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15 January 2025 : Clinical Research  

Ankle-Brachial Index as a Predictor of Acute Ischemic Cerebrovascular Event After Central Retinal Artery Occlusion

Dong-bo Liu ABCDEF 1, Bing-xian Zhang ABCDEF 1, Yao Zhou BCD 1, Jian-hua Zhao ABCDEF 1, Jie-wen Zhang ACDEFG 1*

DOI: 10.12659/MSM.945937

Med Sci Monit 2025; 31:e945937

Table 3 Baseline clinicodemographic characteristics of study participants, stratified by whether they had low or normal ankle-brachial index at baseline.

CharacteristicAll patients (N=335)Low index (n=110)Normal index (n=225)P
Age ≥65 years188 (56.1)67 (60.9)121 (53.8)0.217
Women143 (42.7)52 (47.3)91 (40.4)0.235
Risk factors for stroke
 Hypertension214 (63.9)80 (72.7)134 (59.6)0.018
 Diabetes mellitus124 (37.0)47 (42.7)77 (34.2)0.130
 Hyperlipidemia210 (62.7)76 (69.1)134 (59.6)0.090
 Current smoking105 (31.3)40 (36.4)65 (28.9)0.166
Cardiovascular comorbidities
 Coronary heart disease57 (17.0)22 (20.0)35 (15.5)0.309
 Atrial fibrillation35 (10.4)14 (12.7)21 (9.3)0.340
 Previous stroke56 (16.7)25 (22.7)31 (13.8)0.039
 Peripheral arterial disease49 (14.6)23 (20.9)26 (11.6)0.023
 Cervical or intracranial stenosis ≥50%139 (41.5)54 (49.1)85 (37.8)0.048
Laboratory results
 Total cholesterol >5.17 mmol/L55 (16.4)23 (20.9)32 (14.2)0.121
 LDL cholesterol >3.12 mmol/L121 (36.1)49 (44.5)72 (32.0)0.025
 HDL cholesterol <1.04 mmol/L49 (14.6)20 (18.2)29 (12.9)0.198
 Triglycerides >1.7 mmol/L82 (24.5)31 (28.2)51 (22.7)0.270
 Fasting plasma glucose ≥7.0 mmol/L83 (24.8)31 (28.2)52 (23.1)0.313
 Uric acid >428 mmol/L55 (16.4)20 (18.2)35 (15.6)0.542
Cause of central retinal artery occlusion
 Embolism146 (43.6)52 (47.3)94 (41.8)0.341
 Thrombosis13 (3.9)5 (4.5)8 (3.6)0.660*
 Unknown176 (52.5)56 (50.9)120 (53.3)0.676
Treatment after central retinal artery occlusion
 Lipid-lowering therapy308 (91.9)100 (90.9)208 (92.4)0.628
 Anticoagulant or antiplatelet308 (91.9)99 (90.0)209 (92.9)0.362
 AICE89 (26.6)40 (36.4)49 (21.8)0.005
Values are n (%), unless otherwise noted.
* Fisher’s exact test.
HDL – high-density lipoprotein; LDL – low-density lipoprotein; AICE – acute ischemic cerebrovascular event.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750