Stroke: epidemiology, clinical picture, and risk factors--Part I of III

T J Tegos1, E Kalodiki, S S Daskalopoulou

  • 1Department of Vascular Surgery, St. Mary's Hospital, Imperial College of Science, Technology and Medicine, London, England. t.tegos@ic.ac.uk

Angiology
|December 7, 2000
PubMed

Insights

This review defines stroke and transient ischemic attacks, detailing numerous risk factors like hypertension and smoking. It also analyzes carotid artery characteristics and cerebral circulation

Area of Science:

  • Neurology
  • Vascular Medicine
  • Public Health

Background:

  • Stroke is a leading cause of disability and death worldwide.
  • Understanding stroke definitions, risk factors, and arterial characteristics is crucial for prevention and management.
  • This review provides a comprehensive overview of current knowledge on stroke.

Purpose of the Study:

  • To present current knowledge regarding stroke definitions and clinical presentations.
  • To detail the role of various risk factors in stroke etiology.
  • To analyze carotid artery characteristics and their significance in cerebrovascular disease.

Main Methods:

  • Literature review of current knowledge on stroke.
  • Detailed discussion of established and potential stroke risk factors.
  • Analysis of carotid artery pathologies, including atheroma, stenosis, and dissection.
  • Presentation of cerebral collateral circulation and predisposing conditions for stroke subtypes.

Main Results:

  • Definitions of amaurosis fugax, vertebrobasilar transient ischemic attack, and stroke are presented.
  • The influence of age, gender, ethnicity, heredity, hypertension, smoking, hyperlipidemia, diabetes, obesity, and other factors on stroke risk is discussed.
  • Carotid artery characteristics such as plaque echomorphology, ulceration, and stenosis are analyzed.
  • The significance of cerebral collateral circulation and factors predisposing to cardioembolism and cerebral hemorrhage are outlined.

Conclusions:

  • Part I of this review establishes the clinical definitions and risk factors for stroke.
  • Comprehensive understanding of these elements is essential for effective stroke prevention and early diagnosis.
  • Further parts will cover pathogenesis, investigations, management, and rehabilitation.

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