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Daily Variation in the Occurrence of Different Subtypes of Stroke

Three thousand two hundred and ninety-eight patients admitted to our Stroke Unit with hemorrhagic, large artery atherosclerosis, cardioembolic, small-vessel occlusion, and undetermined etiology-cryptogenic strokes were included in the study. The circadian variability in onset in each stroke subgroup...

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Bibliographic Details
Published in:Stroke research and treatment 2017-01, Vol.2017 (2017), p.1-12
Main Authors: Zenesini, Corrado, Maioli, Fabiola, Riva, Roberto, Ripamonti, Luciana, Procaccianti, Gaetano
Format: Article
Language:English
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Summary:Three thousand two hundred and ninety-eight patients admitted to our Stroke Unit with hemorrhagic, large artery atherosclerosis, cardioembolic, small-vessel occlusion, and undetermined etiology-cryptogenic strokes were included in the study. The circadian variability in onset in each stroke subgroup and the associations with various risk factors were analyzed. In each subgroup, a significant minority of patients suffered from stroke during sleep. In the ischemic group, hypercholesterolemia, paroxysmal atrial fibrillation, and previous myocardial infarction facilitated the onset during waking. During waking, stroke onset was significantly higher in the morning compared to the afternoon both in the hemorrhagic and in the ischemic type. In hemorrhagic stroke, a previous stroke was associated with a lower early morning occurrence. In large artery atherosclerosis stroke, males were at higher risk of early morning occurrence (p
ISSN:2090-8105
2042-0056
2042-0056
DOI:10.1155/2017/9091250