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Revista Cubana de Medicina Militar
versión On-line ISSN 1561-3046
Resumen
GONZALEZ MENDEZ, Melvis; BLANCO ASPIAZU, Miguel Ángel; MORA GONZALEZ, Salvador Roberto y MARQUEZ HERNANDEZ, Rey Augusto. Size of the atherothrombotic cerebral infarction from carotid territory according to its risk factors. Rev Cub Med Mil [online]. 2019, vol.48, n.2 Epub 01-Jun-2019. ISSN 1561-3046.
Introduction:
Most of atherothrombotic cerebral infarctions are due to extracranial atherosclerosis and the risk factors that condition it.
Objective:
To characterize patients with atherothrombotic stroke of the anterior territory according to size, sex and atherothrombotic risk factors.
Method:
A cross-sectional study was performed on 63 patients attended at the "Dr. Carlos J. Finlay" hospital with a diagnosis of recent atherothrombotic cerebral infarction of the carotid territory, who underwent simple skull tomography, between 2011 and 2013.
Results:
Large infarcts predominated (57.1%) in men (80.6%) and in general, male sex was also the most affected (68.3%). Most of patients who had both moderate infarcts (59.3%) and large infarcts (58.3%), reported 3 to 4 atherothrombotic risk factors (58.7%). Prevalence of arterial hypertension (82.5%), with greater coincidence with medium infarcts (88.9%), than with large infarcts (77.8%).
Conclusions:
The recent atherothrombotic stroke of the carotid irrigation area was characterized in this series, due to large infarcts and greater involvement of elderly, hypertensive males. The existence of 3 to 4 risk factors in each patient prevails both in those with medium cerebral infarction and large ones.
Palabras clave : atherothrombotic cerebral infarction; ictus; stroke risk factors; computed tomography.