在阿根廷的第三级护理中心中,缺血性中风/过渡性缺血性攻击的可预防性
Juan Antonio Pozo Putalivo1, Martin Grecco1, Guillermo Pablo Povedano1
1Neurology Department - Hospital Churruca Visca, Mar del Sur 1172, Las Condes, Region Metropolitana Santiago de Chile, Buenos Aires 7550000, Argentina.
概括
大多数急性缺血性中风或短暂缺血性发作 (AIS/TIA) 事件是可以预防的. 优化血管风险因素 (VRF) 管理对于减少中风发病率和改善患者的治疗结果至关重要.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 心血管疾病是全球主要的死亡原因.
- 急性缺血性中风/过渡性缺血性发作 (AIS/TIA) 通常是由于无法管理的血管风险因素 (VRF) 造成的.
- 预防AIS/TIA经常被低估,尽管经常进行急性治疗评估.
研究的目的:
- 在AIS/TIA后的患者中确定非优化的VRF的患病率.
- 根据VRF管理,估计这些脑血管事件的可避免性.
- 为了确定具有更高事件可预防性的患者子组.
主要方法:
- 在两年内对经历了AIS/TIA的成年患者进行了回顾性研究.
- 基于VRF治疗,开发一个10点级别来量化事件可预防性.
- 对人口因素,中风病因和成像发现的分析与临床数据相关联.
主要成果:
- 95.19%的AIS/TIA事件显示出一定程度的可预防性.
- 74.94%的人具有低可预防性,20.25%的人具有高可预防性.
- 较高的中风严重程度 (NIHSS > 5) 和特定病因 (心动脉栓塞,大动脉动脉样硬化) 与更大的可预防性有关.
结论:
- 大多数AIS/TIA事件是可以预防的,这凸显了风险因素管理中的差距.
- 需要进一步的研究来探索生活方式因素 (压力,饮食,睡眠) 导致健康状况不佳和事件风险.
- 改善VRF管理策略对于减少脑血管疾病负担至关重要.
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