Cerebrovascular Diseases
Original Paper
The Athens Stroke Registry: Results of a Five-Year Hospital-Based StudyVemmos K.N.a · Takis C.E.a · Georgilis K.a · Zakopoulos N.A.a · Lekakis J.P.a · Papamichael C.M.a · Zis V.P.b · Stamatelopoulos S.aaDepartment of Clinical Therapeutics, University of Athens School of Medicine, ‘Alexandra’ Hospital, and bDepartment of Neurology, University of Athens School of Medicine, ‘Aiginition’ Hospital, Athens, Greece
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Article / Publication Details
Published online: February 18, 2000
Issue release date: March – April
Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 5
ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)
For additional information: https://www.karger.com/CED
Abstract
The advent and wide application of new technology, especially noninvasive techniques, has enabled physicians to more completely investigate and clarify the etiopathogenic mechanisms of stroke. Such data have not been available until recently for Southeastern Europe. In addition, during the last decades, strategies for the modification of risk factors and primary prevention may have changed the prevalence of each subgroup of stroke as well. We investigated 1,042 consecutive patients who had first strokes, during a period of 5 years (from June 1992 to May 1997) and classified them prospectively based on etiopathogenic mechanisms. Patients with transient ischemic attacks and subarachnoid hemorrhage were excluded. There were 613 male and 429 female patients, with a mean age of 70.2 ± 11.9 years. Forty-six percent of the patients arrived within 3 h from stroke onset. The probable mechanisms were: large-artery atherosclerosis, 156 (15%); lacunes, 177 (17%); cardioembolic, 335 (32.1%); infarct of unknown cause, 182 (17.5%); miscellaneous causes, 35 (3.3%), and intracerebral hemorrhage (ICH), 157 (15.1%). In the cardioembolic group, nonvalvular atrial fibrillation (NVAF) was the probable cause in 225 patients, especially in patients older than 75 years (65%). The overall hospital mortality was 15.2% (from 0.6% for lacunar stroke to 34% for ICH). In our population, cardioembolism is the most frequent subtype of stroke. NVAF is the most likely source, especially in older patients.
© 2000 S. Karger AG, Basel
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Article / Publication Details
Published online: February 18, 2000
Issue release date: March – April
Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 5
ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)
For additional information: https://www.karger.com/CED
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