Long-term projections of temperature-related mortality risks for ischemic stroke, hemorrhagic stroke, and acute ischemic heart disease under changing climate in Beijing, China

Background: Ischemic heart disease is more prevalent than ischemic stroke in most countries, including the United States; however, recent data suggests that ischemic stroke may be more prevalent in some countries. We performed this study to identify the countries with an inverse ratio of ischemic stroke and ischemic heart disease and associated attributes. Methods: We analyzed the data using the Global Burden of Disease (GBD) website; GBD Compare tool published by the Institute for Health Metrics and Evaluation (IHME), Seattle, Washington for the year 2017. We categorized individual 195 countries based on the ratio of ischemic stroke/ischemic heart disease and divided them into ≥1.0, 0,5-99, and <0.5. Gross domestic product (GDP) per capita for each country was calculated using data from Worldometers. Results: There were 51, 125, and 19 countries with the ratio of ischemic stroke/ischemic heart disease and divided them into ≤0.5, 0.5-0.99, and ≥1.0 respectively (see Table). The range of ratio was between 0.24 and 1.86. Countries with inverse ratio included China (1.86), North Korea (1.31), Guam (1.28), Taiwan (1.20), Marshall Islands (1.15), Timor-Leste (1.16), South Korea (1.13), Seychelles (1.11), Northern Mariana Islands (1.10), Cambodia (1.09), Federated States of Micronesia (1.08), American Samoa (1.07), Samoa (1.06), Kiribati (1.04), Solomon Islands (1.03), Fiji (1.02), Indonesia (1.02), Mauritius (1.01), and Vanuatu (1.00). Conclusions: Approximately 1 out of 10 countries have an inverse ratio of ischemic stroke / ischemic heart disease incidences. The inverse ratio is predominantly driven by a lower incidence of ischemic heart disease.

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Abstract P88: Risk of Stroke in Hospitalized SARS-Cov-2 Infected Patients a Multinational Population-Based Study

Stroke ◽

10.1161/str.52.suppl_1.p88 ◽

2021 ◽

Vol 52 (Suppl_1) ◽

Author(s):

Shima Shahjouei ◽

Soheil Naderi ◽

Jiang Li ◽

Durgesh Chaudhary ◽

Christoph Griessenauer ◽

...

Keyword(s):

Mechanical Ventilation ◽

Heart Disease ◽

Ischemic Stroke ◽

Ischemic Heart Disease ◽

Associated Factors ◽

Sinus Thrombosis ◽

Hospitalized Patients ◽

Ischemic Heart ◽

National Study ◽

Meta Analyses

The goal of this study was to better depict the short-term risk of stroke and its associated factors among SARS-CoV-2 hospitalized patients. Data Source: This multicenter, multinational observational study includes hospitalized SARS-CoV-2 patients from North and South America (United States, Canada, and Brazil), Europe (Greece, Italy, Finland, and Turkey), Asia (Lebanon, Iran, and India), and Oceania (New Zealand). Main Outcomes and Measures: The outcome was the risk of subsequent stroke (ischemic stroke, intracranial hemorrhage, cerebral venous/sinus thrombosis). The counts and clinical characteristics including laboratory findings and imaging of the patients with and without a subsequent stroke were recorded according to a predefined study protocol. Data Extraction and Synthesis: Quality, risk of bias, and heterogeneity assessments were conducted according to ROBINS-E and Cochrane Q-test. The risk of subsequent stroke was estimated through meta-analyses with random effect models. Binary logistic regression was used to determine the associated factors with the outcome measure. The study was reported according to the STROBE, MOOSE, and EQUATOR guidelines. Results: We received data from 18,311 hospitalized SARS-CoV-2 patients from 77 tertiary centers in 46 regions of 11 countries until May 1 st , 2020. A total of 17,799 patients were included in meta-analyses. Among them, 156(0.9%) patients had a stroke—123(79%) ischemic stroke, 27(17%) intracerebral/subarachnoid hemorrhage, and 6(4%) cerebral sinus thrombosis. Subsequent stroke risks calculated with meta-analyses, under low to moderate heterogeneity, were 0.5% among all centers in all countries, and 0.7% among countries with higher health expenditures. The need for mechanical ventilation (OR: 1.9, 95% CI:1.1-3.5, p = 0.03) and the presence of ischemic heart disease (OR: 2.5, 95% CI:1.4-4.7, p =0·006) were predictive of stroke. Conclusion and Relevance: The results of this multi-national study on hospitalized patients with SARS-CoV-2 infection indicated an overall stroke risk of 0.5% (pooled risk: 0.9%). The need for mechanical ventilation and the history of ischemic heart disease are the independent predictors of stroke among SARS-CoV-2 patients.

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Comparison of Baseline Heart Rate Variability in Stable Ischemic Heart Disease Patients with and without Stroke in Long-Term Observation

Journal of Stroke and Cerebrovascular Diseases ◽

10.1016/j.jstrokecerebrovasdis.2016.06.033 ◽

2016 ◽

Vol 25 (10) ◽

pp. 2526-2534 ◽

Cited By ~ 2

Author(s):

Michał Kuzemczak ◽

Paulina Białek-Ławniczak ◽

Katarzyna Torzyńska ◽

Agnieszka Janowska-Kulińska ◽

Izabela Miechowicz ◽

...

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Heart Disease ◽

Ischemic Heart Disease ◽

Ischemic Heart ◽

Baseline Heart Rate ◽

Stable Ischemic Heart Disease ◽

Long Term Observation

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Effect of PCI on Long-Term Survival in Patients with Stable Ischemic Heart Disease

New England Journal of Medicine ◽

10.1056/nejmoa1505532 ◽

2015 ◽

Vol 373 (20) ◽

pp. 1937-1946 ◽

Cited By ~ 137

Author(s):

Steven P. Sedlis ◽

Pamela M. Hartigan ◽

Koon K. Teo ◽

David J. Maron ◽

John A. Spertus ◽

...

Keyword(s):

Heart Disease ◽

Ischemic Heart Disease ◽

Ischemic Heart ◽

Term Survival ◽

Long Term Survival ◽

Stable Ischemic Heart Disease

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Effects of long-term xamoterol therapy on the left ventricular mechanical efficiency in patients with ischemic heart disease

Basic Research in Cardiology ◽

10.1007/bf02650355 ◽

1989 ◽

Vol 84 (1) ◽

pp. 157-162 ◽

Cited By ~ 1

Author(s):

H. Pouleur ◽

C. Eyll ◽

J. Etienne ◽

H. Mechelen ◽

A. Vuylsteke ◽

...

Keyword(s):

Heart Disease ◽

Ischemic Heart Disease ◽

Mechanical Efficiency ◽

Left Ventricular ◽

Ischemic Heart

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Diabetes Complications and their Relation to Glycemic Control among Patients Attending Diabetic Clinic at King Khalid National Guard Hospital in Jeddah, Saudi Arabia

Saudi Journal of Internal Medicine ◽

10.32790/sjim.2011.1.1.5 ◽

2011 ◽

Vol 1 (1) ◽

pp. 29-33 ◽

Cited By ~ 2

Author(s):

Abdullah M. Krawagh ◽

Abdullah M. Alzahrani ◽

Tariq A. Naser

Keyword(s):

Diabetes Mellitus ◽

Saudi Arabia ◽

Heart Disease ◽

Glycemic Control ◽

Ischemic Heart Disease ◽

National Guard ◽

Microvascular Complications ◽

Ischemic Heart ◽

Diabetic Clinic

This study addresses the prevalence of ischemic heart disease, hypertension and long-term complications of diabetes mellitus among patients attending the diabetic clinic and their relation to glycemic control. Methods: A study was conducted on a cross-section on all consecutive patients attending the diabetic clinic at King Khalid National Guard Hospital in Jeddah, Saudi Arabia, from January 2007 to January 2008. The degree of glycemic control was gauged using blood level of glycosylated hemoglobin (HbA1C) and classified into good (less 7%), fair (7.1-8%), poor (8.1-9%) and very poor (greater than 9%). All patients were screened for hypertension, ischemic heart disease and microvascular complications. Results: Two hundred and ten patients were recruited in the study. Glycemic control was good in 17 (8.1%), fair in 49 (23.2%), poor in 56 (26.6%) and very poor in 88 (41.9%). There was high prevalence of retinopathy (76; 36%), microalbuminuria (80; 37.9%), neuropathy (108; 51.2%) and ischemic heart disease (51; 24.2%), especially among patients with poor and very poor control. Although the presence of hypertension, frank nephropathy and peripheral vascular disease was also disturbingly high among diabetic patients, their frequency was the same among good, fair, poor and very poor glycemic control groups. Conclusion: The prevalence of long-term complications of diabetes mellitus was alarmingly high among Saudi nationals. Microvascular complications and ischemic heart disease were also noticed to be more common in diabetics with poor and very poor glycemic control. This emphasizes the need of national awareness program about the gravity of the problem.

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Peanut Consumption and Risk of Stroke and Ischemic Heart Disease in Japanese Men and Women: The JPHC Study

Stroke ◽

10.1161/strokeaha.120.031212 ◽

2021 ◽

Author(s):

Satoyo Ikehara ◽

Hiroyasu Iso ◽

Yoshihiro Kokubo ◽

Kazumasa Yamagishi ◽

Isao Saito ◽

...

Keyword(s):

Public Health ◽

Cardiovascular Disease ◽

Heart Disease ◽

Ischemic Stroke ◽

Ischemic Heart Disease ◽

Ischemic Heart ◽

Japanese Men ◽

Food Frequency ◽

Men And Women ◽

History Of

Background and Purpose: Several prospective cohort studies and a randomized clinical trial have shown the beneficial effects of peanut consumption on cardiovascular disease and its risk factors. We examined the association between peanut consumption and risk of cardiovascular disease in Japanese men and women. Methods: We analyzed data of 74 793 participants aged 45 to 74 years who completed a lifestyle questionnaire including the validated food frequency questionnaire in the Japan Public Health Center–based Prospective Study. They were followed up from 1995 to 2009 for cohort I and from 1998 to 1999 to 2012 for cohort II. Peanut consumption was calculated from the food frequency questionnaire, and the end points were incidence of stroke, ischemic heart disease, and cardiovascular disease (stroke and ischemic heart disease). Results: During a median follow-up of 14.8 years, 3,599 strokes and 849 ischemic heart diseases were reported. Higher peanut consumption was associated with reduced risks of total stroke, ischemic stroke, and cardiovascular disease among men and women. The multivariable hazard ratios (95% CIs) for the highest versus lowest quartiles of peanut consumption after adjustment for age, sex, public health center, smoking, alcohol consumption, perceived stress level, physical activity, vegetable, fruit, fish, soy, sodium and total energy intakes, body mass index, history of hypertension, history of diabetes, and cholesterol-lowering drug were 0.84 (0.77–0.93, P for trend=0.002) for total stroke, 0.80 (0.71–0.90, P for trend=0.002) for ischemic stroke, 0.93 (0.79–1.08, P for trend=0.27) for hemorrhagic stroke, 0.97 (0.80–1.17, P for trend=0.81) for ischemic heart disease and 0.87 (0.80–0.94, P for trend=0.004) for cardiovascular disease, and these associations were similarly observed in both sexes. Conclusions: Higher peanut consumption was associated with reduced risk of stroke, especially ischemic stroke, but not ischemic heart disease in Japanese men and women.

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