ArticleThe Pan African medical journal2021
[Prevalence of coronary artery disease in stroke survivors in Parakou (Benin) in 2019].
Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductioncoronary artery disease seem common in stroke patients. We aimed to determine the prevalence of coronary artery disease in stroke survivors followed at the Borgou-Alibori Departmental University Hospital (CHUD/B-A).
methodsthis was a cross-sectional study, conducted from March 1 to August 31, 2019. It included all stroke patients, aged ≥ 18 years, received in the neurology unit of CHUD-B/A between January 2012 and July 2019, having survived the acute phase, and from whom written informed consent or that of a guardian (severely disabled patients) has been obtained. An individual interview, anthropometric measurements, a physical examination, an electrocardiogram record and a review of the medical record were performed. The coronary artery disease was defined by a documented history, suggestive ST/T and/or Q abnormalities (Minnesota criteria) or a positive angina screening questionnaire. The factors associated with coronary artery disease were investigated by logistic regression.
resultsa total of 101 patients were included with an average age of 57.2 ± 10.5 years. The median time since stroke onset was 11 months (interquartile range: [2.0-23.5]). Ischemic stroke predominated (57.4%). The prevalence of coronary artery disease was estimated at 49.5%. The factors associated were lack of school education (p=0.036), obesity (0.036) and former tobacco use (p=0.044).
conclusionthis study shows a high frequency of coronary artery disease in stroke patients. It is important to detect coronary artery disease in this target population in order to improve the management.
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