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Cerebrovascular disease in South Asia - Part II: Risk factors and prevention
Deepti Vibha1, Kameshwar Prasad
1Department of Neurology, Neurosciences Centre, All India Institute of Medical Sciences , New Delhi , India.
Insights
This review examines cerebrovascular disease risk factors in South Asia, highlighting common issues like hypertension and diabetes. It proposes strategies to manage and prevent these prevalent conditions, focusing on unique regional factors.
Area of Science:
- Neurology
- Cardiology
- Public Health
Background:
- Cerebrovascular disease poses a significant health burden in South Asian countries.
- Dominant risk factors include hypertension, diabetes mellitus, cardiac disease, smoking, and obesity.
- Other significant causes include rheumatic heart disease, meningitis-related infarcts, and postpartum cerebral venous thrombosis.
Purpose of the Study:
- To review the prevalence of various risk factors for cerebrovascular disease in South Asia.
- To discuss potential measures for combating the rising incidence of cerebrovascular disease.
- To identify and address risk factors unique to or prevalent in the South Asian population.
Main Methods:
- Literature review of existing studies on cerebrovascular disease risk factors in South Asia.
- Analysis of epidemiological data on hypertension, diabetes, smoking, obesity, and other relevant conditions.
- Synthesis of information on less common but significant etiologies.
Main Results:
- Conventional vascular risk factors are highly prevalent in South Asia.
- Rheumatic heart disease, infective meningitis, and postpartum cerebral venous thrombosis contribute substantially to the disease burden.
- A need for targeted prevention and management strategies tailored to the region is evident.
Conclusions:
- Understanding the specific risk factor profile in South Asia is crucial for effective cerebrovascular disease control.
- Public health initiatives should focus on managing hypertension, diabetes, and lifestyle factors.
- Addressing unique regional etiologies is essential for comprehensive prevention and treatment strategies.
Abstract:
In South Asian countries, conventional vascular risk factors like hypertension, diabetes mellitus, cardiac disease, smoking, obesity, atrial fibrillation are the dominant ones, while other aetiologies like rheumatic heart disease, infective meningitis-related infarcts and postpartum cerebral venous thrombosis also constitute a big fraction. This review discusses the evidence of prevalence of various risk factors in South Asian countries and possible measures to combat the rising burden of cerebrovascular disease. The last part of the review discusses prevention and identification of risk factors that are unique to or especially found in patient population of South Asia.
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