine and high-sensitive C-reactive protein levels were recorded. The endpoint was subsequent stroke at seven-day follow-up. Ninety patients were divided into three risk groups on the basis of their ABCD3-I scores. The results revealed that patients with higher ABCD3-I scores showed a higher occurrence of intracranial stenosis (P < 0.05), less organized carotid plaques (P < 0.05) and multiple-vessel involvement (P < 0.05). |
doi_str_mv | 10.11138/FNeur/2018.33.4.217 |
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In this prospective study we aimed to explore the relationships between risk stratification and arterial stenosis location, carotid plaque morphology and vessel involvement in 90 TIA patients, stratifying risk by ABCD3-I scores. Clinical variables such as total cholesterol, triglyceride, low-density lipoprotein cholesterol, glycosylated hemoglobin, homocysteine and high-sensitive C-reactive protein levels were recorded. The endpoint was subsequent stroke at seven-day follow-up. Ninety patients were divided into three risk groups on the basis of their ABCD3-I scores. 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The results revealed that patients with higher ABCD3-I scores showed a higher occurrence of intracranial stenosis (P < 0.05), less organized carotid plaques (P < 0.05) and multiple-vessel involvement (P < 0.05).</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood pressure</subject><subject>Carotid arteries</subject><subject>Carotid Artery Diseases - classification</subject><subject>Carotid Artery Diseases - diagnosis</subject><subject>Carotid Artery Diseases - epidemiology</subject><subject>Cholesterol</subject><subject>Committees</subject><subject>Constriction, Pathologic - classification</subject><subject>Constriction, Pathologic - diagnosis</subject><subject>Constriction, Pathologic - epidemiology</subject><subject>Female</subject><subject>Hemoglobin</subject><subject>Homocysteine</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intracranial Arterial Diseases - classification</subject><subject>Intracranial Arterial Diseases - diagnosis</subject><subject>Intracranial Arterial Diseases - epidemiology</subject><subject>Ischemia</subject><subject>Ischemic Attack, Transient - classification</subject><subject>Ischemic Attack, Transient - diagnosis</subject><subject>Ischemic Attack, Transient - epidemiology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Patients</subject><subject>Plaque, Atherosclerotic - classification</subject><subject>Plaque, Atherosclerotic - diagnosis</subject><subject>Plaque, Atherosclerotic - epidemiology</subject><subject>Prospective Studies</subject><subject>Risk Assessment - methods</subject><subject>Spinal cord</subject><subject>Stroke</subject><subject>Systematic review</subject><subject>Transient ischemic attack</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><issn>0393-5264</issn><issn>1971-3274</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkMFq3DAURUVJaSZp_6AEQTZdxBPJT7Kt5XSapAOh3aTrQZbedBRkyZHkKf2Vfm09JNlk9bhwONx3CfnM2ZJzDt317Q-c0nXNeLcEWIplzdt3ZMFVyyuoW3FCFgwUVLJuxCk5y_mRMQkg2AdyCqxpQDVqQf49bFZ01MVhKJn-cWVP9-73HhNdfV1_g2pDs4kJM9UJ6ZhiQFoi1a-QC8ZZDAZp3M2hJG2SDk57mguGmF2-olPIRfceqdEpFmfp6PXTdFQGS4fJFzd6rA6YM_rZcYj-gMNc5yN5v9M-46eXe05-3d48rL9X9z_vNuvVfTXWoEplhbJdpzptkENjdz1KK5VURkAHyIxhSrTS9HUvrQWpdtJYKdBoqAW0ooVz8uXZO7937FW2g8sGvdcB45S3864KuqaTakYv36CPcUphbnekasbahouZunihpn5Aux2TG3T6u31dHf4D1XqHUw</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Yu, Q</creator><creator>Miao, W</creator><creator>Han, J</creator><general>CIC Edizioni Internazionali</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BFMQW</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201810</creationdate><title>TIA patients with higher ABCD3-I scores are prone to a higher incidence of intracranial stenosis, unstable carotid plaques and multiple-vessel involvement</title><author>Yu, Q ; Miao, W ; Han, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p239t-d49d8898ace136dfbe5d5959c4383e0cc09475cb2b5dd359f5cd54eca32437473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood pressure</topic><topic>Carotid arteries</topic><topic>Carotid Artery Diseases - classification</topic><topic>Carotid Artery Diseases - diagnosis</topic><topic>Carotid Artery Diseases - epidemiology</topic><topic>Cholesterol</topic><topic>Committees</topic><topic>Constriction, Pathologic - classification</topic><topic>Constriction, Pathologic - diagnosis</topic><topic>Constriction, Pathologic - epidemiology</topic><topic>Female</topic><topic>Hemoglobin</topic><topic>Homocysteine</topic><topic>Humans</topic><topic>Incidence</topic><topic>Intracranial Arterial Diseases - classification</topic><topic>Intracranial Arterial Diseases - diagnosis</topic><topic>Intracranial Arterial Diseases - epidemiology</topic><topic>Ischemia</topic><topic>Ischemic Attack, Transient - classification</topic><topic>Ischemic Attack, Transient - diagnosis</topic><topic>Ischemic Attack, Transient - epidemiology</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Patients</topic><topic>Plaque, Atherosclerotic - classification</topic><topic>Plaque, Atherosclerotic - diagnosis</topic><topic>Plaque, Atherosclerotic - epidemiology</topic><topic>Prospective Studies</topic><topic>Risk Assessment - methods</topic><topic>Spinal cord</topic><topic>Stroke</topic><topic>Systematic review</topic><topic>Transient ischemic attack</topic><topic>Ultrasonic imaging</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Q</creatorcontrib><creatorcontrib>Miao, W</creatorcontrib><creatorcontrib>Han, J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Continental Europe Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Functional neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Q</au><au>Miao, W</au><au>Han, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>TIA patients with higher ABCD3-I scores are prone to a higher incidence of intracranial stenosis, unstable carotid plaques and multiple-vessel involvement</atitle><jtitle>Functional neurology</jtitle><addtitle>Funct Neurol</addtitle><date>2018-10</date><risdate>2018</risdate><volume>33</volume><issue>4</issue><spage>217</spage><epage>224</epage><pages>217-224</pages><issn>0393-5264</issn><eissn>1971-3274</eissn><abstract>The ABCD3-I criteria have proved to be effective for use in regular clinical practice to assist in transient ischemic attack (TIA) risk stratification and treatment. In this prospective study we aimed to explore the relationships between risk stratification and arterial stenosis location, carotid plaque morphology and vessel involvement in 90 TIA patients, stratifying risk by ABCD3-I scores. Clinical variables such as total cholesterol, triglyceride, low-density lipoprotein cholesterol, glycosylated hemoglobin, homocysteine and high-sensitive C-reactive protein levels were recorded. The endpoint was subsequent stroke at seven-day follow-up. Ninety patients were divided into three risk groups on the basis of their ABCD3-I scores. The results revealed that patients with higher ABCD3-I scores showed a higher occurrence of intracranial stenosis (P < 0.05), less organized carotid plaques (P < 0.05) and multiple-vessel involvement (P < 0.05).</abstract><cop>Italy</cop><pub>CIC Edizioni Internazionali</pub><pmid>30663969</pmid><doi>10.11138/FNeur/2018.33.4.217</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Blood pressure Carotid arteries Carotid Artery Diseases - classification Carotid Artery Diseases - diagnosis Carotid Artery Diseases - epidemiology Cholesterol Committees Constriction, Pathologic - classification Constriction, Pathologic - diagnosis Constriction, Pathologic - epidemiology Female Hemoglobin Homocysteine Humans Incidence Intracranial Arterial Diseases - classification Intracranial Arterial Diseases - diagnosis Intracranial Arterial Diseases - epidemiology Ischemia Ischemic Attack, Transient - classification Ischemic Attack, Transient - diagnosis Ischemic Attack, Transient - epidemiology Male Medical imaging Middle Aged NMR Nuclear magnetic resonance Patients Plaque, Atherosclerotic - classification Plaque, Atherosclerotic - diagnosis Plaque, Atherosclerotic - epidemiology Prospective Studies Risk Assessment - methods Spinal cord Stroke Systematic review Transient ischemic attack Ultrasonic imaging Veins & arteries |
title | TIA patients with higher ABCD3-I scores are prone to a higher incidence of intracranial stenosis, unstable carotid plaques and multiple-vessel involvement |
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