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The Journal of Internal Korean Medicine > Volume 28(2); 2007 > Article
The Journal of Internal Korean Medicine 2007;28(2): 284-293.
급성기 뇌경색 환자들의 고혈압, 당뇨, 고지혈증 인지여부에 관한 분석 : 3개 한방병원기반 전향적 자료등록연구
홍진우1, 정우상1, 선종주1, 정재한1, 문상관1, 조기호1, 고성규2, 전찬용3, 한창호4
1경희대학교 한의과대학 심계내과
2경희대학교 한의학 임상연구 및 유전센터
3경원대학교 한의과대학 심계내과
4동국대학교 한의과대학 심계내과
Analysis of Acute Ischemic Stroke Patients about Awareness of Hypertension, Diabetes Mellitus and Hyperlipidemia: Three Oriental Medical Centers-Based Prospective Registration Study
Jin-woo Hong1, Woo-sang Jung1, Jong-joo Sun1, Jae-han Jung1, Sang-kwan Moon1, Ki-ho Cho1, Seong-gyu Ko2, Chan-yong Chen3, Chang-ho Han4
1Department of Cardiovascular & Neurologic Diseases (Stroke Center), Kyung Hee University, Seoul, Korea
2Center of Clinical Research and genomics, College of Oriental Medicine, Kyung Hee University, Seoul, Korea
3Department of Internal Medicine, College of Oriental Medicine, Kyung Won University, Kyunggi-do, Korea
4Department of Interanl Medicine, College of Oriental Medicine, Dong guk University, Kyunggi-do, Korea
Correspondence  Ki-ho Cho ,Tel: 02-958-9129, Fax: 02-958-9132, Email: jwhong@khmc.or.kr
  Published online: June 30, 2007.
Hypertension(HTN), diabetes mellitus(DM) and hyperlipidemia(HL) are the most common risk factors of cerebro-vascular attack(CVA). To prevent CVA, early diagnosis (awareness before CVA) of HTN, DM and HL is essential, and for the effective early diagnosis we need to analyze the data of CVA patients concerned with HTN, DM and HL. In this study, we studied characteristics of patients early diagnosed before CVA.

Methods :
We analyzed the data of 363 patients with acute ischemic stroke from Hanbang Stroke Registry supported by the Ministry of Science and Technology of Korea. Subjects' enrollment was done in the oriental medical hospitals of 3 universities located in the metropolitan region from October 2005 to October 2006. We analyzed all registered data about HTN, DM and HL, for example, how many patients were aware of their HTN, DM or HL before CVA, differences in characteristics of early diagnosed patients, effects of early diagnosis on CVA, etc.

Patients aware of their HTN, DM and HL before CVA have more past history and family history about HTN, DM or HL. Early diagnosis rate of HL is lower than HTN and DM, and early diagnosed HL patients were younger and educated longer than patients who weren't aware of their HL before CVA. These results mean that publicity is the key to promoting early diagnosis rates of HTN, DM and HL. In DM and HL, early diagnosed patients had more SVO type cerebral infarction than patients who weren't aware of risk factors. We can thus see that early diagnosis even affects CVA types.

This work helps us to understand the realities and importance of early diagnosis of HTN, DM and HL before CVA. There should be further research, which can contribute to much more improved early diagnosis rates of HTN, DM and HL.
Key words: Early diagnosis, Hypertension, Diabetes Mellitus, Hyperlipidemia, Stroke
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