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suck abstract from ncbi


10.1161/STROKEAHA.115.011889

http://scihub22266oqcxt.onion/10.1161/STROKEAHA.115.011889
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C4766016!4766016!26888534
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suck abstract from ncbi


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pmid26888534      Stroke 2016 ; 47 (3): 719-25
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  • Silent Brain Infarction and Risk of Future Stroke: A Systematic Review and Meta-Analysis #MMPMID26888534
  • Gupta A; Giambrone AE; Gialdini G; Finn C; Delgado D; Gutierrez J; Wright C; Beiser AS; Seshadri S; Pandya A; Kamel H
  • Stroke 2016[Mar]; 47 (3): 719-25 PMID26888534show ga
  • Background and Purpose: Silent brain infarction (SBI) on magnetic resonance imaging (MRI) has been proposed as a subclinical risk marker for future symptomatic stroke. We performed a systematic review and meta-analysis to summarize the association between MRI-defined SBI and future stroke risk. Methods: We searched the medical literature to identify cohort studies involving adults with MRI detection of SBI who were subsequently followed for incident clinically-defined stroke. Study data and quality assessment were recorded in duplicate with disagreements in data extraction resolved by a third reader. Strength association between MRI detected SBI and future symptomatic stroke measured by a hazard ratio (HR). Results: The meta-analysis included 13 studies (14,764 subjects) with a mean follow-up ranging from 25.7 to 174 months. SBI predicted the occurrence of stroke with a random effects crude relative risk of 2.94 (95% CI 2.24?3.86, P<0.001; Q=39.65, P<0.001). In the eight studies of 10,427 subjects providing HR adjusted for cardiovascular risk factors, SBI was an independent predictor of incident stroke (HR 2.08 [95% CI 1.69?2.56, P<0.001]; Q=8.99, P=0.25). In a subgroup analysis pooling 9,483 stroke-free individuals from large population-based studies, SBI was present in ~18% of participants and remained a strong predictor of future stroke (HR 2.06 [95% CI 1.64?2.59], p<0.01). Conclusions: SBI is present in approximately one in five stroke-free older adults and is associated with a 2-fold increased risk of future stroke. Future studies of in-depth stroke risk evaluations and intensive prevention measures are warranted in patients with clinically unrecognized radiologically evident brain infarctions.
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