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Articolul urmator |
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SM ISO690:2012 NACU, Gabriela. Recurrent stroke in young patients. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 236. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | |||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | |||||||
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Pag. 236-236 | |||||||
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Descarcă PDF | |||||||
Rezumat | |||||||
Background. According to the studies, approximately 10% of ischemic strokes occur in people aged less than 50 years. The risk of recurrent stroke in young stroke survivors varies from 9.4% in the next 5 years, up to 19.4% in the next 20 years. Objective of the study. To analyze the symptomatology presented by young patients (<50 years) with recurrent stroke, and to compare them, with clinical signs presented by people of the same age category, with the first-ever stroke. Material and Methods. A retrospective analysis of 1687 medical records of patients with ischemic stroke was performed from January 2018 to December 2019. 56 patients (≤ 50 years old) were included in the study. Risk factors, clinical signs, neuroimaging were analyzed - all of these were stratified by the presence of recurrent stroke criteria. SPSS Statistics, Version 25.0 was used. Results. The cohort study consisted of 2 groups: the first group- patients with the first-ever stroke (46); the second one– patients with recurrent stroke (10). The frequency of clinical signs between these two groups was compared: speech disorders (30.0% vs. 37.0%); sensitivity disorders (20.0% vs. 13.0%); cranial nerve damage (20.0% vs. 15.2%); paresis/ plegia (90.0% vs. 65.2%); bulbar syndrome (20.0% vs. 28.3%). Changes on cerebral CT: leukoaraiosis (30.0% vs. 28.3%); old infarcts on imaging (80.0% vs. 6.5%, t = 5.29, ˂0.001); Doppler Ultrasound of intra and extracranial arteries: stenotic atherosclerosis (42.9% vs. 40.5%); vertebral artery hypoplasia (42.9% vs. 32.4%). Conclusion. Recurrent ischemic stroke in young patients has more variable symptoms, with a more unfavorable prognosis if compared with the first ever stroke in the same category of patients. So, it requires the establishment of recurrence risk factors and an efficient secondary prophylaxis |
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Cuvinte-cheie stroke, ischemia, young, recurrent., AVC, ischemie, Tineri, recurent |
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