Revista Habanera de Ciencias Médicas
versión On-line ISSN 1729-519X
MORALES GONZALEZ, Héctor Andrés; BLANCO ASPIAZU, Miguel Angel y MORALES MORALES, Ernesto Jesús. Predictive Factors of ictal recurrency . Communitary study. Rev haban cienc méd [online]. 2009, vol.8, n.1, pp. 0-0. ISSN 1729-519X.
Stroke recurrence is a direct cause of morbility, mortality and discapacity and lingering institucionalitatión among the survivors to a first event stroke. To estimate that factors of risk present bigger value for the recurrent events allows to establish secondary and tertiary, more individualized and efficient measures of prevention. we was carried out a populational analytic and prospective study in surviving patients to a first event ischemic stroke belonging to the area of health of the policlínico "Cristóbal it Works" in the period understood between January of the 2004 and January of the 2006. An effective pursuit was achieved in 289 patients for 24 months. The masculine sex prevailed with 161 cases. The group more affected went the one from 65 to 79 years. They registered a total of 39 cases of recurrent ictus for an accumulated incidence of 0.13. The factors of risk that showed bigger value for the recurrent ictus were the habit of smoking (OR: 1.03, IC 95% 0.60-1.78, p: 0.05) the arterial hypertension (OR: 2.94, IC95%1 .00-8.67, p:0 ,00), the ischemic (OR:1 .95, IC95%:0 .76-3.02, p:0 .03) cardiopatía the hiperlipoproteinemia (OR:2 .28, IC95%1 .46-3.55, p:0 .00), previous ATI, Diabetes Mellitus and the arterial outlying illness. The clinical forms more related with the damage of big and medium arteries they prevailed in 66% of the recurrent ictus, equally it was evidenced the aterotrombosis like the mechanism etiopatogénico more prevalerte of the recurrent ictus. the registered bigger recurrences percent in the early stages of the pursuit and tendency to the recurrencia in those patients classified as slight and moderated in the index of Katz.
Palabras llave : Stroke recurrence; prognostics factors..