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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Chlamydia pneumoniae is a Likely Risk Factor for Ischemic Stroke in Young Patients
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Chlamydia pneumoniae is a Likely Risk Factor for Ischemic Stroke in Young Patients

机译:肺炎衣原体是年轻患者缺血性中风的危险因素

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Recently, Chlamydia pneumoniae has been identified as a risk factor for atherosclerosis, cardiovascular disease, and stroke, In young patients the causes of stroke are more diverse, and remain unknown in about 30% of cases, despite thorough investigations. To find a possible relationship between C pneumoniae infection and stroke at young age, we investigated C pneumoniae antibody titers in 41 patients with ischemic stroke who were younger than 50 years old and in 55 healthy control subjects. A positive IgA antibody titer to C pneumoniae was significantly associated with stroke (crude odds ratio 2.1; 90% confidence interval 1.1-9.5; P = .04), After adjusting for hypertension, smoking, and hypercholesterolemia, positive Chlamydia antibodies remained associated with stroke (adjusted odds ratio 2.8; 90% confidence interval 1.1-7.1; P = .04). No significant association between positive IgG antibodies and stroke was found. Because a positive IgA antibody titer may reflect a persistent infection, these data indicate that persistent C pneumoniae infection may be an independent risk factor for stroke at young age.
机译:最近,肺炎衣原体已被确定为动脉粥样硬化,心血管疾病和中风的危险因素。尽管进行了详尽的研究,但在年轻患者中,中风的病因更为多样,在约30%的病例中仍然未知。为了发现年轻时肺炎C感染与中风之间的可能关系,我们调查了41名50岁以下的缺血性中风患者和55名健康对照者的肺炎C抗体滴度。肺炎衣原体的IgA抗体滴度阳性与中风显着相关(粗机优势比2.1; 90%置信区间1.1-9.5; P = .04)。在调整了高血压,吸烟和高胆固醇血症后,衣原体抗体阳性仍与中风相关(调整后的优势比2.8; 90%置信区间1.1-7.1; P = .04)。阳性IgG抗体与中风之间未发现明显关联。由于IgA抗体滴度阳性可能反映了持续性感染,因此这些数据表明持续性肺炎C感染可能是年轻时中风的独立危险因素。

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