Русский
Arterial hypertension as a leading cause of intracerebral haemorrhages in young individuals
DOI: https://dx.doi.org/10.18565/therapy.2024.5.8-13
Rerikh K.V., Shchepankevich L.A., Zatynko A.V., Taneeva E.V.
1) State Novosibirsk Regional Clinical Hospital; 2) Novosibirsk State Medical University of the Ministry of Healthcare of Russia
The aim: to study the structure of hemorrhagic strokes, as well as etiological factors of ICH in young male and female patients in Novosibirsk region.
Material and methods. A retrospective analysis of 180 case histories of patients with acute cerebrovascular accidents aged from 15 to 46 years who were treated at the Regional Vascular Center No. 2 of State Novosibirsk Regional Clinical Hospital from 2021 to 2022 was performed.
Results. The main etiological factors of ICH in young individuals in studied population were arterial hypertension (AH), including the same in combination with other cardiovascular pathologies. Vascular anomalies took second place; and in 4% of cases, the causes of ICH remained unspecified. Only 65% of patients were aware of the presence of hypertension at the time of hospitalization with ICH; in other cases, it was not diagnosed before ICH encounter.
Conclusion. Arterial hypertension today is one of the main risk factors for morbidity and mortality in young patients with ICH. The diagnosis and treatment of hypertension should be given greater attention in younger patients as part of the primary ICH-related prevention strategy.
Literature
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About the Autors
Ksenia V. Rerikh, MD, postgraduate student of the Department of neurology, Novosibirsk State Medical University of the Ministry of Healthcare of Russia, neurologist at the Department for patients with acute cerebrovascular accidents of the Regional Vascular Center No. 2, State Novosibirsk Regional Clinical Hospital. Address: 630087, Novosibirsk, 130 Nemirovicha-Danchenko St.
E-mail: kseniya.rerikh@yandex.ru
ORCID: http://orcid.org/0000-0002-4141-9161
Larisa A. Shchepankevich, MD, Dr. Sci. (Medicine), associate professor, head of the Department of neurology, Novosibirsk State Medical University of the Ministry of Healthcare of Russia, curator of the 8th Department of neurology, State Novosibirsk Regional Clinical Hospital. Address: 630091, Novosibirsk, 52 Krasny Avenue.
E-mail: shepankevich@rambler.ru
ORCID: https://orcid.org/0000-0001-6951-2205
Andrey V. Zatynko, MD, head of the Department for patients with acute cerebrovascular accidents of the Regional Vascular Center No. 2, State Novosibirsk Regional Clinical Hospital. Address: 630087, Novosibirsk, 130 Nemirovicha-Danchenko St.
ORCID: http://orcid.org/0009-0000-3737-3431
Elena V. Taneeva, MD, chief neurologist of the Novosibirsk region, head of the Regional Vascular Center No. 2, State Novosibirsk Regional Clinical Hospital. Address: 630087, Novosibirsk, 130 Nemirovicha-Danchenko St.
E-mail: tev@oblmed.nsk.ru
ORCID: https://orcid.org/0000-0002-6538-6069
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