Risk Factors for Stroke following Acute Myocardial Infarction

In a population known to have a high prevalence of diabetes (DM), we undertook a prospective study of the effect of risk factors for atherothrombotic stroke on stroke following acute myocardial infarction (AMI). In a multivariate linear logistic regression analysis, age and prior stroke (PCVA) contributed significantly to the risk of stroke after AMI. Patients with both hypertension (HTN) and DM (HTN+DM) were more likely to develop stroke than patients with one or none of these factors (p = 0.045). Age, PCVA and HTN+DM are risk factors for stroke after AMI. There appears to be a synergistic effect between HTN and DM on the incidence of stroke after AMI.