Meadows Kristy L, Silver Gena M
Cummings School of Veterinary Medicine, Tufts University, 200 Westboro Rd., Grafton, MA 01536, USA.
Massachusetts Veterinary Referral Hospital, 20 Cabot Rd., Woburn, MA 01801, USA.
Vet Sci. 2017 Nov 16;4(4):56. doi: 10.3390/vetsci4040056.
Stroke is the fifth leading cause of death in the United States, and is the leading cause of serious, long-term disability worldwide. There are at least 795,000 new or recurrent strokes each year, and approximately 85% of all stroke occurrences are ischemic. Unfortunately, companion animals are also at risk for ischemic stroke. Although the exact incidence of ischemic stroke in companion animals is unknown, some studies, and the veterinary information network (VIN), report that approximately 3% of neurological case referrals are due to a stroke. There is a long list of predisposing factors associated with the risk of ischemic stroke in both humans and canines; however, these factors do not explain why a stroke happens at a particular time on a particular day. Our understanding of these potential stroke "triggers" is limited, and the effect of transient environmental exposures may be one such "trigger". The present study investigated the extent to which the natural occurrence of canine ischemic stroke was related to the weather conditions in the time-period immediately preceding the onset of stroke. The results of the present study demonstrated that the change in weather conditions could be a potential stroke trigger, with the strokes evaluated occurring after periods of rapid, large fluctuations in weather conditions. There are currently no epidemiological data on the seasonal variability of ischemic stroke in dogs, and determining whether canine stroke parallels human stroke would further validate the use of companion dogs as an appropriate naturally occurring model.
中风是美国第五大死因,也是全球严重长期残疾的主要原因。每年至少有79.5万例新发或复发性中风,所有中风病例中约85%为缺血性中风。不幸的是,伴侣动物也有患缺血性中风的风险。虽然伴侣动物缺血性中风的确切发病率尚不清楚,但一些研究以及兽医信息网络(VIN)报告称,约3%的神经科病例转诊是由中风引起的。人类和犬类中,与缺血性中风风险相关的诱发因素有很多;然而,这些因素并不能解释为什么中风会在特定的某一天的特定时间发生。我们对这些潜在的中风“触发因素”的理解有限,短暂的环境暴露可能就是这样一种“触发因素”。本研究调查了犬类缺血性中风的自然发生与中风发作前即刻时间段内天气状况的相关程度。本研究结果表明,天气状况的变化可能是一个潜在的中风触发因素,所评估的中风发生在天气状况快速大幅波动之后。目前尚无关于犬类缺血性中风季节性变化的流行病学数据,确定犬类中风是否与人类中风相似将进一步验证将伴侣犬作为合适的自然发生模型的用途。