Clinical Characteristics of Acute Ischemic Stroke Based on Multiple Imaging Evaluation

Zhi-peng YU; Ai-ran DONG; Jing ZHANG; Fang WU; Ming-jie GAO; Jian CHEN; Hong CHANG; Li-yong WU

doi:10.12259/j.issn.2095-610X.S20211039

Volume 42 Issue 10

Oct. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(10): 51-60

Zhi-peng YU, Ai-ran DONG, Jing ZHANG, Fang WU, Ming-jie GAO, Jian CHEN, Hong CHANG, Li-yong WU. Clinical Characteristics of Acute Ischemic Stroke Based on Multiple Imaging Evaluation[J]. Journal of Kunming Medical University, 2021, 42(10): 51-60. doi: 10.12259/j.issn.2095-610X.S20211039

Citation:

Zhi-peng YU, Ai-ran DONG, Jing ZHANG, Fang WU, Ming-jie GAO, Jian CHEN, Hong CHANG, Li-yong WU. Clinical Characteristics of Acute Ischemic Stroke Based on Multiple Imaging Evaluation[J]. Journal of Kunming Medical University, 2021, 42(10): 51-60. doi: 10.12259/j.issn.2095-610X.S20211039

Citation:

Zhi-peng YU, Ai-ran DONG, Jing ZHANG, Fang WU, Ming-jie GAO, Jian CHEN, Hong CHANG, Li-yong WU. Clinical Characteristics of Acute Ischemic Stroke Based on Multiple Imaging Evaluation[J]. Journal of Kunming Medical University, 2021, 42(10): 51-60. doi: 10.12259/j.issn.2095-610X.S20211039

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Clinical Characteristics of Acute Ischemic Stroke Based on Multiple Imaging Evaluation

doi: 10.12259/j.issn.2095-610X.S20211039

Dept. of Neurology，National Center for Neurology，Xuanwu Hospital， Capital Medical University，Beijing 100053，China

Received Date: 2021-08-04
Publish Date: 2021-10-25

Abstract

Abstract

Objective To analyze the clinical characteristics of acute ischemic stroke combined with multiple imaging assessment. Methods Multiple images were combined to evaluate the incidence, arterial pathological changes, the responsible vessels for infarction, and infarct mechanism of 8441 acute ischemic strokes admitted to Xuanwu Hospital of Capital Medical University from 2014 to 2018. Results （1） The incidence of males was higher than that of females （74.7% vs 25.3%; P < 0.001） and the age of onset was smaller than females （58.83±12.56 years vs 63.37±13.27 years; P < 0.0001）, 50-69 years old was the peak period of acute ischemic stroke （57.87%）; （2） Hypertension, diabetes and hyperlipidemia are the main risk factors for acute ischemic stroke, and hypertension is the most common risk factor （28.65%）; （3） Atherosclerosis （62.9%） is the most important pathological change and the most common cause of the arterial wall in acute ischemic stroke; 39.2% of patients have middle cerebral artery stenosis and occlusion; （4） 67.49% of acute ischemia strokeoccurs in the intracranial artery. The incidence of the anterior circulation （58.33%） is higher than that in the posterior circulation （33.47%）, and the difference is statistically significant （ P < 0.0001）; （5） Arterial-to-arterial embolism , local penetrating arterial occlusion and hypoperfusion impaired emboli clearance are common mechanism of acute ischemic stroke, of which arterial-to-arterial embolism is the main mechanism. Conclusion The age of onset of acute ischemic stroke, the proportion of different sexes, the pathological changes of arteries, the incidence of responsible blood vessels, and the mechanism of acute ischemic stroke of a large sample of acute ischemic stroke evaluated by multiple images can guide clinical acute ischemic stroke First aid, secondary prevention, early screening and prevention of stroke have a certain guiding role.
- Image,
- Acute ischemic stroke,
- Clinical characteristics

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References(37)

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