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10.1016/j.jstrokecerebrovasdis.2014.12.039

http://scihub22266oqcxt.onion/10.1016/j.jstrokecerebrovasdis.2014.12.039
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C4408219!4408219!25817614
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suck abstract from ncbi


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pmid25817614      J+Stroke+Cerebrovasc+Dis 2015 ; 24 (5): 1052-8
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  • Vertebrobasilar ectasia in patients with lacunar stroke: The SPS3 trial #MMPMID25817614
  • Nakajima M; Pearce LA; Ohara N; Field TS; Bazan C; Anderson DC; Hart RG; Benavente OR
  • J Stroke Cerebrovasc Dis 2015[May]; 24 (5): 1052-8 PMID25817614show ga
  • Objective: The clinical implications of vertebrobasilar ectasia (VBE) in patients with cerebral small artery disease are not well defined. We investigated whether VBE is associated with recurrent stroke, major hemorrhage, and death in a large cohort of patients with recent lacunar stroke. Materials and methods: Maximum diameters of the vertebral and basilar arteries were measured by magnetic resonance angiography and computed tomographic angiography in 2621 participants in the Secondary Prevention of Small Subcortical Strokes (SPS3) trial. VBE was defined a priori as basilar artery >4.5 mm and/or vertebral artery >4.0 mm. Patient characteristics and risks of stroke recurrence and mortality during follow-up (median 3.5 years) were compared between patients with and without VBE. Results: VBE affecting ?1 artery was present in 200 (7.6%) patients. Patient features independently associated with VBE were increasing age, male sex, white race-ethnicity, hypertension, and higher baseline diastolic blood pressure. Baseline systolic blood pressure was inversely associated with VBE. After adjustment for other risk factors, VBE was not predictive of recurrent stroke (HR 1.3, 95% CI 0.85-1.9) or major hemorrhage (HR 1.5, CI 0.94-2.6), but was of death (HR 1.7, CI 1.1-2.7). Conclusion: In this large well-characterized cohort of patients with recent lacunar stroke, VBE was predictive of death, but not recurrent stroke or major hemorrhage. In these exploratory analyses, the frequency of VBE was directly related to diastolic blood pressure but inversely related to systolic blood pressure.
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