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- Title
Multiple presence of prothrombotic risk factors in Croatian children with arterial ischemic stroke and transient ischemic attack.
- Authors
Krleža, Jasna Leniček; Đuranović, Vlasta; Bronić, Ana; Herak, Desiree Coen; Mejaški-Bošnjak, Vlatka; Zadro, Renata
- Abstract
Aim To determine the frequency of inherited and acquired prothrombotic risk factors in children with arterial ischemic stroke (AIS) and transient ischemic attacks (TIA) in Croatia. Methods We investigated 14 prothrombotic risk factors using blood samples from 124 children with AIS or TIA and 42 healthy children. Prothrombotic risk factors were classified into five groups: natural coagulation inhibitors (antithrombin, protein C, protein S), blood coagulation factors (FV Leiden and FII 20210), homocysteine, lipid and lipoprotein profile (lipoprotein (a), triglycerides, total, high- and low-density lipoprotein), and antiphospholipid antibodies (lupus anticoagulant, anticardiolipin, and antiphosphatidylserine antibodies). Results The most common prothrombotic risk factor was elevated lipoprotein (a), which was identified in about 31% of patients and in 24% of controls. Natural coagulation inhibitors were decreased in about 19% of patients, but not in controls. Pathological values of homocysteine, blood coagulation factor polymorphisms, and antiphospholipid antibodies were found in similar frequencies in all groups. Fourteen children with AIS and TIA (11.3%) and no children from the control group had three or more investigated risk factors. Conclusion The presence of multiple prothrombotic risk factors in children with cerebrovascular disorder suggests that a combination of risk factors rather than individual risk factors could contribute to cerebrovascular disorders in children.
- Publication
Croatian Medical Journal, 2013, Vol 54, Issue 4, p346
- ISSN
0353-9504
- Publication type
Academic Journal
- DOI
10.3325/cmj.2013.54.346