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8. Migraña como factor predictor de la presencia de aneurisma del septo auricular en pacientes con ictus y foramen oval permeable.

Author

Balbuena, S. Martín, Fuentes, B., Lara, M., Ortega-Casarrubios, M. A., Martínez, P., and Díez-Tejedor, E.

Subjects
CEREBROVASCULAR disease patients, MIGRAINE risk factors, ANEURYSMS, PREDICTIVE tests, TRANSESOPHAGEAL echocardiography, ISCHEMIA, VASCULAR diseases, DISEASE risk factors
Abstract

Copyright of Neurologia (Grupo ARS XXI de Comunicacion, S.A.) is the property of Grupo ARS XXI de Comunicacion, S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. 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.)

Published
2009

9. Influencia del antecedente de diabetes mellitus en la gravedad y evolución intrahospitalaria de un infarto cerebral.

Author

Ortega-Casarrubios, M. Á., Fuentes, B., San José, B., Martínez, P., and Díez-Tejedor, E.

Subjects
CEREBRAL infarction, PATIENTS, HYPERTENSION, DIABETES, LENGTH of stay in hospitals, CEREBROVASCULAR disease
Abstract

Copyright of Neurologia (Grupo ARS XXI de Comunicacion, S.A.) is the property of Grupo ARS XXI de Comunicacion, S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. 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.)

Published
2007

10. Prevalence of asymptomatic peripheral artery disease in patients with non-cardioembolic ischemic stroke,Prevalencia de enfermedad arterial periférica asintomática en pacientes con ictus isquémico no cardioembólico

Author

Álvarez-Sabín, J., Gil-Núñez, A., Quintana, M., Barbera, G., Alonso Leciñana Cases, M., Calleja Puerta, S., Casado Naranjo, I., Díez Tejedor, E., Escamilla Crespo, C., Fernández Fernández, O., Gállego Cullere, J., Lago Martín, A., López Fernández, J. C., Maestre Moreno, J., Martí-Fábregas, J., Martín González, R., Obach Tuca, V., Rebollo Álvarez-Amandi, M., Romero López, J., Rubio Borrego, F., Gómez Díaz-Castroverde, A., Vidal Sánchez, J. A., Moris La Tassa, G., Tejada García, J., Timiraos Fernández, J. J., Pérez Concha, T., Revilla García, M. A., Guereca Baranaiarn, L., Urtasunocariz, M., Ríos Gómez, C., Tejero Juste, C., García Gómara, M. J., Bravo Anguiano, Y., Gil Pujades, A., Palacios Marchesini, M., García Sánchez, S., Cano Orgaz, A., Purroy García, F., Obach Baurier, V., Arboix Damunt, A., Sanclemente Ansó, C., Rey Pérez, A., Canovas Verge, D., Fabregat Fabra, N., Rodríguez Campello, A., Comas Bergua, P., Cardona Cortela, P., Garcés Redondo, M., Robles Del Olmo, B., Olivella Rius, J., Martínez Ramírez, S., Torres Rodríguez, M. J., Pareja Martínez, A., Chamarro Lázaro, R., Pons Amate, J. M., Romero Martínez, M. A., Galiano Blancart, R. F., Vilar Fabra, C., Domínguez Sanz, F., Gracia Fleta, F., Plaza Macías, I., Villaverde González, R., Salamero Martínez, J. J., Medrano Martínez, V., Tortosa Conesa, D., Soria Torrecillas, J. J., Marey López, J., Romero López, J. M., Lustres Pérez, M., Ortega Casarrubios, M. A., Egido Herrero, J. A., Ruiz Ezquerro, J. J., Gómez Sánchez, J. C., Martín Polo, J., Gutiérrez Martin, F., Calleja Sanz, A. I., Peñas Martínez, M. L., Rojo Martínez, E., López Manzanares, L., Domingo García, J., García Castañón, I., Díaz Guzmán, J., Hernández Gallego, J. M., Sánchez Sánchez, C., Eimil Ortiz, M., González Santiago, R., Zabala Goiburu, J. A., Sánchez Del Valle, O., Morín Martín, M. M., Jiménez Caballero, P. E., Ferrero Ros, M., Vallejo Maroto, I., Gil Peralta, A., Aguilera Navarro, J. M., Carmona Nimo, E., García Moreno, J. M., Cueli Rincón, B., Hernández Ramos, F., Martínez Laso, A., Pilo La Fuente, B., Puerto Alonso, J. L., Tamayo Toledo, J. A., Moya Molina, M. A., Márquez Martínez, M., Gálvez Gálvez, C., Girón Úbeda, J. M., Del Saz Saucedo, P., Fernández Pérez, M. D., Antonio Arjona-Padillo, Olivares Romero, J., Peinado Cantero, M. L., Villegas Rodríguez, I., Vega Pérez, J. M., Maestre Martínez, M. A., Portillo Rivero, M. R., Sánchez Ortiz, C., Ochoa Sepúlveda, J. J., Bescansa Heredero, E., Vega López, O., Suárez Cuervo, A., Pueyo Morlans, M., Medina Rodríguez, A., Sáenz Galván, C., Marrero Falcón, C., and Mirdavood, S.

11. Prevalence of asymptomatic peripheral artery disease in patients with non-cardioembolic ischemic stroke | Prevalencia de enfermedad arterial periférica asintomática en pacientes con ictus isquémico no cardioembólico

Author

Jose Alvarez-Sabin, Gil-Núñez, A., Quintana, M., Barbera, G., Álvarez-Sabín, J., Alonso Leciñana Cases, M., Calleja Puerta, S., Casado Naranjo, I., Díez Tejedor, E., Escamilla Crespo, C., Fernández Fernández, O., Gállego Cullere, J., Lago Martín, A., López Fernández, J. C., Maestre Moreno, J., Martí-Fábregas, J., Martín González, R., Obach Tuca, V., Rebollo Álvarez-Amandi, M., Romero López, J., Rubio Borrego, F., Gómez Díaz-Castroverde, A., Vidal Sánchez, J. A., Moris La Tassa, G., Tejada García, J., Timiraos Fernández, J. J., Pérez Concha, T., Revilla García, M. A., Guereca Baranaiarn, L., Urtasunocariz, M., Ríos Gómez, C., Tejero Juste, C., García Gómara, M. J., Bravo Anguiano, Y., Gil Pujades, A., Palacios Marchesini, M., García Sánchez, S., Cano Orgaz, A., Purroy García, F., Obach Baurier, V., Arboix Damunt, A., Sanclemente Ansó, C., Rey Pérez, A., Canovas Verge, D., Fabregat Fabra, N., Rodríguez Campello, A., Comas Bergua, P., Cardona Cortela, P., Garcés Redondo, M., Robles Del Olmo, B., Olivella Rius, J., Martínez Ramírez, S., Torres Rodríguez, M. J., Pareja Martínez, A., Chamarro Lázaro, R., Pons Amate, J. M., Romero Martínez, M. A., Galiano Blancart, R. F., Vilar Fabra, C., Domínguez Sanz, F., Gracia Fleta, F., Plaza Macías, I., Villaverde González, R., Salamero Martínez, J. J., Medrano Martínez, V., Tortosa Conesa, D., Soria Torrecillas, J. J., Marey López, J., Romero López, J. M., Lustres Pérez, M., Ortega Casarrubios, M. A., Egido Herrero, J. A., Ruiz Ezquerro, J. J., Gómez Sánchez, J. C., Martín Polo, J., Gutiérrez Martin, F., Calleja Sanz, A. I., Peñas Martínez, M. L., Rojo Martínez, E., López Manzanares, L., Domingo García, J., García Castañón, I., Díaz Guzmán, J., Hernández Gallego, J. M., Sánchez Sánchez, C., Eimil Ortiz, M., González Santiago, R., Zabala Goiburu, J. A., Sánchez Del Valle, O., Morín Martín, M. M., Jiménez Caballero, P. E., Ferrero Ros, M., Vallejo Maroto, I., Gil Peralta, A., Aguilera Navarro, J. M., Carmona Nimo, E., García Moreno, J. M., Cueli Rincón, B., Hernández Ramos, F., Martínez Laso, A., Pilo La Fuente, B., Puerto Alonso, J. L., Tamayo Toledo, J. A., Moya Molina, M. A., Márquez Martínez, M., Gálvez Gálvez, C., Girón Úbeda, J. M., Del Saz Saucedo, P., Fernández Pérez, M. D., Arjona Padillo, A., Olivares Romero, J., Peinado Cantero, M. L., Villegas Rodríguez, I., Vega Pérez, J. M., Maestre Martínez, M. A., Portillo Rivero, M. R., Sánchez Ortiz, C., Ochoa Sepúlveda, J. J., Bescansa Heredero, E., Vega López, O., Suárez Cuervo, A., Pueyo Morlans, M., Medina Rodríguez, A., Sáenz Galván, C., Marrero Falcón, C., and Mirdavood, S.

12. [Influence of previous diagnosis of diabetes mellitus in the stroke severity and in-hospital outcome in acute cerebral infarction]

Author

Ortega-Casarrubios, M. A., Fuentes, B., Jose, B. San, Martinez, P., and Diez-Tejedor, E.

Subjects
Aged, 80 and over, Diabetes Complications, Stroke, Risk Factors, Multivariate Analysis, Diabetes Mellitus, Humans, Female, Cerebral Infarction, Length of Stay, Middle Aged, Hospitals, Aged
Abstract

To analyze if previous diagnosis of diabetes influences stroke severity and in-hospital outcome in acute cerebral infarction (CI) patients.Observational study between 1998-2004 with inclusion of consecutive patients with CI. Risk factors, stroke subtype, severity on admission (Canadian Stroke Scale [CSS]), in-hospital complications, mortality, length of stay and stroke outcome (modified Rankin Scale [mRS]) in CI patients with and without previous diagnosis of diabetes were compared.A total of 2,213 consecutive acute stroke patients; 661 with previous history of diabetes (29,9%) were included. These patients were older, had more rate of hypertension, dyslipidemia, coronary arterial disease, peripheral vascular disease and previous stroke than non-diabetic patients. Atherotrombotic and lacunar infarction were more frequent in diabetic patients. They also had more in-hospital complications as urinary tract infection (4.7 % vs 2.6 %; p0.05), multiple organ dysfunction syndrome (3.3% vs 1.8%; p0.05), deteriorating stroke (6.1 % vs 3.4 %; p0.01), recurrent stroke (3.3% vs 1.7%; p0.05) and increase of infarction volume (2.6 % vs 1.1%; p0.05), with no differences in stroke severity at admission, mortality, length of in-hospital stay and stroke outcome. Previous history of diabetes was independently associated with in-hospital complications (OR: 1.377; CI 95%: 1.053-1.799).Previous diagnosis of diabetes is not associated by itself to higher stroke severity on admission although a greater risk of in-hospital complications is found.

13. [Migraine as predictive factor of the presence of atrial septum aneurysm in patients with stroke and patent foramen ovale].

Author

Martín Balbuena S, Fuentes B, Lara M, Ortega-Casarrubios MA, Martínez P, and Díez-Tejedor E

Subjects
Adult, Aged, Echocardiography, Transesophageal, Female, Humans, Male, Middle Aged, Migraine Disorders physiopathology, Risk Factors, Foramen Ovale, Patent complications, Heart Aneurysm etiology, Heart Atria pathology, Migraine Disorders etiology, Stroke complications, Stroke etiology, Stroke physiopathology
Abstract

Introduction: Ischemic stroke in young patients is associated in up to 30% of cases to a patent foramen ovale (PFO) with or without atrial septum aneurism (ASA). Besides, a frequent association between migraine and PFO has been described, but few studies have addressed the possible association between ASA and migraine in stroke patients., Methods: Observational study with inclusion of consecutive ischemic stroke patients in a Stroke Unit Data Bank of the Department of Neurology of a university hospital admitted between January 1994 and December 2005. Those patients who underwent transesophageal echocardiography (TEE) were selected and classified in two groups regarding the history of previous migraine. Logistic regression analysis models were developed to assess the risk of the combination of PFO and ASA in patients with migraine., Results: 631 stroke patients with TEE were included. PFO was present in 61 patients (9.7%), isolated ASA in 34 (5.4%) and both abnormalities in 22 (3.49%). Patients with migraine and PFO had higher frequency of ASA than those with PFO and no migraine (75 vs 30.2%), and the relative risk to carry double interatrial septal abnormalities was 2.5 (95% confidence interval: 1.4-4.4). In the subgroup of patients under 55 years old, migraine history was associated to a nine-folder relative risk of carrying this combination, independently of age or gender., Conclusions: In patients with ischemic stroke and PFO the probability of having ASA could be higher in migrainous. This finding could have diagnostic implications, suggesting the convenience to seek for this association in these patients.

Published
2009

14. [Influence of previous diagnosis of diabetes mellitus in the stroke severity and in-hospital outcome in acute cerebral infarction].

Author

Ortega-Casarrubios MA, Fuentes B, San José B, Martínez P, and Díez-Tejedor E

Subjects
Aged, Aged, 80 and over, Female, Hospitals, Humans, Length of Stay, Middle Aged, Multivariate Analysis, Risk Factors, Cerebral Infarction pathology, Diabetes Complications pathology, Diabetes Mellitus diagnosis, Diabetes Mellitus pathology, Diabetes Mellitus physiopathology, Stroke pathology
Abstract

Introduction: To analyze if previous diagnosis of diabetes influences stroke severity and in-hospital outcome in acute cerebral infarction (CI) patients., Methods: Observational study between 1998-2004 with inclusion of consecutive patients with CI. Risk factors, stroke subtype, severity on admission (Canadian Stroke Scale [CSS]), in-hospital complications, mortality, length of stay and stroke outcome (modified Rankin Scale [mRS]) in CI patients with and without previous diagnosis of diabetes were compared., Results: A total of 2,213 consecutive acute stroke patients; 661 with previous history of diabetes (29,9%) were included. These patients were older, had more rate of hypertension, dyslipidemia, coronary arterial disease, peripheral vascular disease and previous stroke than non-diabetic patients. Atherotrombotic and lacunar infarction were more frequent in diabetic patients. They also had more in-hospital complications as urinary tract infection (4.7 % vs 2.6 %; p < 0.05), multiple organ dysfunction syndrome (3.3% vs 1.8%; p<0.05), deteriorating stroke (6.1 % vs 3.4 %; p < 0.01), recurrent stroke (3.3% vs 1.7%; p<0.05) and increase of infarction volume (2.6 % vs 1.1%; p<0.05), with no differences in stroke severity at admission, mortality, length of in-hospital stay and stroke outcome. Previous history of diabetes was independently associated with in-hospital complications (OR: 1.377; CI 95%: 1.053-1.799)., Conclusions: Previous diagnosis of diabetes is not associated by itself to higher stroke severity on admission although a greater risk of in-hospital complications is found.

Published
2007

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