Access to Neurological Care for Minorities

Kenton, Edgar J.

doi:10.1001/archneur.1991.00530170040018

Cited by 21 publications

(5 citation statements)

References 19 publications

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“…The nested case-control analysis also found that arrhythmia is a risk factor with an aOR greater than hypertension. Our findings are consistent with established knowledge that age, hypertension and arrhythmia are risk factors for IHD [ 43 , 44 , 45 , 46 , 47 , 48 ]. Atrial fibrillation has been associated with elevated mortality from heart failure with reduced ejection fraction in patients with IHD [ 47 ].…”

Section: Discussionsupporting

confidence: 93%

Risk of Ischemic Heart Disease Associated with Primary Dysmenorrhea: A Population-Based Retrospective Cohort Study

Yeh

Muo

Sung

et al. 2022

JPM

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The awareness on ischemic heart disease (IHD) in women with dysmenorrhea is insufficient. We utilized the National Health Insurance Research Database (NHIRD) of Taiwan to evaluate this relationship. From the claims data, we established a cohort of women aged 15–50 years with primary dysmenorrhea diagnosed from 2000 to 2008 (n = 18,455) and a comparison cohort (n = 36,910) without dysmenorrhea, frequency matched by age and diagnosis date. Both cohorts were followed until the end of 2013 to assess IHD events. With 75% of study population aged 15–29 years, the incidence of IHD was greater in the dysmenorrheal cohort than in the comparison cohort (1.93 versus 1.18 per 10,000 person-years), with an adjusted hazard ratio of 1.60 (95% confidence interval [CI] = 1.38–1.85). The incidence increased with age and the rate of increase was greater in the dysmenorrheal cohort than the comparison cohort. Nested case-control analysis in the dysmenorrhea cohort showed that IHD risk was also associated with hypertension and arrhythmia, with adjusted odds ratios of 2.50 (95% CI = 1.64–3.81) and 3.30 (95% CI = 2.25–4.86), respectively. Women with dysmenorrhea are at a higher risk of developing IHD, particularly for older patients and patients with comorbidity.

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Section: Discussionsupporting

confidence: 93%

Risk of Ischemic Heart Disease Associated with Primary Dysmenorrhea: A Population-Based Retrospective Cohort Study

Yeh

Muo

Sung

et al. 2022

JPM

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“…781,794,795 The elderly are at increased risk for recurrence and complications from treatments such as oral anticoagulants and carotid endarterectomy. 417,796 Many clinical trials, however, do not include a sufficient number of subjects >80 years of age to fully evaluate the efficacy of a therapy within this important and evergrowing subgroup.…”

Section: Identifying and Responding To Populations At Highest Riskmentioning

confidence: 99%

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Kernan¹,

Ovbiagele²,

Black³

et al. 2014

Stroke

3,990

1,326

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The aim of this updated guideline is to provide comprehensive and timely evidence-based recommendations on the prevention of future stroke among survivors of ischemic stroke or transient ischemic attack. The guideline is addressed to all clinicians who manage secondary prevention for these patients. Evidence-based recommendations are provided for control of risk factors, intervention for vascular obstruction, antithrombotic therapy for cardioembolism, and antiplatelet therapy for noncardioembolic stroke. Recommendations are also provided for the prevention of recurrent stroke in a variety of specific circumstances, including aortic arch atherosclerosis, arterial dissection, patent foramen ovale, hyperhomocysteinemia, hypercoagulable states, antiphospholipid antibody syndrome, sickle cell disease, cerebral venous sinus thrombosis, and pregnancy. Special sections address use of antithrombotic and anticoagulation therapy after an intracranial hemorrhage and implementation of guidelines.

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“…Those at high risk have been identified as the aged, socially disadvantaged, and specific ethnic groups. [437][438][439] The elderly are at a greater risk of stroke but also at the highest risk of complications from treatments such as oral anticoagulants and carotid endarterectomy. 209,440 Despite the need to consider different interventional approaches, some trials do not include a sufficient number of subjects Ͼ80 years of age to fully evaluate the efficacy of a therapy within this important subgroup.…”

Section: Sacco Et Al Guidelines For Prevention Of Stroke In Patients mentioning

confidence: 99%

Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack

Sacco¹,

Adams²,

Albers³

et al. 2006

Stroke

1,453

297

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Abstract-The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on the prevention of ischemic stroke among survivors of ischemic stroke or transient ischemic attack. Evidence-based recommendations are included for the control of risk factors, interventional approaches for atherosclerotic disease, antithrombotic treatments for cardioembolism, and the use of antiplatelet agents for noncardioembolic stroke. Further recommendations are provided for the prevention of recurrent stroke in a variety of other specific circumstances, including arterial dissections; patent foramen ovale; hyperhomocysteinemia; hypercoagulable states; sickle cell disease; cerebral venous sinus thrombosis; stroke among women, particularly with regard to pregnancy and the use of postmenopausal hormones; the use of anticoagulation after cerebral hemorrhage; and special approaches for the implementation of guidelines and their use in high-risk populations. (Stroke. 2006;37:577-617.)

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Access to Neurological Care for Minorities

Cited by 21 publications

References 19 publications

Risk of Ischemic Heart Disease Associated with Primary Dysmenorrhea: A Population-Based Retrospective Cohort Study

Risk of Ischemic Heart Disease Associated with Primary Dysmenorrhea: A Population-Based Retrospective Cohort Study

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack

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