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Does the progeny of premature ischemic stroke sufferers need intensive interest of physicians oriented toward primary
Artur Mierzecki1, Małgorzata Kozłowska-Wojciechowska, Hanna Bukowska
1Independent Laboratory of Family Physician Education, Pomeranian Medical University, ul. Rybacka 1, Szczecin, Poland. roklr@sci.pam.szczecin.pl
Insights
Adult children of parents who had premature ischemic stroke (PIS) exhibit distinct stroke risk factors. This highlights a potential need for targeted preventive strategies in this high-risk group.
Area of Science:
- Neurology
- Cardiovascular Medicine
- Genetics
Background:
- Limited research exists on stroke risk factors in the offspring of stroke patients.
- Understanding familial predisposition to stroke is crucial for public health.
Purpose of the Study:
- To investigate and compare stroke risk factor profiles in adult children of parents with premature ischemic stroke (PIS) versus a control group.
- To identify potential health disparities and inform preventive measures.
Main Methods:
- A case-control study involving adult progeny of PIS patients and a control group with no parental history of vascular events.
- Assessment included dietary habits, arterial blood pressure, body mass index (BMI), and biochemical markers (triglycerides, cholesterol, homocysteine, fibrinogen).
Main Results:
- The progeny group exhibited a deficient, unbalanced diet, higher average blood pressure, and BMI compared to controls.
- Significantly elevated levels of triglycerides, total cholesterol, LDL-cholesterol, homocysteine, and fibrinogen were observed in the progeny group.
Conclusions:
- Adult children of PIS sufferers present with a different profile of stroke risk factors.
- These findings suggest the necessity for proactive preventive interventions in this population.
- Further large-scale studies are warranted to explore the familial occurrence of stroke.
Background:
Few studies focus on the progeny of stroke patients with respect to the occurrence of other potential risk factors.
Methods:
The study group covered 60 males and 62 females whose parents had suffered premature ischemic stroke (PIS); the control group comprised of 41 males and 47 females whose parents had no history of premature vascular event (mean age: 28.4 and 27.1 years, respectively). Examination of both the groups consisted of evaluation of their diet, measurement of arterial blood pressure and body mass index (BMI). Moreover, blood test was carried out and concentration of biochemical stroke risk factors was determined.
Results:
The adult progeny of parents with a history of PIS followed a deficient, unbalanced, and nonvaried diet. Their average blood pressure and BMI reached higher values, compared with the results obtained in the control group (125.7±16.06 vs. 122.64±10.83 mmHg; 24.27±3.98 vs. 22.54±2.69 kg/m, respectively; P<0.05). The same applies to average concentrations of the triglycerides 1.22±0.76 vs. 1.06±0.54 mmol/l; total cholesterol (5.34±1.16 vs. 4.82±0.89 mmol/l), low-density lipoprotein-cholesterol (2.95±0.97 vs. 2.52±0.73 mmol/l), total homocysteine (11.22±4.22 vs. 10.18±2.45 μmol/l), and fibrinogen (2.91±0.68 vs. 2.78±0.6 g/l) (P<0.05).
Conclusion:
Adult children of PIS sufferers show different stroke risk factor profiles than the control group. It may indicate a need for preventive activities for this group in the future. Family occurrence of stroke requires further detailed studies on a larger cohort of patients from risk group.
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