Stroke recurrence within 2 years after ischemic infarction

D. B. Hier, M. A. Foulkes*, M. Swiontoniowski, R. L. Sacco, P. B. Gorelick, J. P. Mohr, T. R. Price, P. A. Wolf

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

255 Scopus citations

Abstract

We prospectively studied stroke recurrence in 1,273 patients with ischemic stroke who were entered into the Stroke Data Bank. Median follow-up was 13 months. The 2-year cumulative recurrence rate among these patients was 14.1%. Age, sex, race, history of hypertension, atrial fibrillation, or transient ischemic attacks, and stroke location were not associated with a higher risk of stroke recurrence. Patients with an elevated blood pressure, an abnormal initial computed tomogram, or a history of diabetes mellitus were at a higher risk of stroke recurrence. In contrast, patients with an infarct of unknown cause were at a lower risk of stroke recurrence than patients with a denned stroke mechanism, such as lacune, embolism, or atherosclerosis. Amultivaria te model suggests that patients at the lowest risk for stroke recurrence have a low diastolic blood pressure, no history of stroke, no history of diabetes mellitus, and an infarct of unknown cause.

Original languageEnglish (US)
Pages (from-to)155-161
Number of pages7
JournalStroke
Volume22
Issue number2
DOIs
StatePublished - Feb 1991

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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