Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto do Coração, São Paulo SP, Brazil.
Arq Neuropsiquiatr. 2022 May;80(5 Suppl 1):88-93. doi: 10.1590/0004-282X-ANP-2022-S102.
Stroke is the second leading cause of death worldwide and the vast majority can be attributed to modifiable risk factors, mainly behavioral and metabolic. The top six risk factors responsible for cardiovascular mortality in Brazil in 2019 were high systolic blood pressure, inadequate dietary exposure, high body mass index, high LDL cholesterol, high fasting blood glucose levels, and tobacco. We intend to discuss in this paper the evidence and recommendations in the approach of three essential risk factors for patients with a history of stroke: dyslipidemia, hypertension and diabetes.
中风是全球范围内的第二大致死原因,而绝大多数中风都可以归因于可改变的风险因素,主要是行为和代谢因素。2019 年导致巴西心血管疾病死亡的前六大风险因素为:收缩压高、膳食摄入不足、体重指数高、低密度脂蛋白胆固醇高、空腹血糖水平高和吸烟。本文旨在讨论有中风病史的患者的三个重要风险因素(血脂异常、高血压和糖尿病)的处理方法中的证据和建议。