Khealani Bhojo A, Hameed Bilal, Mapari Uzma U
Department of Medicine, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2008 Jul;58(7):400-3.
Stroke is the most common cause of disability and a leading cause of mortality world wide. Though the incidence is falling in West but probably is rising in Asia. The burden of stroke risk factors in Pakistan is enormous e.g. by 2020 Pakistan will be 4th most populous country in terms of diabetic patients. Similarly every 3rd person above age of 45 years has hypertension. Ironically a great majority of these patients are unaware of their diagnosis. This is further complicated by the fact that most of diagnosed patients have uncontrolled hypertension, as a result of poor compliance on patients part and poor updated knowledge on physicians part. Data on stroke incidence and prevalence from Pakistan is scarce, however, there are several reported case series in literature highlighting significant differences in terms of stroke epidemiology, risk factors and stroke subtypes/patterns. Considering a high population, absolute number of stroke in our country would be in millions. Its consequences are myriad ranging form physical disability to death, to psychologic, social and economic consequences. These consequences do not only affect the individual or his/her family but also society as a whole. We reviewed available literature on stroke and its risk factors from Pakistan.
中风是全球致残的最常见原因，也是主要死因之一。虽然西方的中风发病率在下降，但在亚洲可能正在上升。巴基斯坦中风风险因素的负担极为沉重，例如到2020年，就糖尿病患者数量而言，巴基斯坦将成为世界第四人口大国。同样，45岁以上的人群中每三人就有一人患有高血压。具有讽刺意味的是，这些患者中的绝大多数并未意识到自己已被诊断患病。而由于患者依从性差以及医生知识更新不足，大多数已确诊患者的高血压并未得到控制，这使得情况更加复杂。巴基斯坦关于中风发病率和患病率的数据很少，不过，文献中有几个报告的病例系列突出了中风流行病学、风险因素以及中风亚型/模式方面的显著差异。鉴于我国人口众多，中风的绝对数量将达数百万。其后果多种多样，从身体残疾到死亡，再到心理、社会和经济后果。这些后果不仅影响个人或其家庭，也影响整个社会。我们回顾了巴基斯坦有关中风及其风险因素的现有文献。
