scholarly journals Transient Global Amnesia (TGA): Influence of Acute Hypertension in Patients Not Adapted to Chronic Hypertension

2021 ◽  
Vol 12 ◽  
Author(s):  
Andreas Rogalewski ◽  
Anne Beyer ◽  
Anja Friedrich ◽  
Jorge Plümer ◽  
Frédéric Zuhorn ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Strong Association ◽  
Transient Global Amnesia ◽  
Risk Profile ◽  
Chronic Hypertension ◽  
Cardiovascular Risk Profile ◽  
Stroke Patients ◽  
Acute Hypertension ◽  
Cross Sectional ◽  
Global Amnesia

Objective: Transient global amnesia (TGA) is defined by an acute memory disturbance of unclear etiology for a period of <24 h. Several studies showed differences in vascular risk factors between TGA compared to transient ischemic attack (TIA) or healthy controls with varying results. This retrospective and cross-sectional study compares the cardiovascular risk profile of TGA patients with that of acute stroke patients.Methods: Cardiovascular risk profile and MR imaging of 277 TGA patients was retrospectively analyzed and compared to 216 acute ischemic stroke patients (26% TIA).Results: TGA patients were significantly younger and predominantly female compared to stroke patients. A total of 90.6% of TGA patients underwent MRI, and 53% of those showed hippocampal diffusion-weighted imaging (DWI) lesions. Scores for cerebral microangiopathy were lower in TGA patients compared to stroke patients. After statistical correction for age, TGA patients had higher systolic and diastolic blood pressure, higher cholesterol levels, lower HbA1c, as well as blood glucose levels, and lower CHA2DS2-VASc scores. Stroke patients initially displayed higher CRP levels than TIA and TGA patients. TGA patients without DWI lesions were older and showed higher CHA2DS2-VASc scores compared to TGA patients with DWI lesions.Conclusion: This study revealed significant differences between TGA and stroke patients in regard to the cardiovascular risk profile. Our main findings show a strong association between acute hypertensive peaks and TGA in patients not adapted to chronic hypertension, indicating a vascular cause of the disease.

scholarly journals Cardiovascular risk profile of high school students: A cross-sectional study

2014 ◽  
Vol 33 (9) ◽  
pp. 525-534 ◽  
Author(s):  
Teresa Rocha ◽  
Evangelista Rocha ◽  
Ana Catarina Alves ◽  
Ana Margarida Medeiros ◽  
Vânia Francisco ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Cardiovascular Risk ◽  
Cross Sectional Study ◽  
Risk Profile ◽  
Cardiovascular Risk Profile ◽  
Sectional Study ◽  
School Students ◽  
Cross Sectional

scholarly journals Evaluation of atrial fibrillation management and cardiovascular risk profile in atrial fibrillation patients: A cross-sectional survey

Medicina ◽  
2017 ◽  
Vol 53 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Gediminas Račkauskas ◽  
Vytautas Zabiela ◽  
Germanas Marinskis ◽  
Arvydas Baranauskas ◽  
Deimilė Balkutė ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiovascular Risk ◽  
Risk Profile ◽  
Cardiovascular Risk Profile ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals P665 Cardiovascular risk profile in chronic auto-inflammatory diseases: a cross-sectional single center study

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S589-S590
Author(s):  
J A M Sleutjes ◽  
J E Roeters van Lennep ◽  
P J P Verploegh ◽  
M B A van Doorn ◽  
M Vis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Odds Ratio ◽  
Inflammatory Diseases ◽  
Risk Profile ◽  
Cardiovascular Risk Profile ◽  
Single Center ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Cross Sectional

Abstract Background Chronic auto-inflammatory diseases are associated with an increased risk of arterial and venous cardiovascular diseases (CVD). Pathogenesis may be related to chronic inflammation and/or traditional CVD risk factors. We aimed to assess the prevalence of CVD and cardiovascular risk profile in inflammatory bowel disease (IBD), psoriasis (PSO) and spondylarthropathies (SpA). Methods This is a single center cross-sectional study at the depts. of Gastroenterology, Dermatology and Rheumatology. Patients ≥18 years underwent body measurements (blood pressure (BP), BMI, waist and hip circumference), laboratory analysis (plasma glucose, lipid spectrum) and completed a cardiovascular questionnaire (e.g. history of CVD, medication use). Multivariate linear and logistic regression models corrected for age and sex were applied to identify differences between groups.. Sensitivity analyses were performed excluding patients taking statins or anti hypertensive drugs. Within groups, association between lipid levels and clinical disease activity was assessed by stratification, and with CRP levels by Pearson correlation test. Results A total of 668 patients were included (335 males (50%), median age 47 years: 459 IBD (69%), 106 PSO (16%) and 103 SpA patients (15%). (Table 1) The prevalence of venous thromboembolisms was 6%, heart failure 3% and arterial CVD 8%. IBD patients had lower BMI, systolic BP, TC and LDL-c levels, and lower odds ratio of having diabetes, overweight and hypercholesterolemia, as compared to PSO and SpA, but a higher odds ratio of having VTE. (Table 2) These results were independent of statin of anti hypertensive drug use. All groups showed a trend towards higher levels of TC, HDL-c and LDL-c during disease remission as compared to active disease (Figure 1) Overall, TC and LDL-c levels were inversely correlated with CRP (R -.145, p=.002 and R -.111, p=.016); within groups a significant association was only observed in IBD. (Table 3, Figure 2) Conclusion IBD patients have a more favorable cardiovascular risk profile, as compared to PSO and SpA. Screening and early intervention for CVD risk factors requires different strategies for each population.

scholarly journals Cardiovascular risk profile of high school students: A cross-sectional study

2014 ◽  
Vol 33 (9) ◽  
pp. 525-534
Author(s):  
Teresa Rocha ◽  
Evangelista Rocha ◽  
Ana Catarina Alves ◽  
Ana Margarida Medeiros ◽  
Vânia Francisco ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Cardiovascular Risk ◽  
Cross Sectional Study ◽  
Risk Profile ◽  
Cardiovascular Risk Profile ◽  
Sectional Study ◽  
School Students ◽  
Cross Sectional

scholarly journals Vegetarian, pescatarian and flexitarian diets: sociodemographic determinants and association with cardiovascular risk factors in a Swiss urban population

2020 ◽  
Vol 124 (8) ◽  
pp. 844-852
Author(s):  
Hannah Wozniak ◽  
Christophe Larpin ◽  
Carlos de Mestral ◽  
Idris Guessous ◽  
Jean-Luc Reny ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Population Based ◽  
Risk Profile ◽  
Lower Income ◽  
Cardiovascular Risk Profile ◽  
Cross Sectional ◽  
Sociodemographic Determinants ◽  
Vegetarian Diets

AbstractPrevalence and trends of different vegetarian diets remain unknown, with estimates varying depending on the source. Evidence suggests that vegetarian diets are associated with a more favourable cardiovascular risk profile. The present study aimed to assess the prevalence and trends of different types of vegetarian diets in a population-based representative sample, sociodemographic characteristics of participants following such diets and the association of these diets with cardiovascular risk factors. Using repeated cross-sectional population-based surveys conducted in Geneva, Switzerland, 10 797 individuals participated in the study between 2005 and 2017. Participants were classified as vegetarians, pescatarians, flexitarians or omnivores using an FFQ. Sociodemographic and cardiovascular risk factors were evaluated through questionnaires, anthropometric measurements and blood tests. Findings show prevalence of vegetarians increased from 0·5 to 1·2 %, pescatarians from 0·3 to 1·1 % and flexitarians remained stable at 15·6 % of the population over the study period. Compared with omnivores, vegetarians were more likely to be young (OR 2·38; 95 % CI 1·01, 5·6), have higher education (OR 1·59; 95 % CI 1·01, 2·49) and lower income (OR 1·83; 95 % CI 1·04, 3·21); pescatarians and flexitarians were more likely to be women (pescatarian: OR 1·81; 95 % CI 1·10, 3·00; vegetarian: OR 1·57; 95 % CI 1·41, 1·75) and flexitarians were also more likely to have a lower income (OR 1·31; 95 % CI 1·13, 1·53). Participants who adhered to any diet excluding/reducing meat intake had lower BMI, total cholesterol and hypertension compared with omnivores. The present study shows an increase in the prevalence of vegetarians over a 13-year period and suggests that the different vegetarian diets assessed are associated with a better cardiovascular risk profile.

P5312Sleep duration and carotid atheromatic burden. Insights from the Corinthia study

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
E Oikonomou ◽  
S Tsalamandris ◽  
G Vogiatzi ◽  
G Lazaros ◽  
E Christoforatou ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Carotid Artery ◽  
Sleep Duration ◽  
Atherosclerotic Plaque ◽  
Intima Media Thickness ◽  
Risk Profile ◽  
Cardiovascular Risk Profile ◽  
Cross Sectional ◽  
Atherosclerotic Burden ◽  
Adjacent Segments

Abstract Background Sleep is an essential physiological process and disturbance of sleeping pattern may be associated with cardiovascular risk profile and atheromatosis. Short but also long sleep duration (LSD) may be adversely affect cardiovascular parameters. Purpose To study how sleep duration is associated with cardiovascular risk profile and carotid atherosclerotic burden. Methods Corinthia study is a cross sectional epidemiological study based on 2043 inhabitants (age 40–99 years) of Corinthia region in Greece. Ultrasonography was used to measure intima media thickness (IMT) in the left and right common carotid artery, carotid bulb and internal carotid artery. The mean IMT (meanIMT) were determined as representative values of carotid atherosclerosis burden. Thickness of IMT>1.5 mm or protrusion >50% compared to adjacent segments was considered as atherosclerotic plaque. Based on questionnaires of Corinthia study, total sleeping time per day was recorded. A sleep duration of 7 to 8 h was consider normal (NSD), sleep duration <6 h was consider very short (VSSD), 6–7 h sleep duration was considered short (SSD) and participants with >8 h sleep duration was categorized as LSD. Results Concerning gender more men than women were categorized in the NSD (26% vs. 21%, p<0.001). Subjects in the NSD were also younger compared to subjects categorized in other sleeping patterns (VSSD: 66±12 y vs. SSD: 63±12 y vs. NSD: 62±12 y vs. LSD: 66±12 y, p<0.001), have less prevalence of diabetes mellitus (p<0.05). There was no difference according to sleeping pattern in body mass index, prevalence of hypertension, cardiovascular disease, hyperlipidemia and on current smoking habits according to sleeping patterns. Interestingly, meanIMT (VSSD: 1.08±0.51 mm vs. SSD: 0.97±0.42 mm vs. NSD: 0.97±0.41 mm vs. LSD: 1.14±1.64 mm, p=0.04) and carotid atherosclerotic plaque (VSSD: 35% vs. SSD: 25% vs. NSD: 20% vs. LSD: 30%, p=0.006) was decreased in NSD subjects. Importantly, even after adjustment for the confounders logistic regression analysis revealed that subjects in the NSD group have 50% less odds of carotid atheromatic plaque than subjects in the VSSD (Odds ratio: 0.5, 95% CI 0.28–0.90, p=0.02) (Figure). Conclusion A balanced sleeping pattern with 8h of sleep daily can act as an additive cardioprotective factor in the modern western type societies. Short especially less than 6 hours and long (>8 hours) sleeping duration may act as a cardiovascular risk factor.

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