Key result
Among ischemic stroke patients in south Egypt, 64.3% had extracranial atherosclerosis, and hypertension was a strong independent predictor of significant (≥70%) carotid stenosis (OR 18.866).
Why the study?
Limited data are available on the frequency of carotid artery disease among cerebrovascular ischemic stroke patients in south Egypt.
Cross-Sectional (n=185)
No
Odds Ratio: 18.866 (95% CI 2.256–37.157)
p-value: p=0.007
Extracranial carotid atherosclerosis is highly prevalent among ischemic stroke patients in south Egypt, with hypertension, hyperlipidemia, smoking, and older age serving as strong independent predictors of severe stenosis.
Emphasizes aggressive blood pressure management for regional stroke prevention; extends epidemiological data to an understudied population.
Background Limited data are available on the frequency of carotid artery disease among cerebrovascular ischemic stroke (CVS) patients in south Egypt. The aim of the present study is to determine the prevalence and risk factors of extracranial atherosclerosis among stroke patients using extracranial duplex ultrasound. Results 142 patients (76.8%) were males and 43 (23.2%) were females. Their mean age was 63.3 ± 9.79 years with no significant difference between the mean age of the male and female groups. NIHSS score ranged from 3 to 25 (mean ± S.D; 11.89 ± 4.91). 66 patients (35.7%) had no atherosclerotic changes, 75 patient (40.5%) had stenosis < 70% and 44 patients (23.8%) had stenosis ≥ 70%. The most prevalent modifiable risk factors for atherosclerosis were hypertension (74.8%), hyperlipidemia (70.6%), smoking (59.7%) and DM (45.4%). Conclusion Atherosclerosis among people in the south Egypt is relatively high in comparison to other regions in Egypt and Middle East. This is a call for performing further population-based epidemiological studies, to address the exact magnitude of the problem and invest into prevention.
No takes yet. Share an insight, caveat, or question.
Khedr et al. (2021) conducted a cross-sectional in Acute ischemic stroke or transient ischemic attack (n=185). Hypertension vs. Without hypertension was evaluated on Significant extracranial atherosclerosis (≥ 70% stenosis) (OR 18.866, 95% CI 2.256-37.157, p=0.007). Among ischemic stroke patients in south Egypt, 64.3% had extracranial atherosclerosis, and hypertension was a strong independent predictor of significant (≥70%) carotid stenosis (OR 18.866).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: