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[The patient with acute cerebrovascular disorders: assessment of associated diseases].
Acta Med Port. 1990 Nov-Dec; 3(6):353-8.AM

Abstract

We performed a prospective study in 106 patients with acute stroke. The main purpose was to evaluate the associated diseases and to determine their prevalence and incidence in two different types of cerebrovascular disease: the intracerebral hemorrhage (HI) and ischaemic events (AI). The studied population included 54 men and 52 women with a mean age of 66.8 +/- 10.3 years. A clinical examination was performed in all patients by different specialists and all were submitted to diverse complementary tests, including a computed tomography scan of the brain (TAC) and an echocardiogram (ECO). We found 24 (23%) HI and 82 (77%) AI. In the past history, previous stroke were more prevalent in AI (p less than 0.01). Heart disease was present in 87 (82%) patients but, among them, only atrial fibrillation which was found in 19 (18%) patients, was significantly more frequent in AI (p less than 0.02). Hypertension (HTA) existed in 79 (75%) patients, respiratory complications and periferic vascular disease in 9 (8%), diabetes in 44 (42%) and dyslipidemia in 31 (29%) patients. No significant difference was found between the two groups of stroke regarding these diseases; however, there was a tendency for HTA and diabetes to be more prevalent in HI and for periferic vascular disease in AI. In the blood tests, high haematocrit was found in 35 (33%) patients, anemia in 21 (20%), hypercholesterolemia in 17 (16%), hypertrigliceridemia in 18 (17%) and uremia or creatinemia or ionic alteration in 32 (30%) patients, without any difference in their prevalence and incidence in the two groups of stroke. In conclusion, in this prospective study of patients with an acute stroke, there was 23% of HI and 77% of AI, a high prevalence of previous stroke, heart disease and HTA, but only the previous stroke and, within heart disease, the atrial fibrillation were significantly more frequent in the AI group. Also, periferic vascular disease had a tendency to be more frequent in AI, as well as diabetes and HTA had in HI.

Authors+Show Affiliations

Monteiro J
Serviço de Medicina I e Núcleo de Estudos de Hipertensão Arterial, Hospital de Santa Maria, Faculdade de Medicina de Lisboa.
Ferreira D
No affiliation info available
Fonseca TP
No affiliation info available
Freitas A
No affiliation info available
Melo TP
No affiliation info available
Ferro J
No affiliation info available
Nogueira JB
No affiliation info available
Franco AS
No affiliation info available
Mota E
No affiliation info available
da Costa JN
No affiliation info available

MeSH

Acute DiseaseAdultAgedAged, 80 and overBrain IschemiaCerebral HemorrhageCerebrovascular DisordersFemaleHumansMaleMiddle AgedProspective Studies

Pub Type(s)

English Abstract
Journal Article

Language

por

PubMed ID

2089857

Citation

Monteiro, J, et al. "[The Patient With Acute Cerebrovascular Disorders: Assessment of Associated Diseases]." Acta Medica Portuguesa, vol. 3, no. 6, 1990, pp. 353-8.
Monteiro J, Ferreira D, Fonseca TP, et al. [The patient with acute cerebrovascular disorders: assessment of associated diseases]. Acta Med Port. 1990;3(6):353-8.
Monteiro, J., Ferreira, D., Fonseca, T. P., Freitas, A., Melo, T. P., Ferro, J., Nogueira, J. B., Franco, A. S., Mota, E., & da Costa, J. N. (1990). [The patient with acute cerebrovascular disorders: assessment of associated diseases]. Acta Medica Portuguesa, 3(6), 353-8.
Monteiro J, et al. [The Patient With Acute Cerebrovascular Disorders: Assessment of Associated Diseases]. Acta Med Port. 1990 Nov-Dec;3(6):353-8. PubMed PMID: 2089857.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The patient with acute cerebrovascular disorders: assessment of associated diseases]. AU - Monteiro,J, AU - Ferreira,D, AU - Fonseca,T P, AU - Freitas,A, AU - Melo,T P, AU - Ferro,J, AU - Nogueira,J B, AU - Franco,A S, AU - Mota,E, AU - da Costa,J N, PY - 1990/11/1/pubmed PY - 1990/11/1/medline PY - 1990/11/1/entrez SP - 353 EP - 8 JF - Acta medica portuguesa JO - Acta Med Port VL - 3 IS - 6 N2 - We performed a prospective study in 106 patients with acute stroke. The main purpose was to evaluate the associated diseases and to determine their prevalence and incidence in two different types of cerebrovascular disease: the intracerebral hemorrhage (HI) and ischaemic events (AI). The studied population included 54 men and 52 women with a mean age of 66.8 +/- 10.3 years. A clinical examination was performed in all patients by different specialists and all were submitted to diverse complementary tests, including a computed tomography scan of the brain (TAC) and an echocardiogram (ECO). We found 24 (23%) HI and 82 (77%) AI. In the past history, previous stroke were more prevalent in AI (p less than 0.01). Heart disease was present in 87 (82%) patients but, among them, only atrial fibrillation which was found in 19 (18%) patients, was significantly more frequent in AI (p less than 0.02). Hypertension (HTA) existed in 79 (75%) patients, respiratory complications and periferic vascular disease in 9 (8%), diabetes in 44 (42%) and dyslipidemia in 31 (29%) patients. No significant difference was found between the two groups of stroke regarding these diseases; however, there was a tendency for HTA and diabetes to be more prevalent in HI and for periferic vascular disease in AI. In the blood tests, high haematocrit was found in 35 (33%) patients, anemia in 21 (20%), hypercholesterolemia in 17 (16%), hypertrigliceridemia in 18 (17%) and uremia or creatinemia or ionic alteration in 32 (30%) patients, without any difference in their prevalence and incidence in the two groups of stroke. In conclusion, in this prospective study of patients with an acute stroke, there was 23% of HI and 77% of AI, a high prevalence of previous stroke, heart disease and HTA, but only the previous stroke and, within heart disease, the atrial fibrillation were significantly more frequent in the AI group. Also, periferic vascular disease had a tendency to be more frequent in AI, as well as diabetes and HTA had in HI. SN - 0870-399X UR - https://www.unboundmedicine.com/medline/citation/2089857/[The_patient_with_acute_cerebrovascular_disorders:_assessment_of_associated_diseases]_ DB - PRIME DP - Unbound Medicine ER -