Brachial-ankle pulse wave velocity for predicting functional outcomes in patients with cryptogenic stroke

Minho Han, Young Dae Kim, Hyung Jong Park, In Gun Hwang, Junghye Choi, Jimin Ha, Ji Hoe Heo, Hyo Suk Nam

Research output: Contribution to journalArticle

Abstract

Even after extensive standard evaluation, the probable cause of stroke in some patients remains unclear; this condition is defined as cryptogenic stroke (CS). The prognosis of patients with CS is largely undetermined. We investigated whether higher brachial-ankle pulse wave velocities (baPWVs) can predict poor functional outcomes at 3 months after stroke onset in these patients. We investigated patients with CS with first-ever acute cerebral infarction who underwent baPWV measurements. The stroke subtypes were classified using the Trial of ORG 10172 in Acute Stroke Treatment classification. Poor functional outcomes were defined as modified Rankin Scale scores of >2 at 3 months after stroke onset. In total, 595 patients with CS were included; among them, 360 were men (60.5%). Their mean age was 65.0 ± 12.4 years. One-hundred-eleven patients (18.7%) had poor functional outcomes. In the multivariable logistic regression analysis, the cutoff baPWV value based on the receiver-operating characteristic curve was >1968 cm/s, which was determined as a strong independent predictor (OR 3.159, 95% CI 1.487–6.715, p = 0.003). The OR of the cutoff value was higher in the patients with CS with initial National Institutes of Health Stroke Scale (NIHSS) scores of ≥5 (OR 4.252, 95% CI 1.596–11.324, p = 0.004); that in the patients with initial NIHSS scores of <5 was not significant (OR 1.671, 95% CI 0.620–4.505, p = 0.310). baPWV measurement during the acute stroke phase might be useful in identifying patients with CS at high risks of having a poor neurological prognosis.

Original languageEnglish
Pages (from-to)214-219
Number of pages6
JournalJournal of Clinical Neuroscience
Volume69
DOIs
Publication statusPublished - 2019 Nov

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Pulse Wave Analysis
Ankle
Arm
Stroke
National Institutes of Health (U.S.)
Cerebral Infarction
ROC Curve

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

Cite this

Han, Minho ; Kim, Young Dae ; Park, Hyung Jong ; Hwang, In Gun ; Choi, Junghye ; Ha, Jimin ; Heo, Ji Hoe ; Nam, Hyo Suk. / Brachial-ankle pulse wave velocity for predicting functional outcomes in patients with cryptogenic stroke. In: Journal of Clinical Neuroscience. 2019 ; Vol. 69. pp. 214-219.
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abstract = "Even after extensive standard evaluation, the probable cause of stroke in some patients remains unclear; this condition is defined as cryptogenic stroke (CS). The prognosis of patients with CS is largely undetermined. We investigated whether higher brachial-ankle pulse wave velocities (baPWVs) can predict poor functional outcomes at 3 months after stroke onset in these patients. We investigated patients with CS with first-ever acute cerebral infarction who underwent baPWV measurements. The stroke subtypes were classified using the Trial of ORG 10172 in Acute Stroke Treatment classification. Poor functional outcomes were defined as modified Rankin Scale scores of >2 at 3 months after stroke onset. In total, 595 patients with CS were included; among them, 360 were men (60.5{\%}). Their mean age was 65.0 ± 12.4 years. One-hundred-eleven patients (18.7{\%}) had poor functional outcomes. In the multivariable logistic regression analysis, the cutoff baPWV value based on the receiver-operating characteristic curve was >1968 cm/s, which was determined as a strong independent predictor (OR 3.159, 95{\%} CI 1.487–6.715, p = 0.003). The OR of the cutoff value was higher in the patients with CS with initial National Institutes of Health Stroke Scale (NIHSS) scores of ≥5 (OR 4.252, 95{\%} CI 1.596–11.324, p = 0.004); that in the patients with initial NIHSS scores of <5 was not significant (OR 1.671, 95{\%} CI 0.620–4.505, p = 0.310). baPWV measurement during the acute stroke phase might be useful in identifying patients with CS at high risks of having a poor neurological prognosis.",
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Brachial-ankle pulse wave velocity for predicting functional outcomes in patients with cryptogenic stroke. / Han, Minho; Kim, Young Dae; Park, Hyung Jong; Hwang, In Gun; Choi, Junghye; Ha, Jimin; Heo, Ji Hoe; Nam, Hyo Suk.

In: Journal of Clinical Neuroscience, Vol. 69, 11.2019, p. 214-219.

Research output: Contribution to journalArticle

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