Clinical variables and genetic risk factors associated with the acute outcome of ischemic stroke: a systematic review

Nuria P Torres-Aguila, Caty Carrera, Elena Muiño, Natalia Cullell, Jara Cárcel-Márquez, Cristina Gallego-Fabrega, Jonathan González-Sánchez, Alejandro Bustamante, Pilar Delgado, Laura Ibañez, Laura Heitsch, Jerzy Krupinski, Joan Montaner, Joan Martí-Fàbregas, Carlos Cruchaga, Jin-Moo Lee, Israel Fernandez-Cadenas, Acute Endophenotypes Group of the International Stroke Genetics Consortium (ISGC)

Research output: Contribution to journalReview articlepeer-review

26 Citations (Scopus)

Abstract

Stroke is a complex disease and one of the main causes of morbidity and mortality among the adult population. A huge variety of factors is known to influence patient outcome, including demographic variables, comorbidities or genetics. In this review, we expound what is known about the influence of clinical variables and related genetic risk factors on ischemic stroke outcome, focusing on acute and subacute outcome (within 24 to 48 hours after stroke and until day 10, respectively), as they are the first indicators of stroke damage. We searched the PubMed data base for articles that investigated the interaction between clinical variables or genetic factors and acute or subacute stroke outcome. A total of 61 studies were finally included in this review. Regarding the data collected, the variables consistently associated with acute stroke outcome are: glucose levels, blood pressure, presence of atrial fibrillation, prior statin treatment, stroke severity, type of acute treatment performed, severe neurological complications, leukocyte levels, and genetic risk factors. Further research and international efforts are required in this field, which should include genome-wide association studies.

Original languageEnglish
Pages (from-to)276-289
Number of pages14
JournalStroke
Volume21
Issue number3
Early online date30 Sept 2019
DOIs
Publication statusPublished - Sept 2019

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