Is beta-thalassemia trait a protective factor against ischemic cerebrovascular accidents?

J Stroke Cerebrovasc Dis. 2008 Mar-Apr;17(2):79-81. doi: 10.1016/j.jstrokecerebrovasdis.2007.10.003.

Abstract

Objective: In this research, we sought to determine the association between beta-thalassemia trait and ischemic cerebrovascular accident (CVA).

Methods: In acase-control study, 148 patients with thromboembolic cerebrovascular events were evaluated for the presence of hypertension, diabetes mellitus, hyperlipidemia, and beta-thalassemia trait. A total of 156 age- and sex-matched patients with no cardiac or cerebrovascular diseases, serving as the control group, were also investigated for the above-mentioned risk factors.

Results: We found that 6.1% of patients with ischemic CVA and 12.2% of the control group had beta-thalassemia trait (P = .066). In male patients, the negative association between ischemic CVA and presence of beta-thalassemia trait was significant (P = .008). In patients, the prevalence of hypertension was also significantly different between those with and without beta-thalassemia trait (P = .01); those with beta-thalassemia trait had a lower mean blood pressure than those without the trait.

Conclusion: beta-Thalassemia trait may have a protective effect against ischemic CVA that might be caused by the lower arterial blood pressure observed in those with this trait.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Blood Pressure
  • Brain Ischemia / complications
  • Brain Ischemia / epidemiology
  • Brain Ischemia / etiology
  • Brain Ischemia / genetics
  • Brain Ischemia / physiopathology
  • Brain Ischemia / prevention & control*
  • Case-Control Studies
  • Diabetes Complications / etiology
  • Diabetes Complications / prevention & control
  • Female
  • Heterozygote
  • Humans
  • Hyperlipidemias / complications
  • Hypertension / complications
  • Hypertension / physiopathology
  • Incidence
  • Male
  • Middle Aged
  • Risk Factors
  • Stroke / epidemiology
  • Stroke / etiology
  • Stroke / genetics
  • Stroke / physiopathology
  • Stroke / prevention & control*
  • Thromboembolism / complications*
  • Thromboembolism / epidemiology
  • Thromboembolism / physiopathology
  • beta-Thalassemia / complications*
  • beta-Thalassemia / epidemiology
  • beta-Thalassemia / genetics
  • beta-Thalassemia / physiopathology