[Peculiar clinico-diagnostic features of ischemic stroke in subjects employed in "hazardous" occupations]

The aim of the study is to analyse the structure, clinical course, and outcomes of ischemic stroke in neuorologic departments of a specialized clinic for optimization of preventive and rehabilitative treatment in patients of hazardous employment, such as servicemen, peace-keepers, members of special force and counter-terrorism action groups, participants of local wars, and armed conflicts. A total of 242 acute ischemic cerebrovascular attacks were analysed using data from case records for 2004 to 2007. The frequency of stroke was estimated with reference to age, gender, risk factors, social status, and subtypes of ischemic stroke. The role of risk factors, such as ischemic heart disease, cardioarrythmia, hypertensive disease, and diabetes mellitus, in the development of different subtypes of ischemic stroke was assessed. It was shown that medical services of the clinic manage to achieve a greater reduction of the lethality rate compared with other domestic and foreign hospitals. A lower disability rate is probably attributable to adequate primary preventive treatment in the prehospitalization period and active therapy in the acute phase of stroke. The lethality rate is highest among patients with cardioembolic stroke which suggests the necessity to improve preventive treatment of men with cardioarrhythmia. Close relationship between lethality and risk factors underscores the importance of multidisciplinary management of patients with ischemic stroke.