5 key factors may predict stroke risk years after first event, study finds

Researchers discovered that people who had smaller strokes were at a high risk of experiencing another event in the 10 years following.(iStock)

The review identified the following five key factors that may predict another stroke.

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1. Hypertension (high blood pressure)is the most important modifiable risk factor for stroke, according to the American Stroke Association.
2. Smokingis anotherleading modifiable cause, roughly doubling the risk of a repeat stroke, per the above source.
3. Cardioembolismis a type of stroke that occurs when a blood clot forms in the heart and travels to the brain, according to medical experts.This event has a high risk of recurrence compared to other types of strokes.
4. Large-artery atherosclerotic strokeoccurs when plaque builds up in major arteries, reducingblood flowor sending clots to the brain.It also has a high risk of recurrent stroke, especially in the first days or weeks after the initial event, according to experts.
5. Small-vessel diseaseis a type of stroke that causes damage to the brain’s small penetrating arteries, often due to chronic hypertension and aging.It has a significant risk of recurrence over time, although lower than the previous two types.

Older agewas also associated with a higher risk.

The researchers said these results can help doctors spot patients who have a long-term risk of stroke, so they can keep a closer eye on them, provide theright treatment, and create more focused ways to prevent strokes.

The five factors that may predict another stroke include hypertension, smoking and three subtypes of stroke.(Justin Tallis, AFP/Getty Images)

Cardiologist Bibhu D.

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“This is an interesting meta-analysis that is well-performed technically, in seeking to address a challenging question in a population that is demonstrating early signs of significant stroke risk,” he said.

brain healthand heart health.”

“This highlights the importance of seeking collaborative insight and decision-making amongst cardiologist and neurologists when comprehensively managing patients with stroke or stroke risk,” a cardiologist said.(iStock)

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The cardiologist said he treats many stroke patients, but was surprised by how many had cardioembolic strokes — caused by clots that form in the heart — on top of common vascular risk factors likehigh blood pressureand artery plaque.

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“From both a clinician and patient perspective, this highlights the importance of seeking collaborative insight and decision-making among cardiologists and neurologists when comprehensively managing patients with stroke or stroke risk,” he added.