Related Experiment Videos
[Stroke in the hands of the internist. Cardiovascular risk factors]
C Sanclemente Ansó1, A Pedragosa Vall, E Rovira Pujol
1Servicio de Medicina Interna, Hospital General de Vic, Barcelona, España. csanclemente@hgv.cat
Insights
This study found that care for cardiovascular risk factors (CVRF) in stroke patients was insufficient. Improved secondary prevention programs are needed to reduce stroke relapse risk and enhance patient quality of life.
Area of Science:
- Neurology
- Cardiology
- Public Health
Context:
- Cardiovascular risk factors (CVRF) significantly contribute to stroke incidence and recurrence.
- Effective management of CVRF during acute stroke episodes and post-discharge is crucial for patient outcomes.
- Previous studies highlight variability in CVRF detection and management protocols.
Purpose:
- To describe cardiovascular risk factors (CVRF) associated with stroke.
- To evaluate the detection and monitoring of CVRF during acute stroke episodes and hospital discharge.
- To assess the impact of internist care on managing CVRF in stroke patients.
Summary:
- A review of 727 cerebral vascular disease (CVD) patients between 2002-2003 identified atherothrombotic ischemia as the most frequent etiology, except in younger patients.
- Arterial hypertension was the most prevalent CVRF identified.
- Management of CVRF during admission and discharge was found to be deficient.
Impact:
- Highlights the critical need for enhanced secondary prevention programs for CVRF in stroke survivors.
- Aims to improve patient quality of life and reduce the risk of stroke recurrence.
- Emphasizes the importance of integrated care approaches in managing complex cardiovascular conditions.
Introduction:
This study has aimed to describe cardiovascular risk factors (CVRF) associated to stroke and their detection and monitoring during the acute episode and the recommendations on hospital discharge. The hypothesis was to check if the integral care of the internist improved the care to these patients.
Material And Methods:
The clinical histories of patients who had suffered a stock between January 2002 and December 2003 were reviewed, obtaining different biological and clinical variables.
Results:
We obtained a total of 727 patients suffering cerebral vascular disease (CVD). Of these, 194 (26.7%) patients were discharged from the Emergency Department and 533 required hospitalization. The most frequent etiology was atherothrombotic ischemia, except in patients under 45 years in which it was the undetermined. The most prevalent CVRF was arterial hypertension.
Conclusions:
Action on the CVRFs during admission and at the time of discharge was deficient. Secondary prevention programs of CVRF in stroke are required to improve care, quality of life and decrease relapse risk.
Related Concept Videos
Atherosclerosis III: Management
Coronary Artery Disease IV: Preventive Measures
Ischemic Stroke l: Introduction
Ischemic Heart Disease: Overview
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and narrowing...
Coronary Artery Disease I: Introduction
Peripheral Artery Disease III: Interprofessional Care