Prediction of impending attacks of cerebral stroke in rural areas and their prevention.
10.2185/jjrm.36.1030
- VernacularTitle:農村における脳卒中発症の近接予知ならびに事前予防についての研究
- Author:
Kiyoichi NODA
;
Masashi ITOH
;
Takiko SHINDO
;
Masato HAYASHI
;
Kenichi HOSOYA
;
Hideomi FUJIWARA
;
Masami NOJIRI
;
Hiroto SEKI
;
Saburo MASHIMA
;
Koji ISOMURA
;
Yoshitaka SEKIGUCHI
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
1988;36(5):1030-1039
- CountryJapan
- Language:Japanese
-
Abstract:
Cerebral stroke in rural areas is a very important disease both from medical and social aspects. Among strokes, infarction which occurs most frequently in elderly persons is liable to result from atherosclerosis. And for the development of atherosclerosis, essential hypertension is the most important predisposing factor. Other than hypertension, aging, diabetes mellitus, hyperlipemia, esp. low HDL/Tch ratio, increased hematocrit values, coronary insufficiency, cardiac failure, arythmia, esp. atrial fibrillation, are also accepted important risk factors. Affirmative of such findings, the authors are convinced of the fact that atrial fibrillation which is increasing recently is closely related to both cerebral thrombosis and embolism.
But, in regard to cerebral infarction no signifying or trigger factor, similar to very high blood pressure, that trigger cerebral hemorrhage, is clarified as yet. It is made clear in this connection that cardiac failure predisposed by hypertensive heart disease in old age, assisted by pathophysiological and other environmental conditions, is the important factor. The authors also studied the clinical predisposing parameters and preventive measures about strokes.
