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January 6, 2006Stroke68 citationsOpen Access

Morbidity and Mortality After Stroke—Eprosartan Compared With Nitrendipine for Secondary Prevention: Principal Results of a Prospective Randomized Controlled Study (MOSES)

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JBJean-Martin BoulangerMHMichael D. Hill

Key Result

The tPA -7351 TT genotype showed a positive association with lacunar stroke in an Australian population, though this finding was based on subgroup analysis and remains hypothesis generating.

Structured PICO

Does the tPA -7351 TT genotype associate with lacunar stroke in an Australian population?

P
Population
Australian population evaluated for lacunar stroke
E
Exposure
tPA -7351 TT genotype
O
Outcome
lacunar stroke (cerebral lacunar infarction)

The tPA -7351 TT genotype has a positive, hypothesis-generating association with lacunar stroke in an Australian population.

Limitations

  • Association was made after subgroup analysis and is hypothesis generating
  • Requires confirmation in a larger, well-designed study
  • Association was made after subgroup analysis

Abstract

We thank Armstrong and colleagues for acknowledging the importance of the original study, which found a positive association between the tPA -7351 TT genotype and lacunar stroke in an Australian population. As we concluded in the article, this association was made after subgroup analysis and was thus interpreted as hypothesis generating. We agree that confirmation in a larger, well-designed study is critical. It is important to reiterate that the tPA 7351 C/T polymorphism possesses a plausible biological reason to cause cerebral lacunar infarction,

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Cite This Study

Boulanger et al. (2006) conducted a letter in lacunar stroke. tPA -7351 TT genotype was evaluated on lacunar stroke. The tPA -7351 TT genotype showed a positive association with lacunar stroke in an Australian population, though this finding was based on subgroup analysis and remains hypothesis generating.

synapsesocial.com/papers/6a59ab5438f2a29714e2a781https://doi.org/10.1161/01.str.0000199659.31103.d2
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