Howard G
Wake Forest University School of Medicine, Winston Salem, North Carolina 27157-1063, USA.
Am J Med Sci. 1999 Mar;317(3):160-7. doi: 10.1097/00000441-199903000-00005.
Although there is widespread recognition of a region with high stroke mortality in the southeastern United States that has persisted over the past 50 years (ie, the "stroke belt"), there is little agreement as to its underlying cause(s). Herein, we review data supporting 10 potential causes for the stroke belt, and assess: (1) the likelihood that each is the contributing factor to the excess mortality, and (2) areas of investigation where data are lacking and that require additional research efforts.
尽管美国东南部存在一个卒中死亡率高的地区，且这种情况在过去50年一直持续存在（即“卒中带”），但对于其潜在原因却几乎没有共识。在此，我们回顾支持卒中带存在10种潜在原因的数据，并评估：（1）每种原因成为导致过高死亡率的因素的可能性，以及（2）缺乏数据且需要额外研究工作的调查领域。
