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Prevalence of cardiovascular risk factors among elderly Brazilians over eighty with ischemic stroke
Alexandre Pieri1, Mariana Spitz, Tania Oliveira Lopes
1Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. apieri@einstein.br
Insights
Elderly patients over 80 with ischemic stroke frequently have hypertension and atrial fibrillation. Aggressive treatment of these cardiovascular risk factors is crucial for stroke prevention in older adults.
Area of Science:
- Neurology
- Cardiology
- Geriatrics
Background:
- Ischemic stroke is a significant health concern, particularly in the elderly population.
- Cardiovascular disease is a primary cause of ischemic stroke in older adults.
- Understanding risk factors is vital for developing effective prevention strategies.
Purpose of the Study:
- To determine the prevalence of cardiovascular risk factors in patients aged 80 and above diagnosed with ischemic stroke.
- To analyze the specific risk factors contributing to ischemic stroke in the oldest old population.
Main Methods:
- A retrospective study was conducted on consecutive patients admitted to a tertiary healthcare facility.
- Data was collected from patients diagnosed with ischemic stroke.
Main Results:
- The study included 215 patients, with a notable female predominance.
- In patients aged 80 and over, hypertension was prevalent in 72% of cases.
- Atrial fibrillation was observed more frequently in the oldest participants.
Conclusions:
- Aggressive management of hypertension and atrial fibrillation is recommended for elderly stroke patients.
- Increased consideration of anticoagulant therapy in this demographic is advised.
Introduction:
An ischemic stroke is usually a catastrophic event, mostly in the elderly. Cardiovascular involvement is the leading cause of ischemic stroke in this age population and hence the knowledge about its risk factors is important for the definition of specific policies of prevention.
Purpose:
To evaluate the prevalence of cardiovascular risk factors in patients with age equal to or above 80 in a hospital population with ischemic stroke.
Method:
Retrospective study of consecutive patients diagnosed with ischemic stroke admitted to a tertiary health facility.
Results:
From September 2004 to March 2006, 215 patients were studied. There was a female preponderance (p<0.01). Among patients over eighty, 72% had hypertension and atrial fibrillation was more common among the oldest old (p<0.01).
Conclusion:
Hypertension and atrial fibrillation should be treated aggressively in the elderly. Anticoagulants should be considered more often in these patients.
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