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J Korean Neurol Assoc. 1995 Jun;13(2):171-176. Korean. Original Article.
Nam SW , Chung CS , Choi YC , Lee AY , Kim JM .
Department of Neurology, Chungnam National University Medical College and Hospital, Korea.
Abstract

Hypertension (HT) is a well-known risk factor for stroke, either hemorrhagic or ischernic like small artery disease (SAD) and large artkry territory infarction (LAI). And it sometunes causes both types of stroke in a single patient. We investigated the vascular nsk factors (controlling HT) that nught be related to their stroke types in 307 acute stroke patients with HT: 152 patients with intracerebral hemorrhage (ICH), 77 with SAD, and 78 with LAL These factors were compared between the groups using the univanate statistical methods. The most significant ICH-related factor was the lower serum level of triglyceride, compared to ischemic stroke. And ischemic stroke-rqlated profile included longer duration of HT, smoking, diabetes mellitus(DM), higher level of uric acid. And lower level of HDL-cholesteroL Increased hematocrit, DM and smoking were particularly related to LAI. These findings suggest that a well-balanced control of the above-mentioned risk factors is warranted to prevent future stroke, in addition to strict control of HT. And management of hypertensive stroke patients should be differentiated and individualized a6cording to the coexisting stroke type-related profiles.

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