Aortic Arch Calcification Observed on Chest X-Ray May Serve as an Independent Predictor for Recurrent Stroke

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dc.authoridCakan, Fahri/0000-0002-5427-3480
dc.authoridSert Sunal, Asli/0000-0001-6024-8655
dc.contributor.authorCakan, Fahri
dc.contributor.authorSunal, Asli Sert
dc.contributor.authorAdar, Adem
dc.contributor.authorOnalan, Orhan
dc.date.accessioned2024-09-29T16:08:17Z
dc.date.available2024-09-29T16:08:17Z
dc.date.issued2024
dc.departmentKarabük Üniversitesien_US
dc.description.abstractBackground: Despite advances in diagnostic and treatment modalities, there is a need for predictive markers for recurrent strokes. Objectives: This study aimed to investigate the relationship between aortic arch calcification (AAC) and stroke recurrence in stroke patients during a one-year follow-up. Methods: All stroke patients who experienced their first event were evaluated for participation in the study. Patients who experienced recurrent strokes during the one-year follow-up were recorded. AAC was assessed by chest radiography. Based on the occurrence of recurrent strokes the patients were divided into two groups. AAC was classified into four categories according to its degree, and the presence of AAC was included in the statistical analysis. The relationship between AAC and recurrent stroke was assessed using a receiver operating characteristic curve. A significance level of <0.05 was deemed acceptable for all statistical analyses. Results: A total of 203 patients were included in the study (46.8% female, mean age 69 +/- 12.3). Recurrent stroke was detected in 49 patients. AAC, hypertension, and atrial fibrillation were more frequent in patients with recurrent stroke. Patients with recurrent stroke had a lower glomerular filtration rate and a higher red cell distribution width (RDW). In multivariate regression analysis, AAC (hazard ratio [HR], 3.544; 95% CI:1.653-7.598, p=0.001) and RDW (HR,1.214; 95% CI:1.053-1.400, p=0.008) were identified as independent predictors of recurrent stroke. Conclusion: The presence of AAC (>= grade 1) and RDW were found to be significantly associated with the development of recurrent stroke within one year. These findings may have prognostic significance in the follow-up of stroke patients.en_US
dc.identifier.doi10.36660/abc.20230805i
dc.identifier.issn0066-782X
dc.identifier.issn1678-4170
dc.identifier.issue7en_US
dc.identifier.pmid39082580en_US
dc.identifier.scopus2-s2.0-85200181382en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.36660/abc.20230805i
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7462
dc.identifier.volume121en_US
dc.identifier.wosWOS:001281332800001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherArquivos Brasileiros Cardiologiaen_US
dc.relation.ispartofArquivos Brasileiros De Cardiologiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectThoracic Aortaen_US
dc.subjectStrokeen_US
dc.subjectErythrocytesen_US
dc.titleAortic Arch Calcification Observed on Chest X-Ray May Serve as an Independent Predictor for Recurrent Strokeen_US
dc.typeArticleen_US

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