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Ischemic stroke in Korean young adults.

S U Kwon1, J S Kim, J H Lee

  • 1Department of Neurology, University of Ulsan, Asan Medical Center, Seoul, Korea.

Acta Neurologica Scandinavica
|February 5, 2000
PubMed
Summary

Korean young men have a higher risk of ischemic stroke due to factors like hypertension and smoking. This study evaluated stroke characteristics in adults aged 15-44.

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Area of Science:

  • Neurology
  • Epidemiology
  • Vascular Medicine

Background:

  • Ischemic stroke in young adults is a growing concern globally.
  • Understanding demographic and etiological characteristics is crucial for targeted prevention and treatment.

Purpose of the Study:

  • To characterize ischemic stroke in Korean young adults (15-44 years).
  • To compare findings with Western populations.

Main Methods:

  • Prospective study of 149 consecutive ischemic stroke patients.
  • Utilized brain CT/MRI, cerebral angiography, echocardiography, and laboratory tests.
  • Classified stroke subtypes using TOAST criteria.

Main Results:

  • Men constituted 75.2% of patients.
  • Prevalence of hypertension, smoking, and alcohol consumption was higher in men.
  • Stroke subtypes included large artery atherosclerosis (20.8%), small artery occlusive disease (17.4%), cardioembolism (18.1%), and others (26.8%).

Conclusions:

  • Korean young adults exhibit a distinct sex ratio and higher proportions of large artery atherosclerosis and small artery occlusion compared to Western studies.
  • Hypertension and smoking in young Korean men are potential contributing factors.

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