Similarities and Differences in Epidemiology and Risk Factors of Cerebral and Myocardial Ischemic Disease

Abstract

Ischemic heart disease and cerebral ischemia represent the leading causes of mortality worldwide. Both entities share risk factors, pathophisiology and etiologic aspects by means of a main common mechanism, atherosclerosis. Th e autors aimed to investigate diff erences and similarities in epidemiology and risk factors that could be found between both entities. In a retrospective sudy 403 patients were included and divided into two groups: group of 289 patients with history of myocardial infarction (AMI), and group of 114 patients with history of ischemic stroke (IS (64.0 ± 9.9 vs 64.0 ± 9.9, p=0,028), with higher diastolic blood pressure (87,1 ± 10,2 vs 83,6 ± 10,4, p=0,003) and higher Sokolow-Lyon index in ECG, an also index of left ventricular hypertrophy (19,2 ± 9,1 vs 14,7 ± 6,5 AMI (64.0 ± 9.9 vs 64.0 ± 9.9, p=0,028), sa višim dijastolnim pritiskom (87,1 ± 10,2 vs 83,6±10,4, p=0,003) i imali su veće vrednosti indeksa hipertrofi je leve komore 2 ± 9,1 vs 14,7 ± 6,5

Increased risk of cardiovascular diseases in patients with chronic rhinosinusitis: a longitudinal follow-up study using a national health screening cohort

“…In our subgroup analysis, the CRSsNP group had a slightly (1.09-fold) higher stroke incidence, but the difference did not achieve statistical significance compared to the control group. Many studies have indicated that cerebral and myocardial ischemic diseases have similar pathophysiological mechanisms and share various cardiovascular risk factors (52,53) . However, there were differences between the incidence of ischemic stroke and myocardial infarction; specifically, older subjects with a higher diastolic blood pressure had an increased incidence of ischemic stroke, while male subjects with hyperlipidemia and a smoking history had an increased incidence of myocardial infarction (52) .…”

“…Many studies have indicated that cerebral and myocardial ischemic diseases have similar pathophysiological mechanisms and share various cardiovascular risk factors (52,53) . However, there were differences between the incidence of ischemic stroke and myocardial infarction; specifically, older subjects with a higher diastolic blood pressure had an increased incidence of ischemic stroke, while male subjects with hyperlipidemia and a smoking history had an increased incidence of myocardial infarction (52) . Additionally, we compared the incidence of stroke between two groups according to the presence or absence of NP after adjusting for the traditional risk factors of age, sex, hypertension, hyperlipidemia, and smoking.…”