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Epidemiology Of Stroke
 

Epidemiology Of Stroke

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Risk factors of Stroke and prevention of stroke.

Risk factors of Stroke and prevention of stroke.

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    Epidemiology Of Stroke Epidemiology Of Stroke Presentation Transcript

    • Dr.Rajkumar Patil Asstt. Prof., Community Medicine AVMCH, Pondicherry
      • Rapidly developed clinical signs of focal
      • (or global) disturbance of cerebral function; lasting more than 24 hours or leading to death, with no apparent cause other than vascular origin
      • TIA: <24 hours
      • Morbidity ( 12 country WHO study)
      • Incidence : 0.2 -2.5/1000/yr.
      • Mortality: leading cause of death &
      • disability through out world
      • 33% cases die within 3 weeks, 48% die within 1yr
    •  
    • Host Factors 1.Age 80% cases: In India >40 yr; while in developed countries >65 yr 2.Sex Males 3.Personal History History of DM/HT/Cardiovascular diseases
    • Pathogenesis of Stroke
    • Types of Paralysis
    • Types of stroke
      • Subarachnoid hemorrhage(SAH)
      • Cerebral hemorrhage
      • Cerebral thrombosis or embolism
      • Occlusion of pre cerebral arteries
      • Transient cerebral ischemia (TCI) more than 24 hrs.
      • Ill defined cardiovascular disease ,
      • when underlying pathology is in brain
    • Risk Factors of Stroke
    •  
      • SHAME are the risk factors for Stroke
      • Smoking
      • Hypertension/ Hyperlipidemia,
      • Atrial fibrillation
      • Male
      • Elderly
      • 5 Cs are the causes for stroke in young age
      • Cancer
      • Cardiogenic emboli
      • CNS infection [HIV conditions]
      • Congenital arterial lesion
      • Cocaine
      Risk Factors of Stroke
    •  
      • Control of Hypertension
      • Control of Diabetes
      • Control of Cholesterol & Saturated Fat Intake
      • No alcohol
      • No smoking
      • Regular exercise
      • Maintain healthy weight
      • Avoid illicit drug like cocain which is associated with TIA
      Primary Prevention of Stroke
    • Early diagnosis and management of TIA/Stroke Secondary Prevention of Stroke
    • Secondary Prevention of Stroke
    • Secondary Prevention of Stroke
      • Remove obstruction to restore
      • blood flow to brain
      • Clot busting drugs within 3 hrs.
      • Carotid endarterectomy
      • Angioplasty
      • Preventive medications
      • Anti-platelet drugs
      • Anti-coaggulants
      Secondary Prevention of Stroke (Treatment)
      • 1.Disability Limitation
      • Prevention of Complications
      • Good nursing care (bladder and bowel)
      • 2.Rehabilitation
      • Physical
      • Occupational
      • Psychological
      Tertiary Prevention of Stroke
    • Thank You