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- W4293776384 abstract "Background and Aims : Adrenal lesions are increasingly recognized as a potential cause of hyperaldosteronism and hypercortisolism, with adverse metabolic effects potentially increasing the risk of cardiovascular events. We examined the association of adrenal abnormalities with ischemic stroke and intracerebral hemorrhage (ICH).Methods: We performed a cross-sectional study using data from the Cornell Acute Stroke Academic Registry (CAESAR), which includes patients with ischemic stroke and ICH at our medical center since 2018. As controls, we included randomly selected patients hospitalized with traumatic brain injury (TBI). We included patients who had undergone an abdominal CT with and without contrast. Imaging reports were reviewed for any mentions of adrenal abnormalities by reviewers blinded to the study hypothesis. We calculated prevalence rates of adrenal abnormalities by group and used logistic regression models, adjusted for demographics and vascular risk factors, to evaluate the association of adrenal abnormalities with ischemic stroke and ICH, in reference to those control patients with TBI.Results: Among 75 IS patients, 75 ICH patients, and 75 TBI controls, adrenal abnormalities were found in 12% of the TBI patients, 13% of the ICH patients, and 15% of the IS patients (P = 0.89). In multiple logistic regression models, adrenal abnormalities were not associated with ischemic stroke (OR, 1.1; 95% CI, 0.4-3.0) or ICH (OR, 1.1; 95% CI, 0.4-2.9).Conclusions: We found that patients with ischemic stroke or ICH did not have a higher prevalence of adrenal abnormalities than control patients. Future studies may be warranted to further investigate the role of occult hypercortisolism and hyperaldosteronism in stroke risk. Background and Aims : Adrenal lesions are increasingly recognized as a potential cause of hyperaldosteronism and hypercortisolism, with adverse metabolic effects potentially increasing the risk of cardiovascular events. We examined the association of adrenal abnormalities with ischemic stroke and intracerebral hemorrhage (ICH). Methods: We performed a cross-sectional study using data from the Cornell Acute Stroke Academic Registry (CAESAR), which includes patients with ischemic stroke and ICH at our medical center since 2018. As controls, we included randomly selected patients hospitalized with traumatic brain injury (TBI). We included patients who had undergone an abdominal CT with and without contrast. Imaging reports were reviewed for any mentions of adrenal abnormalities by reviewers blinded to the study hypothesis. We calculated prevalence rates of adrenal abnormalities by group and used logistic regression models, adjusted for demographics and vascular risk factors, to evaluate the association of adrenal abnormalities with ischemic stroke and ICH, in reference to those control patients with TBI. Results: Among 75 IS patients, 75 ICH patients, and 75 TBI controls, adrenal abnormalities were found in 12% of the TBI patients, 13% of the ICH patients, and 15% of the IS patients (P = 0.89). In multiple logistic regression models, adrenal abnormalities were not associated with ischemic stroke (OR, 1.1; 95% CI, 0.4-3.0) or ICH (OR, 1.1; 95% CI, 0.4-2.9). Conclusions: We found that patients with ischemic stroke or ICH did not have a higher prevalence of adrenal abnormalities than control patients. Future studies may be warranted to further investigate the role of occult hypercortisolism and hyperaldosteronism in stroke risk." @default.
- W4293776384 created "2022-08-31" @default.
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- W4293776384 date "2022-08-01" @default.
- W4293776384 modified "2023-09-26" @default.
- W4293776384 title "Adrenal abnormalities and stroke" @default.
- W4293776384 doi "https://doi.org/10.1016/j.atherosclerosis.2022.06.981" @default.
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