LONG-TERM PROGNOSIS OF TRANSIENT ISCHEMIC ATTACKS AND REVERSIBLE ISCHEMIC NEUROLOGIC DEFICITS - A HOSPITAL-BASED STUDY

被引:19
|
作者
CAROLEI, A
CANDELISE, L
FIORELLI, M
FRANCUCCI, BM
MOTOLESE, M
FIESCHI, C
机构
关键词
TRANSIENT ISCHEMIC ATTACK; REVERSIBLE ISCHEMIC NEUROLOGIC DEFICITS; STROKE;
D O I
10.1159/000109026
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A hospital-based series of 712 patients with either transient ischemic attacks (TIAs) or reversible ischemic neurologic deficits (RINDs) was followed prospectively for 4 years in order to determine the long-term prognosis for cerebral and cardiac events in this group. The annual recurrence rates for new TIAs were 15.9, 5.3, 4.7 and 3.5% in the 1st, 2nd, 3rd and 4th year, respectively, and the corresponding ones for fatal and nonfatal strokes were 3.37, 2.36, 1.7 and 1.3%. Strokes tended to occur in the 1st follow-up year (51%). The ratio of cerebral to cardiac deaths was 2.4. The survival of patients with RIND was similar to that of patients with TIA. Both survival rates were lower than those of an age- and sex-matched cohort sampled from the general population. Male gender emerged as a reliable predictor for cardiac events (p < 0.01), multiple TIA or RIND on admission predicted subsequent TIA (p < 0.001) but not stroke. A history of hypertension predicted cerebral death (p < 0.01), and a history of cardiac disease predicted cerebral (p < 0.01) and cardiac death (p < 0.05). Overall mortality depended on an age > 60 years (p < 0.05), hypertension (p < 0.05) and cardiac disease (p < 0.001).
引用
收藏
页码:266 / 272
页数:7
相关论文
共 50 条
  • [1] LONG-TERM EVOLUTION OF TRANSIENT ISCHEMIC ATTACKS, REVERSIBLE ISCHEMIC NEUROLOGIC DEFICITS AND MINIMAL RESIDUAL DAMAGE INFARCTION
    CALANDRE, L
    GOMARA, S
    OZAITA, G
    BERMEJO, F
    MEDICINA CLINICA, 1987, 89 (07): : 265 - 268
  • [2] LONG-TERM PROGNOSIS OF REVERSIBLE CEREBRAL ISCHEMIC ATTACKS
    SORENSEN, PS
    MARQUARDSEN, J
    MUNCK, O
    PEDERSEN, H
    HELTBERG, A
    STROKE, 1989, 20 (01) : 159 - 159
  • [3] LONG-TERM PROGNOSIS AFTER TRANSIENT ISCHEMIC ATTACKS
    SIMONSEN, N
    CHRISTIANSEN, HD
    HELTBERG, A
    MARQUARDSEN, J
    PEDERSEN, HE
    SORENSEN, PS
    ACTA NEUROLOGICA SCANDINAVICA, 1981, 63 (03): : 156 - 168
  • [4] LONG-TERM PROGNOSIS OF TRANSIENT CEREBRAL ISCHEMIC ATTACKS
    SORENSEN, PS
    MARQUARDSEN, J
    PEDERSEN, H
    HELTBERG, A
    MUNCK, O
    ACTA NEUROLOGICA SCANDINAVICA, 1987, 76 (05): : 405 - 405
  • [5] Long-Term Prognosis of Transient Cerebral Ischemic Attacks
    Goldner, John C.
    Whisnant, Jack P.
    Taylor, William F.
    STROKE, 1971, 2 (02) : 160 - 167
  • [6] LONG-TERM PROGNOSIS AFTER VERTEBROBASILAR TRANSIENT ISCHEMIC ATTACKS
    HORNIG, CR
    LAMMERS, C
    BUTTNER, T
    HOFFMANN, O
    DORNDORF, W
    AKTUELLE NEUROLOGIE, 1992, 19 (01) : 1 - 5
  • [7] LONG-TERM PROGNOSIS OF INFRATENTORIAL TRANSIENT ISCHEMIC ATTACKS AND MINOR STROKES
    HORNIG, CR
    LAMMERS, C
    BUTTNER, T
    HOFFMANN, O
    DORNDORF, W
    STROKE, 1992, 23 (02) : 199 - 204
  • [8] SHORT-TERM OUTCOME OF MEDICALLY TREATED PATIENTS WITH TRANSIENT ISCHEMIC ATTACKS, REVERSIBLE ISCHEMIC NEUROLOGIC DEFICITS AND STROKES WITH MINIMUM RESIDUUM
    CALANDRE, L
    MOLINA, JA
    EUROPEAN NEUROLOGY, 1985, 24 (04) : 281 - 285
  • [9] LONG-TERM PROGNOSIS AND QUALITY OF LIFE AFTER REVERSIBLE CEREBRAL ISCHEMIC ATTACKS
    SORENSEN, PS
    MARQUARDSEN, J
    PEDERSEN, H
    HELTBERG, A
    MUNCK, O
    ACTA NEUROLOGICA SCANDINAVICA, 1989, 79 (03): : 204 - 213
  • [10] Long-term mortality and risk of stroke after transient ischemic attackA hospital-based cohort study
    Christian Weimar
    Jens Benemann
    Roman Huber
    Thomas Mieck
    Stephen Kaendler
    Steven Grieshammer
    Zaza Katsarava
    Hans-Christoph Diener
    Journal of Neurology, 2009, 256 : 639 - 644