engleski

Risk factors in stroke patients

The prevalence and characteristics of risk factors were studied in stroke patients treated at the Osijek Department of Neurology, in order to assess the effect of individual risk factors and total score of risk factors on the development of stroke. The study included 67 stroke patients, mean age 68, 24 years (34 women, mean age 71, 41 years, and 33 men, mean age 64, 85 years). Data from the patients medical history and treatment protocol were thoroughly analyzed in search for the following risk factors: previous transient ischemic attack (TIA), heredity, arterial hypertension, diabetes mellitus, artrial fibrillation, other hear rate disorders, heart failure and artificial valves, cardiomyopathy, blood lipid increase, coagulation disorders, cigarette smoking, oral contraceptives, obesity, physical inactivity, and stress. The following risk factors were most commonly recorded: arterial hypertension in 77, 6% (79, 4% of women and 75, 8% of men), elevated lipids in 62, 7% (70, 6% of women and 54, 5% of men), cardiomyopathy in 43, 3% (52, 9% of women and 33, 3% of men), adiposity in 38, 8% (47, 1% of women and 30, 3% of men), cigarette smoking in 34, 3% ( 17, 6% of women and 51, 5% of men), diabetes mellitus in 26, 9%, physical inactivity in 25, 4%, and atrial fibrillation in 22, 4% of patients. Risk factor cumulation was also observed. So, there were 19, 4% of patients with simultaneously present five or six risk factors, and 17, 9% of patients with seven risk factors.Simultaneous presence of four to seven risk factors was recorded in as many as 72, 9% of patients ; arterial hypertension and hyperlipidemia and adiposity in 14, 9%, and arterial hypertension, hyperlipidemia and adiposity in 13, 4% of patients, classifying them into the group of subjects at a high risk of stroke. The cummulation of multiple risk factors was higher in women than in men. The study showed a high prevalence of stroke risk factors in the study group and a tendency of risk factor cumulation in individual patients. The data obtained point to the need of early detection, elimination, and treatment of the modifiable risk factors through primary and secondary prevention of cerebrovascular diseases.

risk factors; stroke patients; Department of Neurology

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