Stroke subtypes and risk factors of ischemic stroke in young Korean adults
- Author:
Dokyung Lee
;
Sung Hyuk Heo
;
Jung Hwa Kim
;
Dae-Il Chang
- Publication Type:Journal Article
- From:Neurology Asia
2011;16(4):281-289
- CountryMalaysia
- Language:English
-
Abstract:
Background and Objectives: This study aimed to describe the ischemic stroke subtypes and risk
factors in young Korean adults, focusing mainly on traditional risk factors and management of
ischemic stroke. Methods: The study patients were the fi rst-ever acute cerebral ischemic infarction
age 49 years or below admitted to the Kyung Hee University Medical Centre from September 2003 to
June 2009, with ischaemic stroke patients >50 years as control. The stroke subtypes was categorized
according to Trial of Org 10172 in Acute Stroke Treatment classifi cation. The traditional risk factors
of ischemic stroke were examined. For those known to have hypertension and diabetes prior to onset
of stroke, their adherence to treatment of hypertension and diabetes was also assessed. Results: Close
to half of the patients ≤49 years were due to premature atherosclerosis from small vessel occlusion
and large artery atherosclerosis. The most common risk factor in declining order was hypertension,
smoking, dyslipidemia and obesity. On logistic regression analysis, hypertension, dyslipidemia, and
obesity were strongly associated with small vessel occlusion. In patients who were known to have
hypertension and diabetes prior to the onset of stroke, the younger patients were less adherent to the
treatment as primary prevention than the older stroke patients. Conclusion: This study suggests that
premature atherosclerosis from small vessel occulusion is the most common cause of ischaemic stroke
among young adults in Korea. Non-adherence to primary preventive treatment of hypertension and
diabetes is common.
- Full text:P020150818580936142282.pdf
