Risk Profile and Prediction of Long-Term Ischemic Stroke Mortality: A 21-Year Follow-up in the Israeli Ischemic Heart Disease (IIHD) Project

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Abstract

Background

Multinational comparisons demonstrate marked ethnic and regional variation in stroke mortality and risk-factor distribution. We assessed the role of ethnicity and estimated the cumulative effect of multiple risk factors on long-term ischemic stroke mortality.

Conclusions

Assessment of multiple risk factors provides useful quantitative prediction of long-term ischemic stroke mortality risk. Regional-ethnic variations are consistent with a hypothesis that other, undetermined inherent genetic or sociocultural factors act to increase ischemic stroke mortality rates in immigrants to Israel from the Mideast and northern Africa over that predicted by conventional risk factors. (Circulation. 1998;98:1365-1371.)

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