By Jonathan Mant, Marion F. Walker
Stroke is the commonest reason for grownup incapacity and is of accelerating value inside of growing older populations.
This fresh identify within the ABC sequence covers the whole sufferer trip, from prevention via to long term aid. It contains fundamental prevention and administration of hazard components for stroke and secondary prevention together with pharmaceutical, way of life and surgical intervention. the final rules of stroke rehabilitation also are addressed in addition to mobility, communique and mental difficulties, as is stroke in more youthful humans. It additionally covers long term help for stroke survivors and their carers.
This is a useful and sensible consultant to all features of stroke for either health and wellbeing care execs and lay audiences. it truly is of specific relevance to basic practitioners, junior medical professionals, nurses and therapists operating with stroke sufferers and their...
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Extra resources for ABC of Stroke
5 Incidence of stroke by age and sex. Source: Rothwell PM, Coull AJ, Giles MF et al. Change in stroke incidence, mortality, case fatality, severity and risk factors in Oxfordshire, UK from 1981 to 2004 (Oxford Vascular Study). Lancet 2004;363:1925–33 Observational studies have demonstrated links between upper respiratory tract infections and risk of stroke, and between influenza vaccination and decreased risk of stroke. The explanation for this link remains unclear, though it is plausible that such infections might result in short-term increases in risk.
Sociodemographic Although for a given age men are at a higher risk of stroke than women, overall women account for more strokes than men because of their longer life expectancy and the close association of stroke risk with age. g. g. poorer housing). Biological The key biological risk factor for stroke is blood pressure. Long-term epidemiological studies have challenged the concept of ‘hypertension’ as a discrete condition, demonstrating that lower blood pressures (at least down to a systolic blood pressure of 115 mmHg) are associated with a lower risk of stroke (and ischaemic heart disease).
1). Specific investigations to identify possible sources of embolism include ECG (in particular looking for atrial fibrillation) and echocardiography. Suitability for Carotid Endarterectomy People who have suffered an anterior circulation TIA or minor stroke are potential candidates for carotid endarterectomy, and therefore should have their carotid arteries assessed. Clinical signs such as carotid bruits are not reliable predictors of whether or not a patient has carotid artery stenosis. Possible ways of assessing the carotid arteries include doppler ultrasound, and MR or CT angiography.