Myocardial infarction after acute ischaemic stroke: Incidence, mortality, and risk factors
Acta Neurologica Scandinavica Jun 03, 2019
Pana TA, et al. - After prospectively identifying 9,840 acute ischemic stroke (AIS) patients admitted to a UK regional center between January 2003-December 2016, researchers assessed the risk factors correlated with post-AIS myocardial infarction (MI) over long-term follow-up. Increasing blood glucose, total leukocyte count, and CRP were factors associated with in-hospital MI. Between discharge and one year of follow-up, age, coronary heart disease, chronic kidney disease, and cancers were associated with incident MI. MI during all follow-up periods was linked to increased risk of death. Incident MI between 1-5 years after discharge was linked with age, diabetes, congestive heart failure, coronary heart disease, hypertension, and peripheral vascular disease, while only diabetes, hypertension, and peripheral vascular disease were linked with incident MI between 5-10 years after discharge. According to this observational study, post-stroke MI prognosis is poor. In order to focus on preventive efforts, many potential areas were highlighted.
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