Blood Markers of Coagulation, Fibrinolysis, Endothelial Dysfunction and Inflammation in Lacunar Stroke versus Non-Lacunar Stroke and Non-Stroke: Systematic Review and Meta-Analysis
Author(s) -
Stewart Wiseman,
Fergal Marlborough,
Fergus Doubal,
David J. Webb,
Joanna M. Wardlaw
Publication year - 2013
Publication title -
cerebrovascular diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 104
eISSN - 1421-9786
pISSN - 1015-9770
DOI - 10.1159/000356789
Subject(s) - lacunar stroke , medicine , stroke (engine) , fibrinogen , fibrinolysis , tissue plasminogen activator , leukoaraiosis , cardiology , endothelial dysfunction , inflammation , ischemic stroke , ischemia , disease , dementia , mechanical engineering , engineering
The cause of cerebral small vessel disease is not fully understood, yet it is important, accounting for about 25% of all strokes. It also increases the risk of having another stroke and contributes to about 40% of dementias. Various processes have been implicated, including microatheroma, endothelial dysfunction and inflammation. A previous review investigated endothelial dysfunction in lacunar stroke versus mostly non-stroke controls while another looked at markers of inflammation and endothelial damage in ischaemic stroke in general. We have focused on blood markers between clinically evident lacunar stroke and other subtypes of ischaemic stroke, thereby controlling for stroke in general.
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