脳卒中
Online ISSN : 1883-1923
Print ISSN : 0912-0726
ISSN-L : 0912-0726
原著
多施設共同脳卒中データベース(Fukuoka Stroke Registry:FSR)からみた脳梗塞急性期症例の高血圧ならびに慢性腎臓病(CKD)の実態
北園 孝成熊井 康敬杉森 宏中根 博鴨打 正浩大星 博明井林 雪郎飯田 三雄佐渡島 省三
著者情報
キーワード: 脳梗塞, 慢性腎臓病, 高血圧
ジャーナル フリー

2009 年 31 巻 6 号 p. 564-569

詳細
抄録

Both hypertension (HT) and chronic kidney disease (CKD) are associated with an increased risk of cardiovascular diseases including stroke. Our objective was to examine, using the data of Fukuoka Stroke Registry (FSR), the association between these risk factors and the clinical manifestations and outcome of acute ischemic stroke patients. 1,410 consecutive patients with cerebral infarction were enrolled. HT and CKD were observed in 74.0% and 32.1% of the patients with cerebral infarction, respectively. The patients with HT (HT group) had higher frequencies of diabetes and dyslipidemia than those without HT (non-HT group). The frequency of atherothrombotic infarction in HT group was higher than in non-HT group. Severity and activity of daily living (ADL) were similar between HT and non-HT groups. On the other hand, the patients with CKD (CKD group) had higher frequency of cardioembolic stroke than those without CKD (non-CKD group). NIH stroke scale of CKD group was higher than non-CKD group and ADL of the patients with CKD was worse than those without CKD. Thus, HT and CKD may have a different impact on ischemic stroke.

著者関連情報
© 2009 日本脳卒中学会
前の記事 次の記事
feedback
Top