STROKE PATIENTS IN THE INTENSIVE CARE UNIT... IS THERE ANY BENEFIT?

Tarek Osman Raafat;

Abstract


Stroke is the commonset cause of death after heart disease and cancer particularly among the elderly. In spite of achievment of medical and surgical therapies of stroke, prevention will be the most effective strategy in reducing the. damage from impending stroke. Prevention will be facilitated by understanding predisposing host and environmental factors.

Hypertension is the most powerful risk factor of stroke. Therefore, there is no doubt that control of hypertension is particularly important for the prevention of sroke. Stroke is more likely to be the initial manifestation of cardiovasclar disease among hypertensives. Other cardiac disorder associated with increased risk of ischemic stroke are AF, acute MI and mitral valve disease. Low serum cholesterol level was found to increase the incidence of ICH while there was direct relationship between high levels of total serum cholesterol and ischemic stroke, particularly in hypertensives. Also, D.M. was recognized as an important risk factor for the development of stroke. Meanwhile proteinuria was found to be an independent risk factor for stroke in patients with NIDDM.

Other risk factors were demonstrated as high normal hematocrit level, fibrinogen and high leptin level. An inverse relationship was found between electrolyte intake, as calcium and potassium, and risk of ischemic stroke.


Other data

Title STROKE PATIENTS IN THE INTENSIVE CARE UNIT... IS THERE ANY BENEFIT?
Other Titles جدوى علاج مرضى السكتة الدماغية فى الرعاية المركزة
Authors Tarek Osman Raafat
Issue Date 2001

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