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[Incidence and mortality of cerebral vascular complications in France]
1Service de Neurologie, Hôpital Général, Dijon.
Insights
Cerebrovascular accidents (CVA), or strokes, are a leading cause of death and disability. While treatments focus on prevention, understanding stroke
Area of Science:
- Neurology
- Cardiology
- Public Health
Context:
- Cerebrovascular accidents (CVA) are a major cause of death and adult disability.
- Ischemic CVA, or cerebral infarcts, represent the most common and severe form.
- Unlike myocardial infarcts, acute-phase treatment for cerebral infarcts is lacking, with advances limited to prevention.
Purpose:
- To highlight the significant similarities between ischemic CVA and ischemic cardiac events.
- To emphasize the crucial role of cardiac conditions in the development of ischemic CVA.
- To underscore the necessity for effective preventive strategies for CVA.
Summary:
- Ischemic CVA shares etiological and prognostic similarities with ischemic cardiac events.
- Cardiac pathology is a significant contributor to the pathogenesis of many ischemic CVA.
- Effective preventive treatments are crucial, necessitating comprehensive data collection.
Impact:
- This research emphasizes the need for integrated approaches to prevent both cardiovascular and cerebrovascular diseases.
- Understanding the link between cardiac and cerebrovascular health can lead to improved patient outcomes.
- Population-based registries are essential for tracking CVA incidence, progression, and natural history to inform public health strategies.
Abstract:
Cerebrovascular accidents (CVA) are the third cause of death after malignancy and cardiovascular disorders and the first cause of handicap in adults. This involves a range of pathological processes, dominated by ischemic CVA or cerebral infarcts, both in terms of incidence and severity. Cerebral infarcts are not viewed in the same way as myocardial infarcts since they involve the elderly and, as yet, there is no treatment during the acute phase, the only therapeutic advances having concerned primary and secondary preventive treatment. There is nevertheless renewed interest in, not to say rediscovery of, this pathology. Ischemic CVA and ischemic cardiac accidents have major similarities from both an etiological and prognostic standpoint. Furthermore, the heart plays a considerable role in the pathogenesis of many ischemic CVA, indicating the need for effective preventive treatment. Only a population-based registry is able to provide information regarding the actual status of a disorder, its course and natural history.