Mathematical analysis of the manifestations of thrombophilia in patients with the consequences of ischemic strokes
https://doi.org/10.52727/2078-256X-2021-17-2-33-38
Abstract
Metabolic thrombophilia is an independent risk factor for the development of atherosclerosis in patients.
The aim of the study was to improve the prediction of the severity of ischemic strokes in the modeling and analysis of neurological disorders in patients.
Materials and methods. The study involved 125 patients suffering from the consequences of ischemic strokes in the vertebral-basilar and/or carotid basins. The age of the patients was 55.4 ± 11.4 years. Group 1 consisted of 61 patients with the consequences of acute cerebral circulatory disorders by the type of ischemia, by the lacunar subtype; group 2 consisted of 64 patients with the consequences of ischemic strokes by the atherothrombotic subtype. Statistical analysis of patient indicators was carried out using licensed statistical programs Excel. In the clinical picture of 43 patients of group 1, the predominant cerebral conduction disorders of the pyramidal system and sensitivity were observed. In the clinical picture, 39 patients of group 2 developed more frequent conduction disorders of the pyramidal system and sensitivity. According to the linear regression analysis, the worst prognosis for the severity of hyperfibrinogenemia and hyperhomocysteinemia were patients of groups 1 and 2 of the elderly, respectively.
Conclusion. According to the results of our and other authors studies, arterial thrombosis, which causes ischemic stroke according to the atherothrombotic subtype in the presence of thrombophilia, is formed with a certain frequency in patients. Ischemic stroke is less common in young people than in the elderly, but the underlying pathogenesis and risk factors are more multifaceted. Performing all of these diagnostic tests can improve the diagnosis, primary and secondary prevention of ischemic strokes in patients.
About the Authors
V. V. NikitinaRussian Federation
197002, St. Petersburg, Lev Tolstoi str., 6-8
A. P. Bochkov
Russian Federation
190031, St. Petersburg, Moskovskiy av., 9
E. R. Barantsevich
Russian Federation
197002, St. Petersburg, Lev Tolstoi str., 6-8
F. N. Porhun
Russian Federation
197002, St. Petersburg, Lev Tolstoi str., 6-8
V. R. Guseva
Russian Federation
195271, St. Petersburg, Kondratevskiy av., 72A
References
1. Ji R., Schwamm L.H., Pervez M.A., Singhal A.B. Ischemic stroke and transient ischemic attack in young adults: risk factors, diagnostic yield, neuroimaging, and thrombolysis. JAMA Neurol., 2013; 70: 51–7. doi: 10.1001/jamaneurol. 2013.575
2. de Stefano V., Chiusolo P., Paciaroni K., Casorelli I., Rossi E., Molinari M., Servidei S., Tonali P.A., Leone G. Prothrombin G20210A mutant genotype is a risk factor for cerebrovascular ischemic disease in young patients. Blood, 1998; 91: 3562–3565
3. Hamedani A.G., Cole J.W., Mitchell B.D., Kittner S.J. Meta-analysis of factor V Leiden and ischemic stroke in young adults: the importance of case ascertainment. Stroke, 2010; 41: 1599–1603. doi: 10.1161/STROKEAHA. 110.581256
4. Morris J.G., Singh S., Fisher M. Testing for inherited thrombophilias in arterial stroke: can it cause more harm than good? Stroke, 2010; 41: 2985–2990. doi: 10.1161/STROKEAHA.110.595199
5. Pfrieger F.W. Role of cholesterol in synapse formation and function. Biochim. Biophys. Acta., 2003; 1610 (2): 271–280.
6. Omran S.S., Lerario M.P., Gialdini G., Merkler A.E., Moya A., Chen M.L., Kamel H., DeSancho M., Navi B.B. Clinical Impact of Thrombophilia Screening in Young Adults with Ischemic Stroke. J. Stroke Cerebrovasc. Dis., 2019; 28 (4): 882–889. doi: 10.1016/j.jstrokecerebrovasdis.
7. Chazova I.E., Oshchepkova E.V. Experience in the fight against cardiovascular diseases in Russia. Analyt. Bull., 2015; 44 (597): 4–8.
8. Nikitina V.V., Bochkov A.P., Guseva V.R. Features of the pathogenesis of neurological disorders in patients with atherosclerotic hypertensive encephalopathies, the consequences of ischemic strokes. Natural and Technical Sciences, 2020; 2: 116–118.
9. Dautaj A., Krasi G., Bushati V., Precone V., Gheza M., Fioretti F., Sartori M., Costantini A., Benedetti S., Bertelli M. Hereditary thrombophilia. Acta Biomed., 2019; 90 (Suppl 10): 44–46. doi: 10.23750/abm.v90i10-S.8758
10. Bochkov A.P., Grafov A.A. Information systems of management of economic objects. St. Petersburg: Lan, 2019. 160 p.
11. Kaplan M.H., Feinstein A.R. Acritique of methods in reported studies of long-term vascular complications in patients with diabetes mellitus. Diabetes., 1973. 22 (3): 160–174.
12. Miller M.D., Paradis C.F., Houck P.R. et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res., 1992. 41: 237–248.
13. Nikitina V.V., Zhloba A.A., Barantsevich E.R., Belyakova L.A., Porkhun F.N. Method of diagnosing the severity of the consequences of ischemic stroke. Patent for invention N 2553183 dated 27.05.2014.
14. Chiasakul T., de Jesus E., Tong J., Chen Y., Crowther M., Garcia D., Chai-Adisaksopha C., Messé S.R., Cuker A. Inherited Thrombophilia and the Risk of Arterial Ischemic Stroke: A Systematic Review and MetaAnalysis. J. Am. Heart. Assoc., 2019; 8 (19): e012877. doi: 10.1161/JAHA.119.012877
15. M’barek L., Sakka S., Meghdiche F., Turki D., Maalla K., Dammak M., Kallel C., Mhiri C. MTHFR (C677T, A1298C), FV Leiden polymorphisms, and the prothrombin G20210A mutation in arterial ischemic stroke among young tunisian adults. Metab. Brain. Dis., 2021; 36 (3): 421–428. doi: 10.1007/s11011-020-00663-7
16. Li S., Randell E.W., Han F.Y., Zheng H., Zou L., Xi Y., Xie Y.-G. MTHFR677T and 1298C Play Independent but Opposite Effects in Stroke – Additive Co-Effect of two Intragenic Alleles. Biomed. J. of Sci. and Techn. Res., 2019; 17 (1): 12563–12569. doi: 10.2671/BJSTR.2019.17.002954
Review
For citations:
Nikitina V.V., Bochkov A.P., Barantsevich E.R., Porhun F.N., Guseva V.R. Mathematical analysis of the manifestations of thrombophilia in patients with the consequences of ischemic strokes. Ateroscleroz. 2021;17(2):33-38. (In Russ.) https://doi.org/10.52727/2078-256X-2021-17-2-33-38