estudo das freqüências dos principais fatores de risco para acidente vascular cerebral isquêmico em idosos study of the main risk factors frequencies for ischemic cerebrovascular disease in elderly patients

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ID: 244047
2004
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Abstract
Foram estudados retrospectivamente 262 pacientes com diagnóstico clínico de acidente vascular cerebral isquêmico (AVCi) permanente, com idade igual ou superior a 60 anos, selecionados dos 1015 registros da Liga de Aterosclerose da Clínica Neurológica da ISCMSP, de 1990 a 2002. O estudo focalizou as freqüências dos fatores de risco modificáveis para AVCi nesta população idosa, considerando-se sexo e faixa etária dos pacientes. Os resultados evidenciaram que a hipertenção arterial sistêmica é significativamente freqüente (87,8%) entre pacientes idosos com AVCi, independentemente do sexo e da faixa etária. Tabagismo (46,9%) e etilismo (35,1%) revelaram-se fatores de riscos modificáveis freqüentes especialmente entre os homens. As cardiopatias (27,0%), o Diabete Melito (19,9%) e as dislipidemias (15,6%) também se revelaram fatores de risco modificáveis freqüentes em pacientes idosos com AVCi, em ambos os sexos e em ambas as faixas etárias estudadas (60 a 70 anos e mais que 71 anos). Foi relativamente baixa a freqüência de hiperuricemia nesta amostra.
Two hundred and sixty two patients with clinical diagnosis of permanent ischemic stroke, all of them aged 60 or more were retrospectively studied from the 1015 cerebrovascular diseases (CVD) records of the Atherosclerosis Ligue of the Neurology Clinics of the ISCMSP, from 1990 to 2002. The study emphasized modifiable risk factors frequencies for ischemic stroke in this population, considering gender and age of the patients. Results have evidenced that systemic arterial hypertension is a main risk factor significantly frequent in old people (87.8%), independently of gender and age. Smoking (46.9%) and alcohol consumption (35.1%) have revealed to be very frequent important modifiable risk factors especially among men. Lower frequencies have been presented for cardiac diseases (27.0%), Diabetes Melitus (19.9%), and dislipidemia (15.6%) as risk factors for ischemic stroke in old people of both genders and all ages after 60. There was relatively low frequency of hiperuricemia in this set of patients.
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Authors ;Sueli Luciano Pires;Rubens José Gagliardi;Milton Luiz Gorzoni
Journal communications in computer and information science
Year 2004
DOI
10.1590/S0004-282X2004000500020
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000500020
Keywords
stroke ischemic stroke elderly patients neuropsychiatry biological psychiatry idosos fatores de risco risk factorsneurosciences

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