We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Concomitant diabetes or hypertension with metabolic syndrome on the extent of intracranial atherosclerotic stenosis.
- Authors
Park, Jong-Ho; Kim, Byoung Seok; Ovbiagele, Bruce
- Abstract
<bold>Background: </bold>Intracranial atherosclerotic stenosis (ICAS) is a major cause of ischemic stroke, especially in Asia. Assessing relationships between novel risk factors and ICAS could lead strategies for improving outcomes. We aimed to evaluate the link between severity of metabolic syndrome (MetS) and extent of ICAS (≥ 50% stenosis).<bold>Methods: </bold>We conducted a cross-sectional study of consecutive Korean patients with acute ischemic stroke, admitted from March 2009 through May 2013, who underwent brain MRI/MRA. Patients were stratified into hypertension only, diabetes mellitus (DM), MetS only, MetS and hypertension, MetS and DM, and neither. MetS was defined using the harmonized criteria.<bold>Results: </bold>Of 1220 patients (mean age, 68.2 ± 12.7; female, 42.6%), 238 had hypertension only, 67 DM, 48 MetS only, 311 MetS and hypertension, 403 MetS and DM (88.3% having concomitant hypertension), and 153 neither. Patients with MetS and DM had higher prevalence of ICAS and more ICAS lesions vs. those with neither (all P < 0.001). Compared with neither condition (1.3 ± 0.8), extent of MetS component were greater by increasing MetS severity category (1.7 ± 0.5, 1.8 ± 0.4, 3.3 ± 0.5, 3.4 ± 0.6, and 3.9 ± 0.7, P < 0.001). Odds of ICAS (OR 3.40, 95% CI, 1.82-6.36), ICAS (≥ 2) (4.65, 2.15-10.05), and ICAS (≥ 3) (2.82, 1.02-7.82) remained independently higher in patients with MetS and DM. DM, MetS only, or MetS and hypertension trended towards higher ICAS lesions.<bold>Conclusion: </bold>MetS and DM along with hypertension is associated with more extensive ICAS than MetS and hypertension or MetS only. Patients with MetS at high risk of hypertension and DM may benefit from therapeutic lifestyle changes to prevent stroke risk.
- Subjects
ASIA; SOUTH Korea; METABOLIC syndrome; HYPERTENSION; DIABETES; CROSS-sectional method; DIAGNOSIS of diabetes; STROKE diagnosis; HYPERTENSION epidemiology; STROKE; STENOSIS; MAGNETIC resonance imaging; CEREBRAL ischemia; CEREBRAL arteriosclerosis
- Publication
Neurological Sciences, 2020, Vol 41, Issue 2, p387
- ISSN
1590-1874
- Publication type
journal article
- DOI
10.1007/s10072-019-04105-w