Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study
Digital
- Autores:
-
Smyth, Andrew
O’Donnell, Martin
Hankey, Graeme J.
Rangarajan, Sumathy
Lopez-Jaramillo, Patricio
Xavier, Denis
Zhang, Hongye
Canavan, Michelle
Damasceno, Albertino
Langhorne, Peter
Avezum, Alvaro
Pogosova, Nana
Oguz, Aytekin
Yusuf, Salim
INTERSTROKE investigators
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2022
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/6079
- Acceso en línea:
- https://doi.org/10.1093/eurheartj/ehab738
https://repositorio.udes.edu.co/handle/001/6079
- Palabra clave:
- Stroke
Triggers
Exertion
Anger
- Rights
- openAccess
- License
- © The Author(s) 2021. For permissions, please email: journals.permissions@oup.com.
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Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study |
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Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study |
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Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study Stroke Triggers Exertion Anger |
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Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study |
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Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study |
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Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study |
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Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study |
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Anger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study |
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Smyth, Andrew O’Donnell, Martin Hankey, Graeme J. Rangarajan, Sumathy Lopez-Jaramillo, Patricio Xavier, Denis Zhang, Hongye Canavan, Michelle Damasceno, Albertino Langhorne, Peter Avezum, Alvaro Pogosova, Nana Oguz, Aytekin Yusuf, Salim INTERSTROKE investigators |
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Smyth, Andrew O’Donnell, Martin Hankey, Graeme J. Rangarajan, Sumathy Lopez-Jaramillo, Patricio Xavier, Denis Zhang, Hongye Canavan, Michelle Damasceno, Albertino Langhorne, Peter Avezum, Alvaro Pogosova, Nana Oguz, Aytekin Yusuf, Salim INTERSTROKE investigators |
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Stroke Triggers Exertion Anger |
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Stroke Triggers Exertion Anger |
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Digital |
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2022 |
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2022-02-21T19:06:22Z |
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2022-02-21T19:06:22Z |
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2022-01-14 |
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https://doi.org/10.1093/eurheartj/ehab738 https://repositorio.udes.edu.co/handle/001/6079 |
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eng |
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eng |
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Andrew Smyth, Martin O’Donnell, Graeme J Hankey, Sumathy Rangarajan, Patricio Lopez-Jaramillo, Denis Xavier, Hongye Zhang, Michelle Canavan, Albertino Damasceno, Peter Langhorne, Alvaro Avezum, Nana Pogosova, Aytekin Oguz, Salim Yusuf, INTERSTROKE investigators, Anger or emotional upset and heavy physical exertion as triggers of stroke: the INTERSTROKE study, European Heart Journal, Volume 43, Issue 3, 14 January 2022, Pages 202–209, https://doi.org/10.1093/eurheartj/ehab738 |
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Scopus |
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European Heart Journal |
| dc.rights.spa.fl_str_mv |
© The Author(s) 2021. For permissions, please email: journals.permissions@oup.com. |
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© The Author(s) 2021. For permissions, please email: journals.permissions@oup.com. Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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8 p |
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European Society of Cardiology |
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Reino Unido |
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https://academic.oup.com/eurheartj/article/43/3/202/6447061?login=true |
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Smyth, Andrew1ee75a1d-4184-4e48-b6e5-c7bba7dd0484-1O’Donnell, Martind9e21167-a04f-403d-8401-26514731eb78-1Hankey, Graeme J.1fec7d95-98bf-4a14-a14f-dbed7b975864-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Xavier, Denis88c9cf48-fa3b-45c6-be03-2cc79e59289d-1Zhang, Hongyed8ce2d60-d147-47cc-be31-d9f1519ef7e8-1Canavan, Michellef2269b20-0251-498d-8f91-5cd115d4cd78-1Damasceno, Albertino2500b2be-4fb3-45c8-ba40-645dd73600aa-1Langhorne, Peterbd5a0fce-5ba6-4170-bf60-16817ce1b262-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Pogosova, Nana0f2fb5e5-6659-4562-96e6-74c03e0c46bf-1Oguz, Aytekince3e3101-01ec-4709-ad5f-2ba54357481e-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1INTERSTROKE investigatorseffd82e4-9dd0-4c22-8982-c55e3f9d0450-1Masira2022-02-21T19:06:22Z2022-02-21T19:06:22Z2022-01-14DigitalAims In INTERSTROKE, we explored the association of anger or emotional upset and heavy physical exertion with acute stroke, to determine the importance of triggers in a large, international population. Methods and results INTERSTROKE was a case–control study of first stroke in 32 countries. Using 13 462 cases of acute stroke we adopted a case-crossover approach to determine whether a trigger within 1 hour of symptom onset (case period), vs. the same time on the previous day (control period), was associated with acute stroke. A total of 9.2% (n = 1233) were angry or emotional upset and 5.3% (n = 708) engaged in heavy physical exertion during the case period. Anger or emotional upset in the case period was associated with increased odds of all stroke [odds ratio (OR) 1.37, 99% confidence interval (CI), 1.15–1.64], ischaemic stroke (OR 1.22, 99% CI, 1.00–1.49), and intracerebral haemorrhage (ICH) (OR 2.05, 99% CI 1.40–2.99). Heavy physical exertion in the case period was associated with increased odds of ICH (OR 1.62, 99% CI 1.03–2.55) but not with all stroke or ischaemic stroke. There was no modifying effect by region, prior cardiovascular disease, risk factors, cardiovascular medications, time, or day of symptom onset. Compared with exposure to neither trigger during the control period, the odds of stroke associated with exposure to both triggers were not additive. Conclusion Acute anger or emotional upset was associated with the onset of all stroke, ischaemic stroke, and ICH, while acute heavy physical exertion was associated with ICH only.Ciencias Médicas y de la Salud8 papplication/pdfhttps://doi.org/10.1093/eurheartj/ehab738https://repositorio.udes.edu.co/handle/001/6079engEuropean Society of CardiologyReino Unido209320243Andrew Smyth, Martin O’Donnell, Graeme J Hankey, Sumathy Rangarajan, Patricio Lopez-Jaramillo, Denis Xavier, Hongye Zhang, Michelle Canavan, Albertino Damasceno, Peter Langhorne, Alvaro Avezum, Nana Pogosova, Aytekin Oguz, Salim Yusuf, INTERSTROKE investigators, Anger or emotional upset and heavy physical exertion as triggers of stroke: the INTERSTROKE study, European Heart Journal, Volume 43, Issue 3, 14 January 2022, Pages 202–209, https://doi.org/10.1093/eurheartj/ehab738ScopusEuropean Heart Journal© The Author(s) 2021. For permissions, please email: journals.permissions@oup.com.info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://academic.oup.com/eurheartj/article/43/3/202/6447061?login=trueStrokeTriggersExertionAngerAnger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE studyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALAnger or emotional upset and heavy physical exertion as triggers of stroke. The INTERSTROKE study.pdfAnger or emotional upset and heavy physical exertion as triggers of stroke. 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