Transient ischemic attacks in a community.
Transient ischemic attacks in a community.
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社区中的短暂性脑缺血发作。
DOI：
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发表时间：
1969
期刊：
影响因子：
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通讯作者：
M. Nichaman
中科院分区：
文献类型：
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作者：
G. Friedman;W. S. Wilson;J. Mosier;M. Colandrea;M. Nichaman
在对一个大型退休社区进行五年的观察期间，发现了 60 例短暂性脑缺血发作 (TIA) 病例。新发病例的发生率为 1.1/1,000/年，男性是女性的 1.8 倍。心电图异常与 TIA 发生风险增加相关；胸部X线检查未发现高血压和心脏肥大。大多数患者没有因 TIA 住院。 44 例既往无脑血管疾病的 TIA 患者平均随访 27.4 个月。随后有 8 人 (18%) 出现血栓，证实了医院和神经科诊所报告的 TIA 预后。随后血栓形成的发生率在初次 TIA 后的第一年最高。初步研究表明，女性、老年患者和发作持续时间少于一小时的患者随后发生血栓形成的风险增加。
Sixty cases of transient cerebral ischemic attack (TIA) were noted during five years of observation of a large retirement community. The incidence of new cases was 1.1/1,000/yr and was 1.8 times greater in men than in women. Electrocardiographic abnormalities were associated with increased risk of TIA development; hypertension and cardiomegaly on chest roentgenograms were not. Most patients were not hospitalized for TIA. Forty-four patients with TIA and without previous cerebrovascular disease were followed up for an average of 27.4 months. Subsequent thromboses developed in eight (18%), confirming the prognosis of TIA reported from hospitals and neurologic clinics. The incidence of subsequent thrombosis was greatest during the first year after the initial TIA. Preliminary studies indicated that women, older patients, and those with attacks of less than one hour's duration were at increased risk of subsequent thrombosis.