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The Journal of Internal Korean Medicine > Volume 28(4); 2007 > Article
The Journal of Internal Korean Medicine 2007;28(4): 751-757.
급성기 중풍 환자의 중풍발병시간에 따른 제속성 비교
김미영1, 최원우1, 민인규1, 선종주1, 정재한1, 나병조1, 홍진우1, 정우상1, 문상관1, 조기호1, 고성규2, 전찬용3, 한창호4
1경희대학교 한의과대학 심계내과
2경희대학교 한의과대학 예방의학과
3경원대학교 한의과대학 심계내과
4동국대학교 한의과대학 심계내과
The comparison study on the general characteristics of acute stroke patients according to onset time.
Mi-young Kim1, Won-woo Choi1, In-kyu Min1, Jong-joo Sun1, Jae-han Jung1, Byoung-jo Na1, Jin-woo Hong1, Woo-sang Jung1, Sang-kwan Moon1, Ki-ho Cho1, Seong-gyu Ko2, Chan-yong Chen3, Chang-ho Han4
1Dept. of Cardiovascular & Neurologic Disease(Stroke center), College of Oriental Medicine, Kyung Hee University
2Dept. of Preventive Medicine, College of Oriental Medicine, Kyung Hee University
3Dept. of Internal Medicine, College of Oriental Medicine, Kyung Won University
4Dept. of Internal Medicine, College of Oriental Medicine, Dong guk University
Correspondence  Sang-kwan Moon ,Tel: 02-958-9275, Fax: 02-958-9132, Email: total1222@hanmail.net
  Published online: December 30, 2007.
ABSTRACT
Objectives:
The aim of this study was to provide basic background information on stroke by evaluating various etiological factors on the basis that the onset time of cerebral infarction varies according to its cause.

Methods :
We studied hospitalized patients within 4 weeks after their ictus who were admitted at Kyunghee OMC, Kyungwon OMC, or Donguk Ilsan OMC from [month] 1st, 2005 to June 30th, 2007. We compared the general characteristics of acute stroke patients according to onset time.

Results:
Regardless of the onset time, the distribution of cerebral infarction patterns showed high SVO. The onset time did not show significant difference for average age, height, weight, BMI, waist measurement, hip measurement, or waist/hip ratio between onset during sleep and awakening. Patients whose stroke occurred while awake were more likely to have a past history of HTN, DM, ischemic heart disease, or atrial fibrillation but did not show significant difference according to their onset time.

Conclusions:
The above results show that the overall tendency of acute stage cerebral infarction patients varies according to their onset time. This study was carried out on the basis of previous findings that cerebral infarctions that occurred during sleep were more likely to have been caused by cerebral thrombosis, and strokes that occurred while awake were more likely to have been caused by cerebral embolism. However, there were no statistically relevant results, so a larger study group is needed to research the tendency of stroke patients.
Key words: Stroke, Onset time, TOAST classification
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