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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2002 February;161(1):19-23
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
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.