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Research ArticleBrain
Open Access

Statin Therapy Does Not Affect the Radiographic and Clinical Profile of Patients with TIA and Minor Stroke

N. Asdaghi, J.I. Coulter, J. Modi, M.C. Camden, A. Qazi, M. Goyal, T. Rundek and S.B. Coutts
American Journal of Neuroradiology June 2015, 36 (6) 1076-1080; DOI: https://doi.org/10.3174/ajnr.A4257
N. Asdaghi
aFrom the Departments of Clinical Neurosciences (N.A., J.I.C., M.C.C., A.Q., M.G., S.B.C.)
dDivision of Cerebrovascular Disease (N.A., T.R.), Department of Neurology, Miller School of Medicine, University of Miami, Miami, Florida.
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J.I. Coulter
aFrom the Departments of Clinical Neurosciences (N.A., J.I.C., M.C.C., A.Q., M.G., S.B.C.)
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J. Modi
bRadiology (J.M., M.G., S.B.C.)
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M.C. Camden
aFrom the Departments of Clinical Neurosciences (N.A., J.I.C., M.C.C., A.Q., M.G., S.B.C.)
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A. Qazi
aFrom the Departments of Clinical Neurosciences (N.A., J.I.C., M.C.C., A.Q., M.G., S.B.C.)
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M. Goyal
aFrom the Departments of Clinical Neurosciences (N.A., J.I.C., M.C.C., A.Q., M.G., S.B.C.)
bRadiology (J.M., M.G., S.B.C.)
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T. Rundek
dDivision of Cerebrovascular Disease (N.A., T.R.), Department of Neurology, Miller School of Medicine, University of Miami, Miami, Florida.
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S.B. Coutts
aFrom the Departments of Clinical Neurosciences (N.A., J.I.C., M.C.C., A.Q., M.G., S.B.C.)
bRadiology (J.M., M.G., S.B.C.)
cHotchkiss Brain Institute (S.B.C.), University of Calgary, Calgary, Alberta, Canada
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Article Figures & Data

Tables

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    Table 1:

    Baseline clinical and radiographic characteristics of patients based on prior statin treatment

    Baseline CharacteristicsPrior Statin (n = 96)No Prior Statin (n = 322)P Value
    Age (yr) (median) (IQR)73 (14)66 (24)<.001
    Sex (% male)68% (65/96)58% (187/322).09
    Smoking15% (14/96)15% (49/322).87
    Hypertension (%)73% (70/96)50% (159/322)<.001
    Diabetes mellitus (%)19% (18/96)12% (39/322).044
    Prior ASA treatment (%)65% (62/96)22% (71/322)<.001
    Symptomatic carotid diseasea19% (18/96)7% (21/322).001
    Symptomatic intracranial diseaseb12% (11/96)21% (67/322).174
    Positive CTA findingc31% (30/96)27% (88/322).45
    DWI-positive64% (61/96)55% (177/322).08
    DWI infarct volume (mL) (median) (IQR)1.0 (2.5)1.1 (4).56
    • Note:—ASA indicates aspirin.

    • ↵a Symptomatic carotid disease: extracranial carotid stenosis of ≥50%.

    • ↵b Symptomatic intracranial disease: symptomatic intracranial vascular occlusion or stenosis of ≥50%.

    • ↵c Positive CTA finding: relevant intra- or extracranial occlusion or stenosis of ≥50%.

    • View popup
    Table 2:

    Baseline clinical and radiographic characteristics stratified by statin treatment (statin therapy either continued or acutely started) or not

    Baseline CharacteristicsOn Statin Treatmenta (n = 251)No Statin Treatment (n = 167)P Value
    Age (yr) (median) (IQR)70 (18)62 (25)<.001
    Hypertension (%)63% (159/251)42% (70/167)<.001
    Sex (% male)65% (163/251)53% (89/167).01
    Smoking17% (42/251)13% (21/167).24
    Diabetes mellitus (%)15% (38/251)11% (19/167).38
    Symptomatic extracranial carotid disease ≥50% (%)13% (33/251)4% (6/167).001
    Symptomatic intracranial vascular occlusion/stenosis ≥50% (%)25% (63/251)15% (25/167).013
    Positive CTA findingb36% (89/251)17% (29/167)<.001
    DWI-positive on baseline MRI69% (172/251)40% (66/167)<.001
    DWI infarct volume (mL) (median) (IQR)1.1 (3.8)1.0 (2.9).48
    • ↵a Statin treatment either acutely started or continued.

    • ↵b Positive CTA finding: relevant intra- or extracranial occlusion or stenosis of ≥50%.

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American Journal of Neuroradiology: 36 (6)
American Journal of Neuroradiology
Vol. 36, Issue 6
1 Jun 2015
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N. Asdaghi, J.I. Coulter, J. Modi, M.C. Camden, A. Qazi, M. Goyal, T. Rundek, S.B. Coutts
Statin Therapy Does Not Affect the Radiographic and Clinical Profile of Patients with TIA and Minor Stroke
American Journal of Neuroradiology Jun 2015, 36 (6) 1076-1080; DOI: 10.3174/ajnr.A4257

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Statin Therapy Does Not Affect the Radiographic and Clinical Profile of Patients with TIA and Minor Stroke
N. Asdaghi, J.I. Coulter, J. Modi, M.C. Camden, A. Qazi, M. Goyal, T. Rundek, S.B. Coutts
American Journal of Neuroradiology Jun 2015, 36 (6) 1076-1080; DOI: 10.3174/ajnr.A4257
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