Three-area epidemiological study of geographic differences in stroke mortality. I. Background and methods.

Nefzger, M. Dean; Kuller, Lewis H.; Lilienfeld, Abraham M.; Diamond, E L; Miller, Grady L.; Stolley, Paul D.; Tonascia, Susan

doi:10.1161/01.str.8.5.546

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…In this respect, these patients possibly were in worse condition than those who present for medical therapy. Certainly, when compared on the basis of age and other risk factors [39][40][41][42], the patients in our series do not seem to have been "healthier" than those in other series who were undergoing medical therapy [43][44][45][46][47][48][49][50][51][52].…”

Section: Discussionmentioning

confidence: 99%

Microvascular neurosurgical arterial bypass for cerebral ischemia: A decade of development

1979

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The microsurgical extracranial‐intracranial arterial bypass (EIAB) procedure, usually performed to anastomose the superficial temporal artery to a cortical branch of the middle cerebral artery, offers a therapeutic alternative in treating patients who present with symptoms of cerebral ischemia varying from transient ischemic attack (TIA) to stroke‐in‐evolution, and who have intracranial or otherwise inaccessible high cervical carotid lesions. Preoperative diagnostic steps include angiography, computer‐assisted tomography (CT) scan, and measurements of regional cerebral blood flow (rCBF). A comparison of our series of 172 patients with series reported in the literature suggests that EIAB is more effective than medical therapy in preventing the development of permanent neurological deficit after a series of TIA and in treating cases of stroke‐in‐evolution. It also can prevent further deterioration in selected patients after stroke. An analysis of patients who had an unfavorable outcome suggests that bilateral EIAB should be performed in a greater number of patients who have generalized low‐perfusion syndrome; that low doses of heparin should be administered intraoperatively and postoperatively in patients who have high‐grade siphon stenosis; and that aspirin should be given to patients experiencing TIA after EIAB.

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Section: Discussionmentioning

confidence: 99%

Microvascular neurosurgical arterial bypass for cerebral ischemia: A decade of development

1979

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The Association of Skin Color With Blood Pressure in US Blacks With Low Socioeconomic Status

Klag

Whelton

Coresh

et al. 1991

JAMA

134

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To determine the association of skin color, measured by a reflectometer, with blood pressure in US blacks, we studied a community sample of 457 blacks from three US cities. Persons taking antihypertensive medications were excluded. Both systolic and diastolic blood pressure were higher in darker persons and increased by 2 mm Hg for every 1-SD increase in skin darkness. However, the association was dependent on socioeconomic status, whether measured by education or an index consisting of education, occupation, and ethnicity, being present only in person with lower levels of either indicator. Using multiple linear regression, both systolic and diastolic blood pressure remained significantly associated with darker skin color in the lower levels of socioeconomic status, independent of age, body mass index, and concentrations of blood glucose, serum urea nitrogen, serum uric acid, and urinary sodium and potassium. The association of skin color with blood pressure only in low socioeconomic strata may be due to the lesser ability of such groups to deal with the psychosocial stress associated with darker skin color. However, these findings also are consistent with an interaction between an environmental factor associated with low socioeconomic status and a susceptible gene that has a higher prevalence in persons with darker skin color.

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Studying Ethnicity and Behavioral Medicine

Whitfield

Miles

1995

Behavior Genetic Approaches in Behavioral Medicine

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Three-area epidemiological study of geographic differences in stroke mortality. I. Background and methods.

Cited by 5 publications

References 10 publications

Microvascular neurosurgical arterial bypass for cerebral ischemia: A decade of development

Microvascular neurosurgical arterial bypass for cerebral ischemia: A decade of development

The Association of Skin Color With Blood Pressure in US Blacks With Low Socioeconomic Status

Studying Ethnicity and Behavioral Medicine

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