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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2002 February;161(1):19-23

language: English

Tem­poral ­changes of cereb­ro­vas­cular ­risk fac­tors in the eld­erly. A ­study con­cerning 3 ­periods of 7 ­years (1985, 1991 and 1998)

Bilora F. 1, Boccioletti V. 1, Pomerri F. 2, Petrobelli F. 1, Girolami A. 1

1 Depart­ment of Med­ical and Sur­gery Sci­ences, Second ­Chair of Med­i­cine, Uni­ver­sity of ­Padua Med­ical ­School, ­Padua;
2 Radiology Insti­tute, Uni­ver­sity of ­Padua Med­ical ­School, ­Padua


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Back­ground. Cereb­ro­vas­cular dis­ease rep­re­sents the ­third ­cause of ­death in the indus­tri­al­ized coun­tries ­after cor­o­nary dis­ease and ­cancer. The pur­pose of ­this ­work was of evi­dencing the vari­a­tion of ­risk fac­tors for cereb­ro­vas­cular dis­ease ­during 3 ­periods of 7 ­years: 1985, 1991 and 1998. The ­study was ret­ro­spec­tive.
­Methods. We con­sid­ered all the sub­jects ­affected by ­stroke recov­ered in ­Padua Hos­pital ­during 3 ­periods of 7 ­years: 1985, 1991 and 1998. We eval­u­ated clin­ical his­tory, phys­ical ­exam, ­blood rou­tine ­exams, stan­dard ECG, cere­bral TC, ­carotid eco-Dop­pler and in ­some ­cases, cere­bral angio­graphy.
­Results. We exam­ined 998 sub­jects (331 for 1985, 318 for 1991 and 349 for 1998). Fifty percent ­were tran­si­tory ­ischemic ­attacs (TIA) and ­they ­were ­more fre­quent ­during 1998. In 1985 ­strokes ­were ­more common. Pre­vious TIA ­were ­more fre­quent in cor­o­nar­o­pathics. ­Atrial fib­ril­la­tion was prev­a­lent ­during 1998. Dis­lip­i­de­mias and hyper­ten­sion ­decreased ­during 1998; on the con­trary, ­smoke hab­itus ­increased par­tic­u­larly for ­women. The mor­tality ­decreased ­during 1998.
Con­clu­sions. We evi­denced a reduc­tion of ­risk fac­tors and mor­tality for cereb­ro­vas­cular dis­ease. The ­stroke ­events ­occurred at a ­greater age. ­These ­results ­were ­obtained ­with a ­better pre­ven­tion and a ­good san­i­tary edu­ca­tion.

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