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Clinical Characteristics of Cardioembolic Transient Ischemic Attack: Comparison with Noncardioembolic Transient Ischemic Attack
Clinical Characteristics of Cardioembolic Transient Ischemic Attack: Comparison with Noncardioembolic Transient Ischemic Attack
- Source :
- Journal of Stroke and Cerebrovascular Diseases. 23:2169-2173
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Background Previous studies show that 6%-31% of transient ischemic attacks (TIA) were caused by cardiogenic cerebral embolism (cardioembolic TIA). As prompt initiation of therapy is essential in TIA to prevent subsequent strokes, determining their cause is important. In this study, we aim to determine the features of cardioembolic TIA and to compare them with those of noncardioembolic etiology. Methods We retrospectively reviewed patients with a tissue-defined TIA who were admitted to our hospital from April 2007 to August 2013. The etiology was categorized according to Trial of Org 10172 in Acute Stroke Treatment, and TIA of cardioembolic origin and cervicocerebrovascular etiology (noncardioembolic TIA) were included in this study. Those with 2 or more possible causes or undetermined etiologies were excluded. Age, sex, comorbidities, ABCD2 score, and CHADS2 score were assessed and compared between the 2 groups. Results There were no significant differences in the neurologic symptoms and their duration, morbidities of hypertension, diabetes, and dyslipidemia between the 2 groups. Coronary and peripheral artery diseases were more common in the cardioembolic TIA group (18.4% vs. 6.9%). Incidences of prior stroke and cerebral infarction determined by MRI were similar between the 2 groups. The ABCD2 score showed a similar distribution, but the CHADS2 score was significantly different; the cardioembolic TIA group showed a higher score ( P = .005). Conclusions Clinical features are similar in tissue-defined TIA of cardioembolic and noncardioembolic etiologies. The CHADS2 score can be useful in assessing the probability of cardioembolic TIA.
- Subjects :
- Male
medicine.medical_specialty
Coronary Disease
Comorbidity
Peripheral Arterial Disease
Cerebral embolism
Risk Factors
Internal medicine
Diabetes mellitus
Atrial Fibrillation
parasitic diseases
Diabetes Mellitus
ABCD2
medicine
Humans
cardiovascular diseases
Peripheral Artery Diseases
Stroke
Aged
Dyslipidemias
Retrospective Studies
Aged, 80 and over
biology
Cerebral infarction
business.industry
Rehabilitation
Middle Aged
medicine.disease
Magnetic Resonance Imaging
nervous system diseases
Surgery
Intracranial Embolism
Ischemic Attack, Transient
Hypertension
biology.protein
Cardiology
Etiology
Female
Neurology (clinical)
Cardiology and Cardiovascular Medicine
business
Dyslipidemia
Subjects
Details
- ISSN :
- 10523057
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of Stroke and Cerebrovascular Diseases
- Accession number :
- edsair.doi.dedup.....a7d602884603c0ca664b78ed7560b9f9
- Full Text :
- https://doi.org/10.1016/j.jstrokecerebrovasdis.2014.04.005