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年轻成年人中的中风:五件新事。

Stroke in young adults: Five new things.

作者信息

Bhatt Nirav, Malik Amer M, Chaturvedi Seemant

机构信息

Division of Vascular Neurology (NB, AMM, SC), Department of Neurology, University of Miami Miller School of Medicine, and Miami VA Hospital (SC), FL.

出版信息

Neurol Clin Pract. 2018 Dec;8(6):501-506. doi: 10.1212/CPJ.0000000000000522.

DOI:10.1212/CPJ.0000000000000522
PMID:30588380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6294527/
Abstract

PURPOSE OF REVIEW

The incidence of stroke in young adults is increasing, mainly driven by an increasing incidence of ischemic stroke in this population. We provide new information that has been recently presented regarding the risk factor prevalence, some specific etiologic causes, and management strategies in ischemic stroke in this population.

RECENT FINDINGS

Recent studies indicate a rapid increase in traditional risk factors in young adults. New information regarding the management of patent foramen ovale in cryptogenic stroke and cervical artery dissection is available.

SUMMARY

Stroke in young adults is a rapidly growing problem with deep public health implications. There are many areas in this field, which require further research.

摘要

综述目的

年轻成年人中风的发病率正在上升,主要是由于该人群缺血性中风的发病率增加所致。我们提供了最近关于该人群缺血性中风的危险因素患病率、一些特定病因及管理策略的新信息。

最新发现

近期研究表明年轻成年人的传统危险因素迅速增加。关于不明原因中风中卵圆孔未闭的管理以及颈动脉夹层的新信息已可得。

总结

年轻成年人中风是一个迅速发展且具有深远公共卫生影响的问题。该领域有许多方面需要进一步研究。

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本文引用的文献

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Cannabis use predicts risks of heart failure and cerebrovascular accidents: results from the National Inpatient Sample.大麻使用预测心力衰竭和脑血管意外的风险:来自全国住院患者样本的结果。
J Cardiovasc Med (Hagerstown). 2018 Sep;19(9):480-484. doi: 10.2459/JCM.0000000000000681.
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Cryptogenic Stroke and High-Risk Patent Foramen Ovale: The DEFENSE-PFO Trial.隐源性卒中与高风险卵圆孔未闭:DEFENSE-PFO 试验。
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2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.2018 急性缺血性脑卒中患者早期管理指南:美国心脏协会/美国卒中协会医疗保健专业人员指南。
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Patent Foramen Ovale Closure or Anticoagulation vs. Antiplatelets after Stroke.卵圆孔未闭封堵与卒中后抗凝或抗血小板治疗的比较
N Engl J Med. 2017 Sep 14;377(11):1011-1021. doi: 10.1056/NEJMoa1705915.
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Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke.卵圆孔未闭封堵或卒中后药物治疗的长期结局。
N Engl J Med. 2017 Sep 14;377(11):1022-1032. doi: 10.1056/NEJMoa1610057.
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Patent Foramen Ovale Closure or Antiplatelet Therapy for Cryptogenic Stroke.卵圆孔未闭封堵或抗血小板治疗不明原因卒中。
N Engl J Med. 2017 Sep 14;377(11):1033-1042. doi: 10.1056/NEJMoa1707404.
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Stroke. 2017 Jul;48(7):1766-1772. doi: 10.1161/STROKEAHA.116.016083. Epub 2017 Jun 8.
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Prevalence of Cardiovascular Risk Factors and Strokes in Younger Adults.年轻成年人中心血管危险因素及中风的患病率
JAMA Neurol. 2017 Jun 1;74(6):695-703. doi: 10.1001/jamaneurol.2017.0020.
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Cannabis, Tobacco, Alcohol Use, and the Risk of Early Stroke: A Population-Based Cohort Study of 45 000 Swedish Men.大麻、烟草、酒精使用与早期中风风险:一项基于人群的对45000名瑞典男性的队列研究。
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