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Year : 2007  |  Volume : 8  |  Issue : 4  |  Page : 142-146

Early stroke in patients with acute myocardial infarction: Incidence, risk factors and clinical outcomes

Mubarak Al Kabeer Hospital, Kuwait, Kuwait

Correspondence Address:
Mohammad Zubaid
Department of Medicine, Mubarak Al Kabeer Hospital, PO Box 24923,Safat 13110
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Source of Support: None, Conflict of Interest: None

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Background : Limited data is available about stroke developing after acute myocardial infarction (AMI). We investigated the incidence, risk factors and in-hospital outcome of stroke after AMI in clinical practice with and without use of thrombolysis. Methods and results : We analyzed data from a prospective registry of consecutive patients admitted to the coronary care unit (CCU) at Mubarak Al Kabeer Hospital in Kuwait. Of 2481 patients admitted with AMI between1999 and 2003, 29 (1.2%) developed stroke during their hospital stay. Age older than 60 years (OR 5.5; 95% CI 2.4 to 12.5; P < 0.001) and systolic blood pressure higher than 160 mmHg (OR 3.2; 95% CI 1.1to 9.5; P < 0.04), were identified as independent predictors for stroke among patients with AMI. Patients who received thrombolytic therapy were not at an increased risk for developing stroke (OR 0.7; 95% CI 0.2 to 2.0). Patients developing stroke were 12 times more likely to die during hospitalization compared with patients who did not develop stroke (OR 12.6; 95% CI 5.4 to 26.7; P < 0.001). Conclusions : Stroke is an infrequent but serious complication of AMI. Older age and high systolic blood pressure at admission are independent predictors of stroke.

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