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Impact of stroke history on the presence of cerebral microbleeds in hemodialysis patients

BMC Neurology Aug 14, 2021

Naganuma T, Kabata D, Takemoto Y, et al. - As has been observed for non-dialysis patients, the outcomes demonstrated a high prevalence of cerebral microbleeds (CMBs) in hemodialysis (HD) patients with a history of stroke and highlighted that a history of stroke is significantly and independently correlated with CMBs in HD patients.

  • Researchers designed a cross-sectional study including a total of 241 HD patients who had undergone brain T2*-weighted MRI. 22 (9.1%) had a history of stroke among these patients.

  • They diagnosed CMBs in 70 patients (29.0%).

  • Compared with patients without a history of stroke, the prevalence of CMBs was significantly higher in patients with a history of stroke (54.5 vs. 26.5%, p = 0.012).

  • History of stroke was a significant and independent factor related to CMBs in the multivariable analysis adjusted for background characteristics (OR: 3.24, 95%CI: 1.18–8.89, p = 0.02).

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