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Recurrence Of Stroke More Common In Mexican American

another study that showed that Hispanics of Puerto Rican heritage had almost a three-fold increased risk of recurrence compared with NHWs, the authors state "If future work confirms the current finding that Hispanics experience greater stroke recurrence risk compared with NHWs, factors contributing to ethnic differences should be investigated to improve outcomes following incident stroke." The current study also showed that those who had a recurrent stroke had a two to three-fold increased risk of death due to any cause. "The magnitude of this association was considerably larger than other predictors of death in this population including diabetes and coronary artery disease and indicates that in both ethnic groups, secondary stroke prevention is critical to improve survival following ischemic [inadequate blood flow] stroke," the authors state.

The authors note that the study did not examine whether there were differences in how traditional vascular risk factors, such as diabetes and hypertension, were handled in the two groups. "Differences in physician treatment, patient compliance, or differential drug effectiveness by ethnicity could also translate into increased stroke recurrence for MAs," they note. They add that it would be useful to investigate the rate of other vascular events following stroke and that this should be explored in future studies.

One interesting finding of the study was that MAs had better survival than NHWs following ischemic stroke, despite their increased risk of recurrence and the fact that recurrent stroke carried the same risk of dying in the two groups. The authors suggest that there may be unidentified factors that contribute to better survival in the MA population, such as better social support and/or genetic factors. Nonetheless, they suggest that efforts to reduce stroke recurrence in this population are needed.

Source; EurekAlert.
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