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Prevalence and Therapeutic Implications of Clonal Hematopoiesis of Indeterminate Potential in Young Patients With Stroke.

Ernst MayerhoferChristoph StreckerHeiko BeckerMarios K GeorgakisM D Mesbah UddinMichael M HoffmannNiroshan NadarajahManja MeggendorferTorsten HaferlachJonathan RosandPradeep NatarajanChristopher D AndersonAndreas HarloffGregor Hoermann
Published in: Stroke (2023)
Using genetic screening for myeloid disorders in patients with stroke of predominantly undetermined etiology, we found a 3-fold higher CHIP prevalence than in the general population. We identified high-risk CHIP and previously covert myeloproliferative neoplasms as potential stroke etiologies in 4.4% and 1% of patients, respectively. Our findings demonstrate the diagnostic and therapeutic yield of genetic screening in young patients with stroke. Future studies should investigate the role of CHIP for stroke recurrence and optimal secondary prevention.
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