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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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102708
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| Doc. No
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T11375
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| Call number
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WL,355,M671c,2007
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| Main Entry
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Mirabdolbaghi, Payman
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| Title & Author
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Comparsion of carotid intemia-media thichness and risk factors of atherosclerosis in lacunar versus non-lacunar cerbral infarcts. Payam Mirabdolbaghi/پیام میرعبدالباقی
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| College
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Schools, Medical
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| Date
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, 2007
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| Degree
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Neurology, Speciality
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| Page No
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9 p.: tab
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| Note
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This thesis a also a research project with project ID 384186 and also presented as a paper in Research in Medical Sciences Journal
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| Note
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Orginal Work
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| Abstract
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ABSTRACT: Background: Increases in the thickness of the intima-media of the carotid artery have been associated with an increased risk of myocardial infarction and stroke in subjects without a history of cardiovascular disease. Lacunar infarcts, one of the most common subtype of ischemic stroke, show unique pathological and clinicoradiological characteristics. The present study examines the relationship between vascular risk factors, including carotid artery intima-media thickness (IMT), and lacunar versus nonlacunar infarcts.Methods: We collected data from patients with acute ischemic stroke admitted to hospita1.195 Patients and 96 control subjects underwent B-mode ultrasonographic measurements of IMT of the common carotid artery. We examined the association of lacunar and nonlacunar infarcts with age, sex, and potential vascular risk factors. Results: Of 195 adult patients with acute ischemic stroke, 87 were considered lacunar and 108 were considered nonlacunar strokes. We did not find a significantly different percentage of diabetes, smoking, hypertension, dyslipidemia, myocardial infarction, and previous history of ischemic stroke,alcohol ,obesity,atherogen diet ,exercise and IMT, between the 2 groups of patients, but in patients with lacunar infarct, diabetis mellitus(p-0.02)and hypertension(p=0.02)had significantly higher percentage and history of perior CVA (p=0.03) had significantly higher percentage in non lacunar infarct. Conclusions: The present results indicate that diabetis mellitus and hyper tension are more common in patients with lacunar infarct and history of CVA is more common in patients with non تlacunar infarcts.we concluded that IMT cannot differentiate subtypes of ischemic stroke.because risk factors and clinical presentation of ischemic stroke in races are different,and more national studies should be done in our country to find out the ways to prevent stroke and its complication. Key Words: lacunar infarction . risk factors . ultrasonography.
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| Descriptor
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1. Cerebrovascular Accident.- Descriptors: Cerebral Infarction
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Carotid Artery, Internal
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Atherosclerosis
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Cerebral Ischemia
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Risk Factors
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Brain Infarction
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| Added Entry
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Moosavi, Ali, Supervisor
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| Translated Title Supplied by Cataloguer
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مقایسه ضخامت اینتیما- مدیای شریان کاروتید و ریسک فاکتورهای آترواسکلروز در بیماران با سکته مغزی ایسکمیک لاکونار و غیر لاکونار
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http://elib.mui.ac.ir/site/catalogue/102708
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