南亚人中风风险和血管性痴呆。
Stroke Risk and Vascular Dementia in South Asians.
机构信息
Department of Neurology, University of California, San Francisco, San Francisco, CA, USA.
San Francisco General Hospital, University of California, San Francisco, Building 1, Room 101, 1001 Potrero Avenue, San Francisco, CA, 94110, USA.
出版信息
Curr Atheroscler Rep. 2018 Jul 5;20(9):43. doi: 10.1007/s11883-018-0745-7.
PURPOSE OF REVIEW
South Asians (SA) are at a higher risk for stroke and vascular dementia due to the disproportionate burden of diabetes, hypertension, and dyslipidemia. This review summarizes the rationale for screening, early detection, and aggressive control of metabolic factors, and critically examines the published literature on primary and secondary stroke prevention.
RECENT FINDINGS
South Asians have a higher prevalence of diabetes than non-SA. SA with diabetes are at a higher risk of recurrent ischemic stroke and have a higher incidence of stroke-related dementia compared to non-South Asians. South Asians are one of the fastest-growing ethnic groups worldwide with an unusually increased risk of heart disease and stroke. An accurate assessment of those at risk of stroke and cognitive impairment is urgently needed to plan preventive strategies.
目的综述
南亚人由于糖尿病、高血压和血脂异常的负担不成比例，中风和血管性痴呆的风险更高。本综述总结了筛查、早期发现和代谢因素积极控制的基本原理，并批判性地审查了关于一级和二级中风预防的已发表文献。
最近的发现
南亚人的糖尿病患病率高于非南亚人。与非南亚人相比，患有糖尿病的南亚人再次发生缺血性中风的风险更高，中风相关痴呆的发病率也更高。南亚人是全球增长最快的种族群体之一，心脏病和中风的风险异常增加。迫切需要对那些有中风和认知障碍风险的人进行准确评估，以制定预防策略。
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