脑卒中和气候变化:世界脑卒中组织的科学声明
Ali Saad1, Maria Khan2,3, Conrado J Estol4
1Climate & Health Program, University of Colorado Anschutz Medical School, Denver, Colorado, USA.
概括
气候变化通过极端温度和天气事件显著增加中风风险,影响全球大脑健康. 应对气候变化对于预防中风和保护弱势群体至关重要.
科学领域:
- 环境健康 环境健康
- 神经学 神经学
- 气候科学 气候科学
背景情况:
- 气候变化对全球大脑健康构成越来越大的威胁.
- 它越来越多地与中风发病率,结果和健康不平等有关.
- 本声明回顾了关于中风和气候加剧的环境变量的证据.
研究的目的:
- 总结目前关于中风和气候变化加剧的环境变量之间的关联的证据.
- 专注于这些变量对中风风险和结果的影响.
- 突出对中风预防和护理的影响.
主要方法:
- 对已发表的关于中风和环境变量 (温度,湿度,压力,风暴,天气事件) 的研究进行系统审查.
- 排除与野火暴露无关的空气污染.
- 评估研究设计,样本大小,地理背景和证据强度,注意弱势群体.
主要成果:
- 暴露于寒冷,温度变化和极端热量始终与增加中风风险有关.
- 低气压,湿度变化以及暴露在尘埃,沙风暴和野火烟雾中也会增加中风的发生率,特别是在老年人和LMIC中.
- 复合天气事件可以对中风发生率和死亡率产生附加性或协同效应.
结论:
- 缓解温室气体排放对于减少中风风险驱动因素和保护大脑健康至关重要.
- 脑卒中专业人员应倡导气候行动,并将气候风险纳入临床实践和卫生系统规划.
- 在中风护理系统中加强全球合作和气候弹性至关重要.
相关概念视频
Regulation of Stroke Volume
7.4K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
7.4K
Atherosclerosis IV: Nursing Management
621
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
621
Stroke: Introduction and Types
69
A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
69
Ischemic Stroke l: Introduction
53
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
53
Ischemic Stroke ll: Pathophysiology
68
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
68
Hemorrhagic Stroke ll: Pathophysiology
52
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
52


