Open AccessFeatures of risk patients with recurrent ischemic stroke
Author(s) -
O.M. Mikitay
Publication year - 2015
Publication title -
shìdno-êvropejsʹkij nevrologìčnij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2663-8444
pISSN - 2411-5797
DOI - 10.33444/2411-5797.2015.2(2).27-30
Subject(s) - medicine , stroke (engine) , atrial fibrillation , cardiology , incidence (geometry) , blood pressure , myocardial infarction , risk factor , disease , heart failure , coronary artery disease , cerebral infarction , ischemia , mechanical engineering , physics , optics , engineering
Increasing the number of cases of stroke is due to in- crease the prevalence of major risk factors, such as age and various cardiovascular events such as myocardial infarction, heart disease, hypertension, and especially atrial fibrillation. In order to analyze the incidence of risk factors in patients with recurrent ischemic stroke were examined 60 patients. Among the examined patients in the two groups revealed that hypertension suffered 83.3% of the patients, 75% of patients in the group with a primary stroke and 92.2% of patients in the group with recurrent stroke. A significant increase in patients with hypertension 3-st. (р<0,05) during the second stroke, that was characterized by the accuracy (p<0,01) increase in the severity of stroke, compared with a group of primary stroke (respectively 67.9% and 28.1%). In patients with recurrent stroke occurred more frequently hypertensive cerebral crises (respectively, 73.1% and 62.5%) despite the fact that antihypertensive therapy and blood pressure control was more controle than in the group with primary stroke. Comparative analysis of anamnestic data in both groups was found heredity of chronic heart failure and coronary artery disease, which significantly more common in patients with recurrent stroke (p<0.01). Thus, consideration of comorbid diseases and risk factors in the treatment and prevention of ischemic stroke is of great preventive value, especially during the second stroke.