Risk Factors for Ischemic Stroke

Well-established

bulletAge (increases over 45 and highest in 7th and 8th decades)
 
bulletFamily history of stroke, CAD or PVD
 
bulletHypertension
 
bulletHypercholesterolemia (increased LDL, decreased HDL)
 
bulletCigarette smoking
 
bulletDiabetes Mellitus
 
bulletObesity
 
bulletLack of exercise
 
bulletHistory of documented atherosclerosis (CAD, PVD, carotid bruit)
 
bulletHistory of Transient ischemic attacks (TIAs)
 

Probable

bullet

Elevated Homocysteine
 

bullet

Antiphospholipid antibodies
 

bullet

Hypercoagulability

Oral contraceptive use / Hormone replacement therapy

Lupus

Genetic Coagulation Disorders - Deficiencies of:

Protein S

Protein C

Antithrombin III

Factor V Leiden

Cancer


RISK FACTORS FOR CARDIOEMBOLIC STROKE

Well-established     

bullet

Atrial Fibrillation     
 

bullet

Sick Sinus Syndrome
 

bullet

Mitral or Aortic Valvular Disease
 

bullet

Prosthetic heart valves
 

bullet

Endocarditis
 

bullet

Non-infective endocarditis (Libman Sacks)
 

bullet

Cardiomyopathies
 

bullet

Ventricular aneurysms
 

bullet

Akinetic myocardial segments (secondary to myocardial infarction)
 

Probable
 
bullet

Mitral Valve Prolapse
 

bullet

Mitral Annulus Calcification
 

bullet

Patent Foramen Ovale/Atrial Septal Defects
   


Revised 12/14/01.
Copyright 2001 Case Western Reserve University School of Medicine.