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Prevalence and Risk Factors of White Matter Lesions in Tibetan Patients Without Acute Stroke
Jin, Haiqiang1; Ding, Zhijie2; Lian, Siqing1; Zhao, Yuhua2; He, Shihua2; Zhou, Lewei3; Zhuoga, Cidan2; Wang, Huali4; Xu, Jun5; Du, Ailian6; Yan, Guiying3; Sun, Yongan1
2020
Source PublicationSTROKE
ISSN0039-2499
Volume51Issue:1Pages:149-153
AbstractBackground and Purpose- Studies on the prevalence and risk factors of white matter lesions (WMLs) in Tibetans living at high altitudes are scarce. We conducted this study to determine the prevalence and risks of WMLs in Tibetan patients without or with nonacute stroke. Methods- We undertook a retrospective analysis of medical records of patients treated at the People's Hospital of Tibetan Autonomous Region and identified a total of 301 Tibetan patients without acute stroke. WML severity was graded by the Fazekas Scale. We assessed the overall and age-specific prevalence of WMLs and analyzed associations between WMLs and related factors with univariate and multivariate methods. Results- Of the 301 patients, 87 (28.9%) had peripheral vertigo, 83 (27.3%) had primary headache, 52 (17.3%) had a history of stroke, 36 (12.0%) had an anxiety disorder, 29 (9.6%) had epilepsy, 12 (4.0%) had infections of the central nervous system, and 3 (1.0%) had undetermined diseases. WMLs were present in 245 (81.4%) patients, and 54 (17.9%) were younger than 40 years. Univariate analysis showed that age, history of cerebral infarction, hypertension, the thickness of the common carotid artery intima, and plaque within the intracarotid artery were related risks for WMLs. Ordered logistic analysis showed that age, history of cerebral ischemic stroke, hypertension, male sex, and atrial fibrillation were associated with WML severity. Conclusions- Risk factors for WMLs appear similar for Tibetans residing at high altitudes and individuals living in the plains. Further investigations are needed to determine whether Tibetans residing at high altitudes have a higher burden of WMLs than inhabitants of the plains.
Keywordatrial fibrillation carotid artery cerebral infarction hypertension white matter
DOI10.1161/STROKEAHA.119.027115
Indexed BySCI
Language英语
Funding ProjectState Key Program of National Natural Science of China[11631014]
WOS Research AreaNeurosciences & Neurology ; Cardiovascular System & Cardiology
WOS SubjectClinical Neurology ; Peripheral Vascular Disease
WOS IDWOS:000504225600036
PublisherLIPPINCOTT WILLIAMS & WILKINS
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Document Type期刊论文
Identifierhttp://ir.amss.ac.cn/handle/2S8OKBNM/50455
Collection应用数学研究所
Corresponding AuthorSun, Yongan
Affiliation1.Peking Univ, Dept Neurol, Hosp 1, Beijing, Peoples R China
2.Peoples Hosp Tibet Autonomous Reg, Dept Neurol, Lhasa, Peoples R China
3.Chinese Acad Sci, Acad Math & Syst Sci, Beijing, Peoples R China
4.Peking Univ, Inst Mental Hlth, Hosp 6, Beijing Dementia Key Lab,Natl Clin Res Ctr Mental, Beijing, Peoples R China
5.Capital Med Univ, Beijing Tian Tan Hosp, China Natl Clin Res Ctr Neurol Dis NCRC ND, Dept Cognit Neurol, Beijing, Peoples R China
6.Shanghai Jiao Tong Univ, Tongren Hosp, Dept Neurol, Sch Med, Shanghai, Peoples R China
Recommended Citation
GB/T 7714
Jin, Haiqiang,Ding, Zhijie,Lian, Siqing,et al. Prevalence and Risk Factors of White Matter Lesions in Tibetan Patients Without Acute Stroke[J]. STROKE,2020,51(1):149-153.
APA Jin, Haiqiang.,Ding, Zhijie.,Lian, Siqing.,Zhao, Yuhua.,He, Shihua.,...&Sun, Yongan.(2020).Prevalence and Risk Factors of White Matter Lesions in Tibetan Patients Without Acute Stroke.STROKE,51(1),149-153.
MLA Jin, Haiqiang,et al."Prevalence and Risk Factors of White Matter Lesions in Tibetan Patients Without Acute Stroke".STROKE 51.1(2020):149-153.
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