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KMID : 0191120220370330254
Journal of Korean Medical Science
2022 Volume.37 No. 33 p.254 ~ p.254
Risk of Subsequent Events in Patients With Minor Ischemic Stroke or High-Risk Transient Ischemic Attack
Lee Keon-Joo

Shin Dong-Woo
Park Hong-Kyun
Kim Beom-Joon
Park Jong-Moo
Kang Kyu-Sik
Park Tai-Hwan
Lee Kyung-Bok
Hong Keun-Sik
Cho Yong-Jin
Kim Dong-Eog
Ryu Wi-Sun
Lee Byung-Chul
Yu Kyung-Ho
Oh Mi-Sun
Lee Soo-Joo
Kim Jae-Guk
Lee Jun
Cha Jae-Kwan
Kim Dae-Hyun
Kim Joon-Tae
Choi Kang-Ho
Choi Jay-Chol
Lesen Eva
Hedberg Jonatan
Tank Amarjeet
Fita Edmond G.
Song Ji-Eun
Lee Ji-Sung
Lee June-Young
Bae Hee-Joon
Abstract
This study aimed to present the prognosis after minor acute ischemic stroke (AIS) or transient ischemic attack (TIA), using a definition of subsequent stroke in accordance with recent clinical trials. In total, 9,506 patients with minor AIS (National Institutes of Health Stroke Scale ¡Â 5) or high-risk TIA (acute lesions or ¡Ã 50% cerebral artery steno-occlusion) admitted between November 2010 and October 2013 were included. The primary outcome was the composite of stroke (progression of initial event or a subsequent event) and all-cause mortality. The cumulative incidence of stroke or death was 11.2% at 1 month, 13.3% at 3 months and 16.7% at 1 year. Incidence rate of stroke or death in the first month was 12.5 per 100 person-months: highest in patients with large artery atherosclerosis (17.0). The risk of subsequent events shortly after a minor AIS or high-risk TIA was substantial, particularly in patients with large artery atherosclerosis.
KEYWORD
Minor Ischemic Stroke, Ischemic Attack, Transient, Event Outcome, Stroke Recurrence
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