Home > Neurology > EAN 2022 > Cerebrovascular Disease and Stroke > Most acute stroke patients have undiagnosed risk factors

Most acute stroke patients have undiagnosed risk factors

Presented By
Dr André Rêgo, Lausanne University Hospital and University of Lausanne, Switzerland
Conference
EAN 2022
In a large, single-centre cohort study, two-thirds of patients with acute ischemic stroke had one or more undiagnosed major vascular risk factors, most notably dyslipidemia, hypertension, and atrial fibrillation (AF). Patients with undiagnosed risk factors were relatively young, were more often women, and had more often a patent foramen ovale (PFO). A retrospective analysis, performed by Dr André Rêgo (Lausanne University Hospital and University of Lausanne, Switzerland), included 4,354 patients from the ASTRAL registry from 2003–2018, who had been admitted within 24 hours after a stroke [1]. Their median age was 70 years (IQR 15.2) and 44.7% were women. 1,125 patients (25.8%) were unaware of having any major risk factor; mean age in this subgroup was 59 years, as opposed to 74 years in the group with diagnosed risk factors. Within this group, 341 (30.3%) indeed had no undiagnosed major risk factor(s), but 784 (67.7%) did have at least one. Of the...


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