Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies

Detalhes bibliográficos
Autor(a) principal: Matta, José Alberto Martins da
Data de Publicação: 2013
Outros Autores: Aras Júnior, Roque, Macedo, Cristiano Ricardo Bastos de, Cruz, Cristiano Gonçalves da, Martins Netto, Eduardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/15609
Resumo: p. 1-7
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spelling Matta, José Alberto Martins daAras Júnior, RoqueMacedo, Cristiano Ricardo Bastos deCruz, Cristiano Gonçalves daMartins Netto, EduardoMatta, José Alberto Martins daAras Júnior, RoqueMacedo, Cristiano Ricardo Bastos deCruz, Cristiano Gonçalves daMartins Netto, Eduardo2014-08-13T16:11:16Z20131932-6203http://repositorio.ufba.br/ri/handle/ri/15609v. 7, n. 4p. 1-7Background Aging and migration have brought changes to the epidemiology and stroke has been shown to be independently associated with Chagas disease. We studied stroke correlates in cardiomyopathy patients with focus on the chagasic etiology. Methodology/Principal Findings We performed a cross-sectional review of medical records of 790 patients with a cardiomyopathy. Patients with chagasic (329) and non-chagasic (461) cardiomyopathies were compared. There were 108 stroke cases, significantly more frequent in the Chagas group (17.3% versus 11.1%; p<0.01). Chagasic etiology (odds ratio [OR], 1.79), pacemaker (OR, 2.49), atrial fibrillation (OR, 3.03) and coronary artery disease (OR, 1.92) were stroke predictors in a multivariable analysis of the entire cohort. In a second step, the population was split into those with or without a Chagas-related cardiomyopathy. Univariable post-stratification stroke predictors in the Chagas cohort were pacemaker (OR, 2.73), and coronary artery disease (CAD) (OR, 2.58); while atrial fibrillation (OR, 2.98), age over 55 (OR, 2.92), hypertension (OR, 2.62) and coronary artery disease (OR, 1.94) did so in the non-Chagas cohort. Chagasic stroke patients presented a very high frequency of individuals without any vascular risk factors (40.4%; OR, 4.8). In a post-stratification logistic regression model, stroke remained associated with pacemaker (OR, 2.72) and coronary artery disease (OR, 2.60) in 322 chagasic patients, and with age over 55 (OR, 2.38), atrial fibrillation (OR 3.25) and hypertension (OR 2.12; p = 0.052) in 444 non-chagasic patients. Conclusions/Significance Chagas cardiomyopathy presented both a higher frequency of stroke and an independent association with it. There was a high frequency of strokes without any vascular risk factors in the Chagas as opposed to the non-Chagas cohort. Pacemaker rhythm and CAD were independently associated with stroke in the Chagas group while age over 55 years, hypertension and atrial fibrillation did so in the non-Chagas cardiomyopathies.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-08-12T16:36:07Z No. of bitstreams: 1 Ronaldo L. Oliveira.pdf: 700877 bytes, checksum: b4bfdf34c0cb2047c8f1ffc8d0aadacb (MD5)Approved for entry into archive by Delba Rosa (delba@ufba.br) on 2014-08-13T16:11:16Z (GMT) No. of bitstreams: 1 Ronaldo L. Oliveira.pdf: 700877 bytes, checksum: b4bfdf34c0cb2047c8f1ffc8d0aadacb (MD5)Made available in DSpace on 2014-08-13T16:11:16Z (GMT). No. of bitstreams: 1 Ronaldo L. Oliveira.pdf: 700877 bytes, checksum: b4bfdf34c0cb2047c8f1ffc8d0aadacb (MD5) Previous issue date: 2012-04http://dx.doi.org/ 10.1371/journal.pone.0035116reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAStroke Correlates in Chagasic and Non-Chagasic CardiomyopathiesPLoS ONEinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALRonaldo L. Oliveira.pdfRonaldo L. 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dc.title.pt_BR.fl_str_mv Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies
dc.title.alternative.pt_BR.fl_str_mv PLoS ONE
title Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies
spellingShingle Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies
Matta, José Alberto Martins da
title_short Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies
title_full Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies
title_fullStr Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies
title_full_unstemmed Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies
title_sort Stroke Correlates in Chagasic and Non-Chagasic Cardiomyopathies
author Matta, José Alberto Martins da
author_facet Matta, José Alberto Martins da
Aras Júnior, Roque
Macedo, Cristiano Ricardo Bastos de
Cruz, Cristiano Gonçalves da
Martins Netto, Eduardo
author_role author
author2 Aras Júnior, Roque
Macedo, Cristiano Ricardo Bastos de
Cruz, Cristiano Gonçalves da
Martins Netto, Eduardo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Matta, José Alberto Martins da
Aras Júnior, Roque
Macedo, Cristiano Ricardo Bastos de
Cruz, Cristiano Gonçalves da
Martins Netto, Eduardo
Matta, José Alberto Martins da
Aras Júnior, Roque
Macedo, Cristiano Ricardo Bastos de
Cruz, Cristiano Gonçalves da
Martins Netto, Eduardo
description p. 1-7
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2014-08-13T16:11:16Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/15609
dc.identifier.issn.none.fl_str_mv 1932-6203
dc.identifier.number.pt_BR.fl_str_mv v. 7, n. 4
identifier_str_mv 1932-6203
v. 7, n. 4
url http://repositorio.ufba.br/ri/handle/ri/15609
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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