Silent stroke and control of risk factors

Cerebrovascular disease is the first cause of disability and the third of death. ICS is defined as an ischemic brain lesion found incidentally on neuroimaging in presumed healthy people. It predominates in older adults and associates cardiovascular risk factors. It is a risk factor for dementia, str...

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Detalles Bibliográficos
Autores principales: Cabanellas, C, Herrera, M, Conci, N, Lucero, N, Buonanotte, CF
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022
Materias:
stroke
accidente cerebro vascular
.
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/39084
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-39084
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
format Artículo revista
topic stroke
accidente cerebro vascular
.
spellingShingle stroke
accidente cerebro vascular
.
Cabanellas, C
Herrera, M
Conci, N
Lucero, N
Buonanotte, CF
Silent stroke and control of risk factors
topic_facet stroke
accidente cerebro vascular
.
author Cabanellas, C
Herrera, M
Conci, N
Lucero, N
Buonanotte, CF
author_facet Cabanellas, C
Herrera, M
Conci, N
Lucero, N
Buonanotte, CF
author_sort Cabanellas, C
title Silent stroke and control of risk factors
title_short Silent stroke and control of risk factors
title_full Silent stroke and control of risk factors
title_fullStr Silent stroke and control of risk factors
title_full_unstemmed Silent stroke and control of risk factors
title_sort silent stroke and control of risk factors
description Cerebrovascular disease is the first cause of disability and the third of death. ICS is defined as an ischemic brain lesion found incidentally on neuroimaging in presumed healthy people. It predominates in older adults and associates cardiovascular risk factors. It is a risk factor for dementia, stroke, gait disorders, depression and death. Periodic clinical control of cardiovascular risk factors decreases the incidence of ICS and its consequences. Objectives: To evaluate ICS and clinical control. Identify frequent risk factors. Characterize clinical controls. Prospective, cross-sectional study conducted from January to June 2022. 102 patients from the HNC neurology clinic were included. Age range from 49 to 94. All patients had neuroimaging that met ICS criteria performed in the last year. Data from the clinical history and anamnesis were used. 53% were male. Of the total, 30% carried out annual controls. The lesions were 46% leukoaraiosis, 37% heart attacks and 17% lacunae. The risk factors were: hypertension with 70%, diabetes 40%, 37% previous stroke. 70% of the patients did not have clinical/cardiological controls in the last year. Of these, 28% had an echocardiogram, 17% echo Doppler of the neck vessels, 32% an electrocardiogram, and 51% laboratory tests. In patients without clinical control, 41% have 3 or more cardiovascular risk factors, 24% have 2 risk factors, and 18% have only one risk factor. 15% reported no cardiovascular history. The patients with ICS evaluated do not have clinical controls or regular complementary studies of their known risk factors. The findings propose an adequate education and information to the community about the importance that their cardiovascular diseases require to reduce the neurovascular impact.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2022
url https://revistas.unc.edu.ar/index.php/med/article/view/39084
work_keys_str_mv AT cabanellasc silentstrokeandcontrolofriskfactors
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AT buonanottecf silentstrokeandcontrolofriskfactors
AT cabanellasc infartocerebralsilenteicsycontroldefactoresderiesgo
AT herreram infartocerebralsilenteicsycontroldefactoresderiesgo
AT concin infartocerebralsilenteicsycontroldefactoresderiesgo
AT luceron infartocerebralsilenteicsycontroldefactoresderiesgo
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spelling I10-R327-article-390842024-04-15T16:14:45Z Silent stroke and control of risk factors Infarto cerebral silente (ICS) y control de factores de riesgo . Cabanellas, C Herrera, M Conci, N Lucero, N Buonanotte, CF stroke accidente cerebro vascular . Cerebrovascular disease is the first cause of disability and the third of death. ICS is defined as an ischemic brain lesion found incidentally on neuroimaging in presumed healthy people. It predominates in older adults and associates cardiovascular risk factors. It is a risk factor for dementia, stroke, gait disorders, depression and death. Periodic clinical control of cardiovascular risk factors decreases the incidence of ICS and its consequences. Objectives: To evaluate ICS and clinical control. Identify frequent risk factors. Characterize clinical controls. Prospective, cross-sectional study conducted from January to June 2022. 102 patients from the HNC neurology clinic were included. Age range from 49 to 94. All patients had neuroimaging that met ICS criteria performed in the last year. Data from the clinical history and anamnesis were used. 53% were male. Of the total, 30% carried out annual controls. The lesions were 46% leukoaraiosis, 37% heart attacks and 17% lacunae. The risk factors were: hypertension with 70%, diabetes 40%, 37% previous stroke. 70% of the patients did not have clinical/cardiological controls in the last year. Of these, 28% had an echocardiogram, 17% echo Doppler of the neck vessels, 32% an electrocardiogram, and 51% laboratory tests. In patients without clinical control, 41% have 3 or more cardiovascular risk factors, 24% have 2 risk factors, and 18% have only one risk factor. 15% reported no cardiovascular history. The patients with ICS evaluated do not have clinical controls or regular complementary studies of their known risk factors. The findings propose an adequate education and information to the community about the importance that their cardiovascular diseases require to reduce the neurovascular impact. La enfermedad cerebrovascular es la primera causa de discapacidad y la tercera de muerte. El ICS se define como una lesión cerebral isquémica encontrada de manera fortuita en neuroimagenes en personas presuntamente sanas. Predomina en adultos mayores y asocia factores de riesgo cardiovasculares. Es factor de riesgo para demencia, ACV, trastornos de la marcha, depresión y muerte. El control clínico periódico de factores de riesgo cardiovasculares disminuye la incidencia del ICS y sus consecuencias. Objetivos: Evaluar ICS y control clínico. Identificar factores de riesgo frecuentes. Caracterizar los controles clínicos. Estudio prospectivo, transversal realizado de enero a junio de 2022. Se incluyeron 102 pacientes del consultorio de neurología del HNC. Rango etario de 49 a 94. Todos los pacientes tenían neuroimagen que cumplía con criterio de ICS realizada en el último año. Se utilizaron datos de la historia clínica y anamnesis. El 53% fueron de sexo masculino. Del total, un 30% realizó control anual. Las lesiones fueron de un 46% leucoaraiosis, un 37% infartos y un 17% lagunas. Los factores de riesgo fueron: HTA con un 70%,diabetes 40%,37% accidente cerebrovascular previo. Un 70% de los pacientes no tenían controles clínico/cardiológicos en el último año. De estos, el 28% tenía ecocardiograma, 17% eco doppler de vasos de cuello, 32% electrocardiograma y laboratorio un 51%. En pacientes sin control clínico, el 41% tiene 3 o más factores de riesgo cardiovasculares,24% tiene 2 factores de riesgo, un 18% tiene un solo factor de riesgo. El 15% no refirió antecedentes cardiovasculares. Los pacientes con ICS evaluados, no tienen controles clínicos ni de estudios complementarios regulares de sus factores de riesgo conocidos. Los hallazgos proponen una adecuada educación e información a la comunidad sobre la importancia que requieren sus enfermedades cardiovasculares para reducir el impacto neurovascular. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto . https://revistas.unc.edu.ar/index.php/med/article/view/39084 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0

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