Helicobacter pylori (English pronunciation: /ˌhɛlɨkɵˈbæktər pɪˈlɔraɪ/; H. pylori), previously named Campylobacter pyloridis, is a Gram-negative, microaerophilic bacterium found in the stomach. It was identified in 1982 by Barry Marshall and Robin Warren, who found that it was present in patients with chronic gastritis and gastric ulcers, conditions that were not previously believed to have a microbial cause. It is also linked to the development of duodenal ulcers and stomach cancer. However, over 80 percent of individuals infected with the bacterium are asymptomatic
The Relationship between Helicobacter Pylori and Ischemic Stroke as Well as Its Subtypes: A Case-Control Study
Objective
Chronic infection of Helicobacter pylori (Hp) has been linked with extradigestive diseases such as coronary atherosclerotic heart disease. However, the relationship of Helicobacter pylori and as well as its subtypes is uncertain up to now. This study aimed to investigate the association of Hp and ischemic stroke as well as its subtypes.
Methods
In case group,93 ischemic stroke patients were enrolled based on WHO criteria and subclassified etiologically according to modified TOAST criteria (69 AT,10 CE,11 SAD).On the other hand,101 matched subjects without infections, history of stroke and relevant vascular diseases were included in control group. Risk factors for ischemic stroke were collected and serologic Hp antibody was assessed by ELISA in all subjects. Conditional logistic regression multiplicity? was conducted to understand the effects of Hp infection on ischemic stroke.
Results
Although the seroprevalence of Hp antibody was a little higher in case group than in control group, there was no statistical significance between two group (69.9% vs 66.3%, OR= 1.178,95%CI 0.643-2.158,P=0.645). Even though after adjusting for potential risk factors for Hp infection and known risk factors for ischemic stroke, there was no statistical significance between two group (OR=1.010,95%CI 0.499-2.043, P=0.979). Meanwhile, there was no statistical significance in all TOAST subtypes (univariate analysis:for AT, OR=1.243,95%CI 0.640-2.415, P=0.615; for CE, OR=0.761,95%CI 0.201-2.880, P=0.733; for SAD, OR=1.353, 95%CI 0.337-5.431, P=0.988. multivariate analysis:for AT, OR=1.291,95%CI 0.588-2.836, P=0.524; for CE, OR=0.468,95%CI 0.096-2.284, P=0.348; for SAD, OR=1.349,95%CI 0.282-6.446, P=0.708).
Conclusion
Hp chronic infection seems not to be a risk factor for ischemic stroke, also is not closely linked with any TOAST subtypes.
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