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Stroke is a group of diseases caused by sudden rupture of cerebral blood vessels or disturbance of blood circulation caused by vascular occlusion. It has the characteristics of high incidence, high disability rate and high mortality, and it’s one of the most important etiology of death in our country. Research showed that the incidence of stroke could be reduced through adjusting the risk factors in about 70% to 80% of patients. Stroke could be prevented through early screening, early diagnosis and treatment, which has important clinical significance and social value.
Typical symptoms include dysarthria, squabble, limb weakness, sensory abnormalities, hemianopia, gaze paralysis, gait ataxia, etc.
The following table shows the major risk factors of stroke.
Those with three or more of the "eight" stroke risk factors, or with any one of the "two", are defined as high-risk population of stroke.
Those with less than three risk factors and with history of hypertension, diabetes, atrial fibrillation or valvular heart disease are defined as moderated-risk population of stroke.
People with less than three risk factors and no history of hypertension, diabetes, atrial fibrillation or valvular heart disease are define as low-risk population of stroke.Risk factors and criteria of stroke in "eight + two" items.
Risk factors
Criteria
“Eight”
Hypertension
Meet any of the following: Past medical history of hypertension, measurements show elevated blood pressure (systolic blood pressure greater than or equal to 140mmHg or diastolic blood pressure greater than or equal to 90mmHg)
Atrial fibrillation or valvular heart disease
Meet any of the following: Past medical history of atrial fibrillation, the ECG shows atrial fibrillation.
Smoking
Active smoking
Smokers who have smoked continuously or accumulated for more than 6 months in their lifetime.
Quit smoking
Smokers who quit smoking at the time of the survey and persisted for more than 6 months.
Dyslipidemia
Meet any of the following: Past medical history of dyslipidemia; measurements show total cholesterol ≥6.22mmol/L (240mg/dl), triglyceride ≥ 2.26mmol/L (200mg/dl), high density lipoprotein ＜1.04mmol/L.
Diabetes
Meet any of the following: Past medical history of diabetes; measurement shows that blood glucose is elevated, random blood glucose is ≥ 11mmol/L or fasting blood glucose is ≥ 7.0mmol/L.
Seldom doing exercise
Regular exercise is defined as moderate-intensity exercise at least 30 minutes a day, on 5 or more days of the week or engaged in moderate or heavy physical workers. On the contrary, it is defined as lack of exercise.
Overweight or obesity
BMI between 25.0 to 29.9 kg/m2 means Overweight.
BMI ≥30 kg/m2 means Obesity
For Asian population
BMI between 24.0 to 27.9 kg/m2 means Overweight
BMI ≥28 kg/m2 means Obesity
Body mass index（ BMI） = weight (Kg) / height 2 (m2)
Family history of Stroke
Immediate family members (parents or biological siblings) have had a stroke.
“Two”
Past medical history of Stroke
Including ischemic and hemorrhagic stroke, it should be noted when taking medical history: symptoms of neurological impairment at the time of onset can be recognized as a history of stroke; symptomatic lacunar infarction can also be regarded as a history of stroke (imaging diagnosis of lacunar infarction alone cannot be regarded as a history of stroke).
TIA- transient ischemic attack
TIA is a transient episode of neurologic dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction
Cerebrovascular Disease Clinic of JIH
1. Provide super-early intravenous thrombolytic therapy for patients with acute stroke.
2. Provide primary prevention by risk factor screening
3. Provide professional medical guidance and management for stroke patients, improve clinical prognosis and reduce the recurrence rate of stroke.
At the same time, basic packages and personalized packages for cerebrovascular disease assessment have been developed to provide best services at the most preferential prices.Languages
Location
DoctorsDUAN Hao, MD,PhD
Read MoreDepartment:NeurologySleep Medicine ClinicCerebrovascular Diseases ClinicCognitive impairmentHeadache ClinicNeurologyCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr.
Affordable prices set your mind at ease
Service Name Price Unit Price Specialist outpatient consultation One session 500-1500 * Consultation fee is determined by clinicians according to the complexity of the patient’s condition. Jiahui Health reserves the right to interpret and adjust prices. All prices in RMB.
