Ischemic stroke in inhabitants of the European North: analysis of the risk factors
https://doi.org/10.18705/1607-419X-2016-22-6-620-628
Abstract
Background. Cerebrovascular diseases are the major medical and social problem, since they take one of the first places in the structure of total mortality and disability in Russia.
Objective. The objective of our study was to assess the demographics, structure and risk factors of stroke based on the territorial population stroke Komi Register.
Design and methods. We analyzed 15,496 cases of stroke included in the geographically-stroke population register within 83 months by the method of a cross-sectional study.
Results. Women are predominant in this group. Among patients with acute cerebrovascular disorders the majority of patients were hospitalized in spring. The distribution by the months showed significant differences — the largest number of patients were hospitalized in the Republic of Komi in January. The most frequent risk factor is arterial hypertension (HTN), with significant predominance of women among HTN patients. However, HTN patients are significantly older than normotensive subjects. Similar trend was found for other cardiac pathology. Ischemic stroke occurs 10 times more often than hemorrhagic stroke. Mortality related to hemorrhagic stroke is 5-fold higher than the mortality rate from ischemic stroke.
Conclusions. The number of strokes, identified in the Komi Republic is gradually reducing. The mortality rate associated with stroke is slowly falling.
About the Authors
G. O. Penina
St Petersburg University of Advanced Medical Expert Training
Russian Federation
Russian Federation
MD, PhD, DSc, Professor, Department of Neurology, Medical and Social Rehabilitation and Expertise,
11/12 Bol’shoy Sampsonievskiy avenue, St Petersburg, 194044
A. S. Zaslavskiy
St Petersburg University of Advanced Medical Expert Training,
Russian Federation
Russian Federation
MD, Neurologist, Expert Council № 2, St Petersburg Head Office of Medical and Social Expertise,
11/12 Bol’shoy Sampsonievskiy avenue, St Petersburg, 194044
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Review
For citations:
Penina G.O., Zaslavskiy A.S. Ischemic stroke in inhabitants of the European North: analysis of the risk factors. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2016;22(6):620-628. (In Russ.) https://doi.org/10.18705/1607-419X-2016-22-6-620-628
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