[The prevalence and risk factors for coronary stenosis in patients with cerebral infarction]
Jiang-hong Zheng1, Dong-qing Hu, Guang-yu An
1Department and Interventional Therapy, Zhangye People's Hospital in Gansu Province, Zhangye 734000, China.
Insights
Coronary stenosis affects nearly half of patients with cerebral infarction. Early heart screening is crucial for those over 65, with hypertension, or hyperlipidemia to detect this condition.
Area of Science:
- Cardiology
- Neurology
- Radiology
Background:
- Cerebral infarction (stroke) is a significant health concern.
- Coronary artery disease is a common comorbidity.
Purpose of the Study:
- To determine the prevalence of coronary stenosis in patients diagnosed with cerebral infarction.
- To identify risk factors associated with coronary stenosis in this patient group.
Main Methods:
- 112 patients with cerebral infarction underwent CT coronary angiography.
- Multivariate logistic regression analysis was used to assess correlations between clinical data and coronary stenosis.
Main Results:
- The morbidity rate of coronary stenosis was 46.4% in the overall cohort and 51.6% in a subgroup of 95 cerebral infarction patients.
- Independent predictors for coronary stenosis included advanced age (>65 years), hypertension, hyperlipidemia, and significant cerebral artery narrowing.
Conclusions:
- Routine cardiac CT screening is recommended for cerebral infarction patients post-cerebral angiography.
- Early detection of coronary stenosis is particularly important for elderly patients with hypertension, hyperlipidemia, and cerebral artery disease.
Objective:
To study the morbidity rate of and relevance to coronary stenosis in cerebral infarction patients.
Methods:
CT coronary angiography was performed in 112 cases of cerebral infarction after CT cerebral angiography. Multivariate logistic regression analysis was carried out between the clinical data and coronary stenosis.
Results:
In 112 cases receiving CT cerebral angiography, the morbidity rate of coronary stenosis was 46.4%. In 95 cerebral infarction patients, the morbidity rate of coronary stenosis was 51.6%. Multivariate logistic analysis showed that age, hypertension, hyperlipidemia, significant narrowing of cerebral artery were identified as independent predictors for coronary stenosis.
Conclusions:
Heart examination with 64 row CT should be routinely performed after cerebral angiography in cerebral infarction patients, especially in those with age greater than 65 years, hypertension, hyperlipidemia and significant narrowing of cerebral artery so as to detect coronary stenosis early.
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