Predictive value of ankle brachial index in patients with acute ischaemic stroke.
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| Title: | Predictive value of ankle brachial index in patients with acute ischaemic stroke. |
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| Authors: | Purroy, F., Coll, B., Or, M., Set, E., Piñol-Ripoll, G., Plana, A., Quílez, A., Sanahuja, J., Brieva, L., Vega, L., Fernández, E. |
| Source: | European Journal of Neurology. Apr2010, Vol. 17 Issue 4, p602-606. 5p. 3 Charts, 1 Graph. |
| Subjects: | Ankle brachial index, Hypertension, Cardiovascular diseases, Ischemia, Cerebrovascular disease |
| Abstract: | Background: The ankle brachial index (ABI) is a known measure of lower-limb peripheral artery disease (PAD), as well as a marker for other cardiovascular disease events. Objective: Our goal was to compare the prevalence of abnormal ABI scores (ABI ≤ 0.9) between: consecutive patients with acute ischaemic stroke (IS), primary care patients with refractory hypertension (rHT), and patients at intermediate cardiovascular risk (ICVR). Also, to determine the prognostic value of abnormal ABI for stroke recurrence in patients with IS. Methods: We compared 116 consecutive patients with IS with 190 rHT and 150 ICVR patients. Clinical data and ultrasonographic findings were recorded. Stroke recurrence and risk of new vascular events were assessed after 18 months of follow-up. Results: Low ABI was more frequent in rHT (35.8%) than in the IS (24.1%) and ICVR (24.7%) groups ( P = 0.031). Amongst patients with IS, ABI ≤ 0.9 was associated with vascular risk factors (VRF) ≥3 (33.8% vs. 7.1%, P = 0.001) and large-artery atherosclerosis (LAA) (43.5% vs. 19.4%, P = 0.015). Multivariate analyses (logistic regression) only identified VRF > 3 as independently associated with low ABI (OR : 6.46; 1.81-23.02; P = 0.004). Abnormal ABI was associated with stroke recurrence (32.1% vs. 13.6%, P = 0.027) and the appearance of any major vascular event (50.0% vs. 17.0%, P < 0.001). In the logistic regression analysis, adjusted for VRF, age, and LAA, ABI remained as an independent predictor of vascular events (HR 3.99; 1.90–8.41 P < 0.001). Conclusion: Abnormal ABI was associated with classical risk factors, especially hypertension. The measurement of ABI amongst patients with IS appeared to be useful to identify high-risk patients and plan adequate prevention therapies. [ABSTRACT FROM AUTHOR] |
| Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 48584991 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Predictive value of ankle brachial index in patients with acute ischaemic stroke. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Purroy%2C+F%2E%22">Purroy, F.</searchLink><br /><searchLink fieldCode="AR" term="%22Coll%2C+B%2E%22">Coll, B.</searchLink><br /><searchLink fieldCode="AR" term="%22Or%2C+M%2E%22">Or, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Set%2C+E%2E%22">Set, E.</searchLink><br /><searchLink fieldCode="AR" term="%22Piñol-Ripoll%2C+G%2E%22">Piñol-Ripoll, G.</searchLink><br /><searchLink fieldCode="AR" term="%22Plana%2C+A%2E%22">Plana, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Quílez%2C+A%2E%22">Quílez, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Sanahuja%2C+J%2E%22">Sanahuja, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Brieva%2C+L%2E%22">Brieva, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Vega%2C+L%2E%22">Vega, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Fernández%2C+E%2E%22">Fernández, E.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Journal+of+Neurology%22">European Journal of Neurology</searchLink>. Apr2010, Vol. 17 Issue 4, p602-606. 5p. 3 Charts, 1 Graph. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Ankle+brachial+index%22">Ankle brachial index</searchLink><br /><searchLink fieldCode="DE" term="%22Hypertension%22">Hypertension</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiovascular+diseases%22">Cardiovascular diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Ischemia%22">Ischemia</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebrovascular+disease%22">Cerebrovascular disease</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: The ankle brachial index (ABI) is a known measure of lower-limb peripheral artery disease (PAD), as well as a marker for other cardiovascular disease events. Objective: Our goal was to compare the prevalence of abnormal ABI scores (ABI ≤ 0.9) between: consecutive patients with acute ischaemic stroke (IS), primary care patients with refractory hypertension (rHT), and patients at intermediate cardiovascular risk (ICVR). Also, to determine the prognostic value of abnormal ABI for stroke recurrence in patients with IS. Methods: We compared 116 consecutive patients with IS with 190 rHT and 150 ICVR patients. Clinical data and ultrasonographic findings were recorded. Stroke recurrence and risk of new vascular events were assessed after 18 months of follow-up. Results: Low ABI was more frequent in rHT (35.8%) than in the IS (24.1%) and ICVR (24.7%) groups ( P = 0.031). Amongst patients with IS, ABI ≤ 0.9 was associated with vascular risk factors (VRF) ≥3 (33.8% vs. 7.1%, P = 0.001) and large-artery atherosclerosis (LAA) (43.5% vs. 19.4%, P = 0.015). Multivariate analyses (logistic regression) only identified VRF > 3 as independently associated with low ABI (OR : 6.46; 1.81-23.02; P = 0.004). Abnormal ABI was associated with stroke recurrence (32.1% vs. 13.6%, P = 0.027) and the appearance of any major vascular event (50.0% vs. 17.0%, P < 0.001). In the logistic regression analysis, adjusted for VRF, age, and LAA, ABI remained as an independent predictor of vascular events (HR 3.99; 1.90–8.41 P < 0.001). Conclusion: Abnormal ABI was associated with classical risk factors, especially hypertension. The measurement of ABI amongst patients with IS appeared to be useful to identify high-risk patients and plan adequate prevention therapies. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/j.1468-1331.2009.02874.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 602 Subjects: – SubjectFull: Ankle brachial index Type: general – SubjectFull: Hypertension Type: general – SubjectFull: Cardiovascular diseases Type: general – SubjectFull: Ischemia Type: general – SubjectFull: Cerebrovascular disease Type: general Titles: – TitleFull: Predictive value of ankle brachial index in patients with acute ischaemic stroke. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Purroy, F. – PersonEntity: Name: NameFull: Coll, B. – PersonEntity: Name: NameFull: Or, M. – PersonEntity: Name: NameFull: Set, E. – PersonEntity: Name: NameFull: Piñol-Ripoll, G. – PersonEntity: Name: NameFull: Plana, A. – PersonEntity: Name: NameFull: Quílez, A. – PersonEntity: Name: NameFull: Sanahuja, J. – PersonEntity: Name: NameFull: Brieva, L. – PersonEntity: Name: NameFull: Vega, L. – PersonEntity: Name: NameFull: Fernández, E. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2010 Type: published Y: 2010 Identifiers: – Type: issn-print Value: 13515101 Numbering: – Type: volume Value: 17 – Type: issue Value: 4 Titles: – TitleFull: European Journal of Neurology Type: main |
| ResultId | 1 |
