Abstract:
:Ischemic strokes presenting with isolated acute vestibular syndrome (AVS) are not rare and still are challenging for diagnosis. In this retrospective study, we aimed to investigate the association of high-sensitivity C-reactive protein (hs-CRP) with stroke in patients with isolated AVS. A total of 217 patients with isolated AVS within 3 days of symptom onset were included. Serum hs-CRP levels were assessed within 24 hours of admission. The relationship between hs-CRP levels and stroke in patients with AVS were analyzed using univariate and multivariate models. The results showed that hs-CRP levels were significantly higher in infarction patients than that in noninfarction group. The stroke occurrence was increased with increasing quartile levels of hs-CRP. The highest quartile level of hs-CRP was associated with a higher occurrence of stroke compared with the lowest quartile group (adjusted odds ratio [OR], 4.099; 95% confidence interval [CI], 1.272-13.216; P = .018). We also found that male gender (adjusted OR, 5.635; 95% CI, 2.212-14.352; P < .001) and increased low-density lipoprotein cholesterol (LDL-C) (adjusted OR, 2.543; 95% CI, 1.175-5.505; P = .018) were independently associated with stroke in patients with AVS. In addition, using the receiver operating characteristic curve analysis, our study yielded a threshold value of hs-CRP at 1.82 mg/L, and demonstrated that combining hs-CRP with LDL-C improved the discriminatory ability to identify stroke patients with AVS (area under the curve of the combined model: 0.753; 95% CI = 0.684-0.821; P < .001). Hs-CRP may be a useful indicator of stroke in patients with AVS. More attention should be paid to the patients with elevated hs-CRP level.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Lin F,Chen Y,Wan M,Chen W,Jia Wdoi
10.1097/MD.0000000000018097subject
Has Abstractpub_date
2019-11-01 00:00:00pages
e18097issue
48eissn
0025-7974issn
1536-5964pii
00005792-201911290-00039journal_volume
98pub_type
杂志文章相关文献
MEDICINE文献大全abstract::About 77.9 million (1 in 4) American adults have high blood pressure. High blood pressure is the primary cause of left ventricular hypertrophy (LVH), which represents a strong predictor of future heart failure and cardiovascular mortality. Previous studies have shown an altered metabolic profile in hypertensive patien...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004965
更新日期:2016-11-01 00:00:00
abstract::We aimed to understand the evaluation of different Bowie-Dick test (B-D test) on the performance of pressure steam sterilization equipment in the case of simulated gas leakage, and we selected a pulsating vacuum steam sterilizer to set 4 different gas leakage levels: 1.1, 1.3, 1.5, and 1.7 mbar/min during the B-D test...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023653
更新日期:2020-12-11 00:00:00
abstract::Calcific aortic valve disease (CAVD) is highly prevalent in our aging world and has no effective pharmaceutical treatment. Intense efforts have been made but the underlying molecular mechanisms of CAVD are still unclear.This study was designed to identify the critical genes and pathways in CAVD by bioinformatics analy...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021286
更新日期:2020-07-17 00:00:00
abstract::Within the overall National Health Insurance (NHI) budget in Taiwan, there has been a remarkable increase in expenditure for cancer patients. This study was designed to explore whether hematological malignancy is associated with higher end-of-life (EOL) medical expenditure in their last 6 months of life.We used data f...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001036
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION:A significant proportion of ventilator-dependent cardiac patients need tracheostomy during intensive care unit (ICU) stay. Three different methods including traditional (surgical), percutaneous dilatation tracheostomy, translaryngeal tracheostomy (TLT), and classical Fantoni method have been developed. In ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013590
更新日期:2018-12-01 00:00:00
abstract::To explore the correlation between platelet endothelial aggregation receptor-1 (PEAR1) genetic polymorphism and pulmonary thromboembolism (PTE).Variant loci of the PEAR1 gene were screened in a PTE pedigree, followed by verification using Sanger sequencing. These polymorphic loci were validated in 101 PTE patients and...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005687
更新日期:2016-12-01 00:00:00
abstract:RATIONALE:Bronchial foreign body aspiration is a critical condition that jeopardizes the respiratory function of children. Prompt diagnosis and removal of the foreign body can reduce occurrence of foreign body complications and mortality. Aspiration of spherical plastic beads is rare, and the bead is difficult to retri...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012147
更新日期:2018-09-01 00:00:00
abstract::We reviewed 106 patients referred to our institution for treatment of peripheral tuberculous adenitis to establish the epidemiologic, clinical, and pathologic manifestations of this disease. Tuberculous lymphadenitis occurred predominantly in young, foreign-born women a mean of 5 years after arrival in the United Stat...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/01.md.0000189090.52626.7a
更新日期:2005-11-01 00:00:00
abstract:RATIONALE:Cutaneous metastases from colorectal cancer are extremely rare and generally appear several years after diagnosis or resection of the primary colorectal tumor. Although cutaneous metastasis is unusual, it often indicates a poor prognosis. PATIENT CONCERNS:We treated a 62-year-old woman with multiple cutaneou...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020026
更新日期:2020-05-22 00:00:00
abstract:BACKGROUND:To systematically review the impact of remote health interventions based on an internet or mobile communication network on patients with hypertension and to provide a theoretical basis for hypertension patients with the implementation of remote health interventions. METHODS:Data were retrieved from a total ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000014707
更新日期:2019-03-01 00:00:00
abstract::End-stage renal disease (ESRD) patients exhibit an increased incidence of peptic ulcer disease. Helicobacter pylori plays a central role in the development of peptic ulcers. The effect of early H pylori eradication on the recurrence of complicated peptic ulcer disease in ESRD patients remains unclear. The aim of the p...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000370
更新日期:2015-01-01 00:00:00
abstract::To investigate the diurnal variations of the ocular blood flow in healthy eyes using laser speckle flowgraphy (LSFG), and to determine the relationship of the diurnal variations between the ocular blood flow and other ocular parameters.This prospective cross-sectional study was conducted at Nagoya University Hospital....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000519
更新日期:2015-02-01 00:00:00
abstract::Atrial fibrillation (AF), the most common cardiac arrhythmia, is a major risk factor for thromboembolic events, especially ischemic stroke. Catheter ablation is an effective method to maintain sinus rhythm in patients with AF. Although some observational studies have shown a relatively lower stroke rate after catheter...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000008479
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Traumatic brain injury (TBI) is a debilitating medical and emerging public health problem that is affecting people worldwide due to a multitude of factors including both domestic and war-related acts. The objective of this paper is to systematically review the status of TBI in Lebanon - a Middle Eastern coun...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000005342
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:The cancer of the splenic flexure of the colon is a rare medical entity with severe morbidity because of its insidious onset. METHODS:We present the case of a 59-year-old male patient with dull left upper quadrant pain, leukocytosis, and anemia. A splenic abscess described as an air-fluid level with splenoc...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000004941
更新日期:2016-09-01 00:00:00
abstract:RATIONALE:Hypereosinophilic syndrome (HES) is a rare disease characterized by hypereosinophilia and its ensuing organ damage. Cardiac involvement is divided into 3 chronological stages: an acute necrotic stage; a thrombus formation stage; and a fibrotic stage. Infiltration of the myocardium by eosinophilic cells follow...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010079
更新日期:2018-03-01 00:00:00
abstract:RATIONAL:Spontaneous adrenal hematoma in pregnancy is a very rare condition. Herein we present an additional rare case of unilateral spontaneous adrenal hematoma in a pregnant woman, aiming to share this experience and summarize the signal characteristics of simple adrenal hematoma in magnetic resonance imaging (MRI). ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013329
更新日期:2018-11-01 00:00:00
abstract:RATIONALE:Isolated dismal transverse aortic arch kinking in adults is rare, and there is no recommended therapy at present. Percutaneous stent implantation may be an effective method to correct it and could be considered. PATIENT CONCERNS:We report a 46-year-old woman who suffered from recurrent migraine and refractor...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006089
更新日期:2017-03-01 00:00:00
abstract::The periaqueductal gray (PAG) plays a pivotal role in pain modulation. We attempted to examine the relation between injury of the PAG and central pain in patients with mild traumatic brain injury (TBI).Sixty-one patients with mild TBI with central pain and 31 healthy control subjects were recruited for this study. Vis...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004017
更新日期:2016-06-01 00:00:00
abstract::Investigations into the safety of ultrasonography in pregnancy have focused on the potential harm of ultrasound itself. However, no data have been published regarding the electromagnetic fields that ultrasound devices might produce. This study is the first to measure extremely low-frequency magnetic field (ELF-MF) exp...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001194
更新日期:2015-07-01 00:00:00
abstract::Differential diagnosis between keratoacanthoma (KA) and squamous cell carcinoma (SCC) is difficult due to their similarities. The mechanisms that drive their distinct biological behavior are poorly understood. To investigate whether the assessment of microvessel density (MVD) could be helpful in KA and SCC differentia...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000934
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Exhaled nitric oxide (eNO) has been proposed as a noninvasive measure of airway inflammation. However, its value in patients with obstructive sleep apnea (OSA) is still controversial. The authors aim to assess the difference in eNO levels between patients with OSA and controls by a meta-analysis. METHODS:A ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000006429
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:B-type Raf kinase (BRAF) mutation is proved to be a critical predictive factor in papillary thyroid cancer (PTC) with aggressive characteristics. However, the association between BRAF mutation and cervical lymphatic metastasis in PTC is controversial. METHODS:We searched papers on the study of BRAF mutation...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000018917
更新日期:2020-01-01 00:00:00
abstract::Recently, much attention has been paid to a potential biochemical cross-talk between the metabolism of the adipose tissue (AT) and bone (marrow), termed "bone-fat axis." We hypothesized that selected substances, participating in this "dialog," are associated with body mass and peripheral trafficking of bone marrow-der...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001303
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:To verify the accuracy of serum dickkopf-1 protein (DKK-1) in the diagnosis of hepatocellular carcinoma (HCC) by an updated meta-analysis. METHODS:We searched potential eligible studies in PubMed and Embase before July 8, 2018. Sensitivity (SN), specificity (SP), positive likelihood ratio (PLR), negative li...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000016725
更新日期:2019-08-01 00:00:00
abstract::Hypertrophic pachymeningitis (HP) is an inflammatory condition in which the dura mater of the cranium or spine becomes thickened, leading to symptoms that result from mass effect, nerve compression, or vascular compromise. The differential diagnosis of HP includes immune-mediated conditions such as rheumatoid arthriti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0b013e31829cce35
更新日期:2013-07-01 00:00:00
abstract::Lipoprotein-associated phospholipase A2 (Lp-PLA2) probably plays an important role in the development of acute coronary syndrome (ACS). However, alterations of Lp-PLA2 levels during ACS and its association with cardiovascular outcome are unclear. Our aim was to investigate the change in Lp-PLA2 and its association wit...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011517
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Antiretroviral therapy for HIV in sub-Saharan Africa has transformed the highly infectious virus to a stable chronic condition, with the advent of Highly active antiretroviral therapy (HAART). The longterm effects of HAART on the oral health of children are understudied. OBJECTIVE:To compare the effect of l...
journal_title:Medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/MD.0000000000022352
更新日期:2020-09-25 00:00:00
abstract:BACKGROUND:To assess the safety and efficacy of percutaneous short-segment pedicle instrumentation compared with conventionally open short-segment pedicle instrumentation and provide recommendations for using these procedures to treat thoracolumbar fractures. METHODS:The Medline database, Cochrane database of Systemat...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000012535
更新日期:2018-10-01 00:00:00
abstract:RATIONALE:Extracorporeal membrane oxygenation (ECMO) is a well-known technique to provide cardio-pulmonary support. Although continuous renal replacement therapy (CRRT) is frequently indicated, the need for faster fluid removal as the primary indication for ECMO is uncommon. Experiences on concomitant applications of E...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014194
更新日期:2019-01-01 00:00:00