Analysis of multiple factors involved in acute progressive cerebral infarction and extra- and intracranial arterial lesions

被引:71
作者
Chen, Yuefu [1 ]
Liu, Yajie [2 ]
Luo, Chenghong [1 ]
Lui, Weiheng [1 ]
Su, Binru [1 ]
机构
[1] Southern Med Univ, Dept Neurol, Shilong Peoples Hosp, Dongguan 523326, Guangdong, Peoples R China
[2] Southern Med Univ, Zhujiang Hosp, Dept Neurol, Guangzhou 510282, Guangdong, Peoples R China
关键词
progressive cerebral infarction; carotid atherosclerosis; cerebral artery stenosis; stroke in progression; ACUTE ISCHEMIC-STROKE; EARLY NEUROLOGICAL DETERIORATION; AMERICAN-HEART-ASSOCIATION; MECHANISMS; PREDICTORS; STATEMENT; RISK; CARE;
D O I
10.3892/etm.2014.1624
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
In order to identify the potential factors involved in the development of acute progressive cerebral infarction (PCI), the association between potential risk factors and extra- and intracranial arterial lesions was investigated. A total of 608 patients underwent cerebral angiography to analyze the morphological characteristics between the PCI and NPCI groups. In addition, data from numerous cases of extra- and intracranial arterial lesions were collected and compared with the control groups, and the associations between the severity of arterial lesions and the potential influential factors were analyzed. In the blood vessels responsible for cerebral infarction, various degrees of atherosclerotic plaques and stenosis were observed. Age, high-density lipoprotein (HDL) levels, glycosylated hemoglobin and blood pressure affected the degrees of hardening, plaques and stenosis. Analysis of cerebral artery stenosis revealed that age, diabetes mellitus and plasma fibrinogen were risk factors for cerebral artery stenosis, while the HDL/low density lipoprotein ratio was a protective factor. Therefore, the results of the present study indicate that the lesions of blood vessels are a major pathological change in PCI and multiple factors are involved in the pathogenesis.
引用
收藏
页码:1495 / 1505
页数:11
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