大脑微出血与中风风险增加有关:鹿特丹研究
Saloua Akoudad1, Marileen L P Portegies1, Peter J Koudstaal1
1From Departments of Epidemiology (S.A., M.L.P.P., A.H., M.A.I., M.W.V.), Radiology (S.A., A.v.d.L., M.A.I., M.W.V.), and Neurology (S.A., M.L.P.P., P.J.K., M.A.I.), Erasmus MC, University Medical Center Rotterdam, the Netherlands.
Circulation
|July 4, 2015
概括
通过MRI检测到的大脑微型血流与一般人群中中风风险较高有关. 这些发现表明,微型血液表明脑血管疾病的恶化,并且可能在中风事件之前发生.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 流行病学 流行病学
背景情况:
- 大脑微型血流在脑血管疾病中很常见,并预测中风复发.
- 他们的临床意义在健康的老年人仍然不清楚.
研究的目的:
- 调查大脑微型血流与一般人群中发生中风风险之间的关联.
- 为了确定微型出血的特征 (存在,数量,位置) 是否会改变中风风险.
主要方法:
- 基于人口的鹿特丹研究,共有4759名参与者 (年龄≥45岁).
- 大脑MRI在基线评估了微型血流;参与者对中风进行了跟踪 (2005-2013).
- 考克斯的比例危险模型调整了混因子.
主要成果:
- 微型出血的患病率为18.7%;在随访期间发生了93次中风.
- 微型出血的存在与所有中风的1.93倍风险增加有关.
- 腰部微型出血与大脑内出血风险增加5.27倍有关;其他位置增加了缺血性和出血性中风风险.
结论:
- 脑部MRI上的微型血流是一般人群中中风风险增加的独立标志物.
- 微型血液可能代表脑血管病理的进展,并作为中风的前体.
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