Publications by authors named "K N Vemmos"
Long-term outcomes after first-ever posterior circulation stroke and the prognostic significance of the New England Medical Center Posterior Circulation Registry stroke classification: A prospective study from the Athens Stroke Registry.
Eur Stroke J
December 2024
Background: There is paucity of data on the long-term outcomes after acute ischemic posterior circulation stroke (PCS). Additionally, the long-term prognostic value of the New England Medical Center-Posterior Circulation Registry (NEMC-PCR) classification of PCS has not been studied.
Patients And Methods: All consecutive patients with PCS registered in the Athens Stroke Registry between 01/1993 and 12/2012 were prospectively followed for up to 10 years and included in the analysis.
Article Synopsis
- Pulse wave velocity (PWV) serves as a strong indicator of arterial stiffness and is a better predictor of cardiovascular events compared to traditional risk factors, especially in the context of acute ischemic stroke (AIS).
- The meta-analysis reviewed studies on AIS patients, showing a higher PWV is linked to poorer functional outcomes and higher long-term risks such as mortality and stroke recurrence.
- Findings suggest that monitoring PWV can enhance risk assessment and management in patients with vascular aging, indicating the importance of incorporating this measure into clinical practice.
Article Synopsis
- The study focused on the prevalence and associated factors of carotid atherosclerosis in stroke patients with atrial fibrillation (AF), finding that 34.6% of patients had this condition.
- Among 2,955 patients analyzed, 6.9% had carotid stenosis of 50% or more, and 5.7% experienced carotid occlusion, with age and previous vascular conditions being significant risk factors.
- The research concluded that atherosclerosis in multiple arterial beds is a strong predictor of significant carotid stenosis, indicating a high level of cardiovascular risk in these patients.
Early vascular aging in acute ischemic stroke: A systematic review and meta-analysis.
J Stroke Cerebrovasc Dis
August 2024
Background: While arterial stiffening is a known risk factor for cardiovascular diseases, it remains unclear whether there is an early vascular aging (EVA) in patients who have experienced acute ischemic stroke (AIS). This systematic review and meta-analysis aims to investigate whether patients with AIS exhibit EVA through pulse wave velocity (PWV) measurements shortly after the stroke onset, shedding light on the relationship between arterial stiffness, hypertension, and stroke.
Methods: Thirteen case-control studies were included, comparing PWV measurements between AIS patients and non-AIS individuals.