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[Vascular age and cardiovascular risk in patients suffering from stroke]
E Goeh Akue1, Y M Afassinou1, B J F Ido1
1Service de cardiologie, CHU Sylvanus-Olympio de Lomé, 01 BP, 4280 Lomé, Togo.
Insights
Stroke patients have an average vascular age 10 years older than their actual age, significantly increasing cardiovascular disease risk. Early screening and management of vascular risk factors are crucial for this population.
Area of Science:
- Cardiology
- Neurology
- Vascular Medicine
Context:
- Stroke patients often present with accelerated vascular aging.
- Assessing vascular age is critical for understanding long-term cardiovascular risk.
- The study was conducted retrospectively at the University teaching hospital Sylvanus Olympio of Lome.
Purpose:
- To determine the vascular age of stroke patients.
- To assess their 10-year cardiovascular risk.
- To compare vascular age with chronological (real) age.
Summary:
- A study of 194 stroke patients revealed an average vascular age 10 years greater than their real age (mean 57.6 years).
- Hypertension (86.6%) was the primary risk factor, followed by hypercholesterolemia (54.3%).
- The average 10-year cardiovascular risk was 13.2%, with an average vascular age of 68.23 years.
Impact:
- Vascular age significantly exceeding real age in stroke patients elevates cardiovascular disease risk.
- Highlights the importance of early screening and management of vascular risk factors.
- Informs clinical practice regarding risk stratification and preventative strategies for stroke survivors.
Aims:
To determine the vascular age of patients suffering from stroke and their cardiovascular risk at 10 years and to compare their vascular age to their real age.
Material And Methods:
It was about a descriptive and retrospective study carried up from 1st January 2012 to 31st December 2013 at the neurologic clinic of the University teaching hospital Sylvanus Olympio of Lome from patients' files with a confirmed diagnostic of stroke according to the clinical examination and the scanner data.
Results:
One hundred and ninety-four patients were related to our study. They were shared-out into 101 men and 93 women equal to a sex-ratio (man/woman) of 1.08. The average real age was of 57.6 ± 13.7 years. High blood pressure was the main risk factor with a prevailing rate of 86.6%, followed by the total hypercholesterolemia (54.3%), the hypocholesterolemia HDL (22.7%), diabetes (10.8%) and nicotinism addiction (4.1%). The average vascular age for all patients was of 68.23 years. The average difference between the real age and the vascular age was of 10 years. The average cardiovascular risk at 10 years in our study was of 13.2%.
Conclusion:
The vascular age of patients suffering from stroke at the University teaching hospital Sylvanus Olympio of Lome is 10 years higher than their real age. This condition considerably increases their risk of cardiovascular diseases. The screening and the early care about vascular risk factors appear therefore of utmost importance.
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