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Stroke in Perspective: Risk Factors

Odds Ratios for Ischemic Stroke by Age
(in Relation to TIA, Current Cigarette Smoking, or Hypertension with 95 CIs)

Rochester Epidemiology Project, 1970-84

Rochester Epidemiology Project, 1970-84

The Rochester Epidemiology Project identified all patients with documented diagnoses of first ischemic stroke during the period 1970-1984.  Matching cases with controls from he population on a 1:1 basis resulted in 931 cases and controls (matched pairs).

The data indicated that the presence of TIA, current cigarettes smoking, hypertension, or atrial fibrillation (see below) greatly increases the risk of ischemic stroke at younger ages.  At older ages, however, these factors increased the risk of ischemic stroke by a lesser amount.

The interrelationships among atrial fibrillation, hypertension, and age, as they affect the incidence of ischemic stroke, were complex.  For non-hypertensive persons, the incidence of ischemic stroke was 7-fold higher for those with persistent atria fibrillation than for those without atrial fibrillation or those with intermittent atrial fibrillation.  For hypertensive persons, however, the odds ratio comparing intermittent and persistent atrial fibrillation with no atrial fibrillation were similar, independent of age.

 

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From: Acute Ischemic Stroke: New Concepts of Care
© 1998-1999 Genentech Inc. All rights reserved.
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