1. Anamnestic, clinical and laboratory features of the acute period of ischemic stroke in young patients
- Author
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Gusev, V. V., Kovtun, O. P., Lvova, O. A., Partylova, E. A., Sergeev, A. P., Sergeeva, M. V., Yanchuk, I. T., Dobrazova, D. A., Suvorkov, P. A., and Shamalov, N. A.
- Subjects
FIBRINOGEN BETA ,GENETIC VARIABILITY ,PARALYSIS ,SINGLE NUCLEOTIDE SUBSTITUTIONS ,MAJOR CLINICAL STUDY ,UNCLASSIFIED DRUG ,CLINICAL FEATURE ,BETA3 INTEGRIN ,ATRIAL FIBRILLATION ,COMPUTER ASSISTED TOMOGRAPHY ,HYPERLIPIDEMIA ,CEREBROVASCULAR MALFORMATION ,PARESIS ,HUMAN ,RISK FACTOR ,BRACHIOCEPHALIC ARTERY STENOSIS ,FEMALE ,Psychiatry and Mental health ,Clinical Psychology ,METABOLIC DISORDER ,BRAIN VASCULITIS ,MIGRAINE ,HOSPITALIZATION ,RISK FACTORS ,ISCHEMIC STROKE ,ATHEROSCLEROTIC PLAQUE ,BLOOD CLOTTING FACTOR 7 ,NUCLEIC ACID BASE SUBSTITUTION ,HEART LEFT VENTRICLE HYPERTROPHY ,BLOOD CLOTTING FACTOR 5 ,PLASMINOGEN ACTIVATOR INHIBITOR 1 ,COHORT ANALYSIS ,GENETIC PREDISPOSITION ,BRAIN INFARCTION ,HETEROZYGOTE ,NUCLEAR MAGNETIC RESONANCE IMAGING ,ADULT ,DNA POLYMORPHISM ,MITRAL VALVE PROLAPSE ,DYSLIPOPROTEINEMIA ,ALPHA2 INTEGRIN ,ARTICLE ,FIBRINOGEN ,ERYTHROCYTE SEDIMENTATION RATE ,HOSPITAL ADMISSION ,MALE ,OCCLUSIVE CEREBROVASCULAR DISEASE ,SPEECH DISORDER ,YOUNG AGE ,CONTROLLED STUDY ,ANAMNESIS ,INTENSIVE CARE ,THROMBOPHILIA ,Neurology (clinical) ,RANKIN SCALE ,SELF CARE - Abstract
Objective: to study the anamnestic, clinical and laboratory features of the acute period of ischemic stroke (IS) and to determine the risk factors for its development in young patients.Patients and methods. Clinical and statistical processing of data of 256 patients aged 18 to 44 years included, who had IS, confirmed by computed and/or magnetic resonance imaging of the brain in the acute period, was carried out. Furthermore, in 154 patients and in 117 healthy participants, who made up the control group, eight polymorphisms of the thrombophilic spectrum genes were determined – FGB: -455G>A, F2: 20210G>A, F5: 1691G>A, F7: 10976G>A, F13: 103 G>T, ITGA2: 807C>T, ITGB3: 1565 T>C, PAI-1: -675 5G>4G.Results and discussion. 154 (60.15%) patients demonstrated good recovery (achievement of a level of ≤2 points on the Rankin scale by the patient). None of the patients died during their hospitalization. In the evaluated group of patients, we identified allelic variants of the thrombophilic spectrum genes and gene-gene combinations, the carriage of which increased the likelihood of IS development at the young age by 1.74 and 2.19 times, respectively. Taking into consideration additional examination methods, the pathogenetic variant of IS according to the TOAST classification was verified in 226 (88%) patients.Conclusion. In IS at a young age a detailed assessment of risk factors is required, including an analysis of carrier variants and combinations of procoagulant and prothrombotic spectrum gene polymorphisms.
- Published
- 2022