Dissecting the Spectrum of Stroke Risk Factors in an Apparently Healthy Population: Paving the Roadmap to Primary Stroke Prevention
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EFREMOVA, Daniela, CIOLAC, Dumitru, ZOTA, Eremei, GLAVAN, Danu, CIOBANU, Natalia, AULITZKY, Wolfgang, NICS, Anna Maria, TRINKA, Eugen, YAMADA, Chiaki, MOVILĂ, Alexandru, GROPPA, Stanislav. Dissecting the Spectrum of Stroke Risk Factors in an Apparently Healthy Population: Paving the Roadmap to Primary Stroke Prevention. In: Journal of Cardiovascular Development and Disease, 2023, nr. 2(10), pp. 1-16. ISSN -. DOI: https://doi.org/10.3390/jcdd10020035
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Journal of Cardiovascular Development and Disease
Numărul 2(10) / 2023 / ISSN - /ISSNe 2308-3425

Dissecting the Spectrum of Stroke Risk Factors in an Apparently Healthy Population: Paving the Roadmap to Primary Stroke Prevention

DOI:https://doi.org/10.3390/jcdd10020035

Pag. 1-16

Efremova Daniela12, Ciolac Dumitru12, Zota Eremei12, Glavan Danu12, Ciobanu Natalia12, Aulitzky Wolfgang3, Nics Anna Maria3, Trinka Eugen4, Yamada Chiaki5, Movilă Alexandru5, Groppa Stanislav12
 
1 Emergency Institute of Medicine,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
3 American Austrian Foundation, Salzburg,
4 Centre for Cognitive Neuroscience, Salzburg,
5 Indiana University School of Medicine, Indianapolis
 
 
Disponibil în IBN: 9 martie 2023


Rezumat

We aimed to investigate, for the first time, the spectrum of stroke risk factors specific to the population of the Republic of Moldova. The subjects were examined according to a pre-established protocol of risk factor estimation. The study involved 300 subjects, including 60% women and 40% men, with a mean age of 49.9 ± 14.5 years. The most common risk factor was abdominal obesity, identified in 75% of subjects; general obesity was detected in 48%, while 32% of subjects were overweight and 20% were normally weighted. Hypertension was observed in 44%; 8% of those examined had atrial fibrillation, and 9% had diabetes mellitus. Left myocardial hypertrophy on ECG was present in 53% of subjects, and acute ischemic changes in 2%. Laboratory observations detected that glycosylated hemoglobin increased by 7%, and >50% had dyslipidemia. Total cholesterol was significantly elevated by 58%, LDL-cholesterol was increased by 32%, and HDL-cholesterol was decreased by 9%. Homocysteine was increased in 55% and high-sensitivity C-reactive protein in 28% of subjects. These results indicate the presence of modifiable risk factors and the necessity to elaborate on the primary prevention strategies aimed at minimizing the burden of stroke in the population of the Republic of Moldova. 

Cuvinte-cheie
cerebrovascular disease, epidemiology, prevention, risk factors