IJCNMH ARCpublishing

Issue: Issue 5 (2018) – Supplement 1


Ischemic stroke in young adults—experience from a regional hospital

Marta Cerol, Natália Teixeira, Ana Mestre, Sónia Almeida, Rita Paulos, and Margarida Cabrita
Background: Ischemic stroke, though being less common in young than in older adults, is an important cause of disability in the former.
Objectives: To describe risk factors, etiology, treatment and prognosis of young patients with ischemic stroke.
Methods: Retrospective analysis of patients aged 55 years or younger hospitalized in the internal medicine ward with ischemic stroke from January 1st 2013 to December 31st 2016.
Results: The study included 31 patients, 74.2% were men, with a median age of 48 year. Most of the patients had at least one cardiovascular risk factor. Arterial hypertension was the most common risk factor (64.5%), followed by hypercholesterolemia and cigarette smoking (35.5% each) and diabetes mellitus (25.8%). The etiology of the ischemic stroke was as follows: atherotrombosis in 25.8%, lacunar stroke in 19.4%, cardioembolism in 16.1%, other determined causes in 19.3% (including nonatherosclerotic vasculopathies in 3.2%) and undetermined in 19.4%. All patients were discharged with an antiplatelet drug and 25.8% were also treated with an anticoagulant. None of the patients had a recurrent episode at 6 months, but one died of unrelated causes and three abandoned follow-up.
Conclusions: The majority of stroke events in the patients studied appear to be related with a high prevalence of classical cardiovascular risk factor, which should be targeted with specific health programs in order to reduce the morbidity and mortality associated with stroke in this population.

From the Lisbon Stroke Summit, Lisbon, Portugal. 6–7 April 2018.

International Journal of Clinical Neurosciences and Mental Health 2018; 5(Suppl. 1):P10
Icon_pdf Download PDF