医学
冲程(发动机)
入射(几何)
流行病学
病因学
血管病学
儿科
急诊分诊台
弱势群体
重症监护医学
急诊医学
内科学
光学
物理
工程类
政治学
法学
机械工程
作者
Thomas Potter,Jonika Tannous,Farhaan Vahidy
标识
DOI:10.1007/s11883-022-01067-x
摘要
Recent data identifies increases in young ischemic and hemorrhagic strokes. We provide a contemporary overview of current literature on stroke among young patients or premature stroke along with directions for future investigation.Strokes in the young are highly heterogenous and often cryptogenic. Sex distribution and risk factors shift from women among the youngest age groups (< 35) to men over the age of 45, with a coinciding rise in traditional vascular risk factors. Incidence is higher in minority and socioeconomically disadvantaged populations, and the impact of stroke among these communities may be exaggerated by disparities in symptom recognition and access to care. Special diagnostic work-up may be needed, and a lower threshold for diagnosis is warranted as potential misdiagnosis is a concern and may preclude necessary triage and management. Although "premature strokes" form a relatively small proportion of total incidence, they vary greatly across subgroups and present an outsized impact on quality of life and productivity.
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