Unraveling Stroke in the Young

Jamie Verhoeven • Boek • paperback

• Samenvatting
  Free download at https://doi.org/10.54195/9789465150376
  
  The studies in this thesis show an increasing incidence of ischemic stroke at young age in the Netherlands between 1998-2010, as well as a remarkably high long-term mortality after both ischemic stroke and ICH at young age. We found that in one out of four young patients with an ischemic stroke, no clear cause can be found, despite an extensive work-up. Although not recognized in the TOAST criteria, over 90% of these patients have at least one known risk factor according to the IPSS, often one of the classical vascular risk-factors. One possible risk factor that is currently undervalued and may contribute to the increasing stroke incidence at young age is air pollution; both as a trigger and long-term risk factor. The risk of receiving a first-ever cancer diagnosis is significantly increased in the first years after ischemic stroke and ICH at young age and thus some of these cryptogenic strokes may in fact be caused by an underlying, yet unidentified cancer. Apart from the high long-term mortality risk, the risk of a recurrent ischemic event after an ischemic stroke or TIA is also high, though variable per etiological subtype. In addition, a substantial number of young patients, mainly women, suffer from bleeding events in the long-term, possibly due to life-long prescribed anti-thrombotic medication.
• Productinformatie
  Binding : Paperback
  Distributievorm : Boek (print, druk)
  Formaat : 170mm x 240mm
  Aantal pagina's : 261
  Uitgeverij : Radboud University Press
  ISBN : 9789465150376
  Datum publicatie : 03-2025
  
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