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Archivos de Medicina de Urgencia de México

2011, Number 2

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Arch Med Urg Mex 2011; 3 (2)

Ischemic vascular event in young patients

Hernández PF

Language: Spanish
References: 62
Page: 67-78
PDF size: 95.92 Kb.


ABSTRACT

The cerebral vascular event in young patients (EVCJ) in children under age 45 is a rare event in general, with a frequency between 4 to 5% of patients with EVC, with an incidence of 10 in 100,000 and a mortality 2.5%. Although a rare event, the consequences can be devastating because it affects both the patient of childbearing age and their families. Correspondingly there is a better survival in younger than older patients with a vascular event, however, most young survivors of a cerebral vascular event have emotional scars, social and/or physical disabilities that impair their quality of life. And despite the EVC has infrequently, its causality is varied; above 20% is not a reason and in 4% correspond to a haematological cause. Risk factors strongly associated with an EVC in youths are smoking, hypertension, dyslipidemia, and history of vascular events in young families.
The most common causes are atherosclerosis, cardioembolism well as the vascular and hematologic disorders but a high percentage is not possible to determine their cause despite the variety of studies including contrast studies of skull and heart and blood.In the treatment emphasis is on prevention, given the consequences, rehabilitation and most cases need antiplatelet and anticoagulation.


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