Cerebrovascular disease in Hong Kong Chinese.

Huang, Chaoran; Chan, F. L.; Yu, Y L; Woo, E.; Chin, Dong Kyu

doi:10.1161/01.str.21.2.230

Cited by 68 publications

(45 citation statements)

References 31 publications

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“…Thus, in the study it was found that in both gender the haemorrhagic was more common than ischaemic stroke. Similar results were observed in the study done previously in Hongkong Chinese by Haung et al [16].…”

Section: Discussionsupporting

confidence: 93%

Study on Risk factors, presentation and management of stroke in a tertiary care hospital

Sapkota¹,

Chhetri

Sharma³

2014

Janaki Med. Coll. J. Med. Sci.

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Background and Objectives: Many studies in recent years have focused attention on identification of risk factors associated with stroke. However, most of these studies have been conducted in the developed countries. Only few studies have been conducted in Nepal. So the present study has been undertaken with the aim of determining the risk factors and management pattern of stroke and makes the people aware of those factors. Material and Methods:It is a descriptive prospective study conducted with 50 consecutive patients who presented in medicine and emergency department at Universal College of Medical Science, Bhairahawa, Nepal from December 2009 to July 2010. Data were collected using a standard questionnaire and encounter form after receiving a verbal consent from the patient. The collected data were coded, tabulated and analyzed using SPSS version-16.Results: The present study showed that 56% of stroke patients were male. Hemorrhagic stroke (60%) was more than the ischemic stroke (40%).The age was common non modifiable risk factor. The common-modifiable risk factors were hypertension (86%), alcohol consumption (74%) and smoking (56%). Calcium channel blocker (44.18%) and combination of it with Diuretic (18.60%) and ACE inhibitors (20.93%) were the commonly prescribed drugs for lowering blood pressure. Prescribed drugs therapy and lifestyle modification improved the health condition of patients (80%). The non compliance to the drugs was due to multiple dosages (51.52%), side effects (18.18%) and forgetfulness (18.18%).Conclusion: Finding of this study will be helpful for the practitioners as well as researcher in the future. Practitioners can make people aware on the risk factors and preventive measures of the stroke. Researchers will be helped by knowing the commonest risk factors of stroke and its management pattern.

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Section: Discussionsupporting

confidence: 93%

Study on Risk factors, presentation and management of stroke in a tertiary care hospital

Sapkota¹,

Chhetri

Sharma³

2014

Janaki Med. Coll. J. Med. Sci.

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“…The pattern of strokes in Saudis was more like that in Europeans 13-15 -22 -25 than like that in Chinese 26 and Japanese.…”

Section: Discussionmentioning

confidence: 78%

Cerebrovascular disease in Saudi Arabia.

Yaqub

Shamena

Kolawole

et al. 1991

Stroke

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We studied the pattern and outcome of strokes in 200 Saudi patients. Cerebral infarction constituted 87% of strokes, subarachnoid hemorrhage 4.5%, cerebral hemorrhage 6.5%, and venous infarction 2%. The vessel most commonly involved was part or all of the middle cerebral artery, constituting 52% (90) of the 174 arterial infarcts. Lacunar infarcts were seen in 21% (37) of the patients with arterial infarcts. Among all 200 patients, 8% died and 8% had secondary generalized seizures. Hypertension occurred in 41% of the 174 patients with arterial infarcts and 62% of the 13 with cerebral hemorrhages. The highest incidence of hypertension as a risk factor was among those with lacunar infarcts (81%), ganglionic cerebral hemorrhages (80%), and infarcts of deep branches of the middle cerebral artery (57%). Embolic infarcts due to rheumatic heart disease constituted 11% of all arterial infarcts. We conclude that our pattern of strokes is similar to that of the west rather than that of the Japanese, but with less frequent arteriovenous malformations and aneurysms. (Stroke 1991^22:1173-1176)

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“…[7][8][9][10][11][12][13][14][15][16] Previous studies in China, Hong Kong, Taiwan, and Japan generally found that 23% to 52.2% of strokes were hemorrhagic, [3][4][5][6][21][22][23][24][25] in contrast to only 9% to 18% in whites. [7][8][9][10][11][12][13][14][15][16] In the present study, 29.6% of stroke cases overall in 2000 were hemorrhagic in Chinese populations, which supported the above idea that an ethnic difference existed between Eastern and Western populations.…”

Section: Stroke Subtypes In Chinese Populations Compared With Westernmentioning

confidence: 99%

Proportion of Different Subtypes of Stroke in China

Zhang

Yang

Hong

et al. 2003

Stroke

315

193

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Background and Purpose-The goal of this article is to clarify the proportion of stroke subtypes in China, where stoke is the most common cause of death. Methods-A total of 16 031 first-ever strokes in subjects Ն25 years of age were identified in 1991 to 2000 from 17 Chinese populations through a community-based cardiovascular disease surveillance program in the China Multicenter Collaborative Study of Cardiovascular Epidemiology. World Health Organization diagnosis criteria were used for classification of stroke subtypes. Results-CT scan rate of stroke cases reached a satisfactorily high level only after 1996 in the study populations. In 8268 first-ever stroke events from 10 populations with CT scan rate Ͼ75% in 1996 to 2000, 1.8% were subarachnoid hemorrhage, 27.5% were intracerebral hemorrhage, 62.4% were cerebral infarction, and 8.3% were undetermined stroke. The proportion of intracerebral hemorrhage varied from 17.1% to 39.4% and that for cerebral infarction varied from 45.5% to 75.9% from population to population. The ratio of ischemic to hemorrhagic stroke ranged from 1.1 to 3.9 and averaged 2.0). The 28-day fatality rate was 33.3% for subarachnoid hemorrhage, 49.4% for intracerebral hemorrhage, 16.9% for cerebral infarction, and 64.6% for undetermined stroke. Conclusions-In our study, ischemic stroke was more frequent and its proportion was higher than hemorrhagic stroke in Chinese populations. Although hemorrhagic stroke was more frequent in Chinese than in Western populations, the variation in the proportion of stroke subtypes among Chinese populations could be as large as or larger than that between

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Cerebrovascular disease in Hong Kong Chinese.

Cited by 68 publications

References 31 publications

Study on Risk factors, presentation and management of stroke in a tertiary care hospital

Study on Risk factors, presentation and management of stroke in a tertiary care hospital

Cerebrovascular disease in Saudi Arabia.

Proportion of Different Subtypes of Stroke in China

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