Screening of Cerebrovascular Diseases in Stroke Prevention Centres in Latvia

International Journal of Clinical Neurosciences and Mental Health 2014
Galina Baltgaile, Tatjana Timofejeva, Ženija Kovaldina, Anita Raita, Jeļena Pečerska

Background: To improve stroke prevention, the observation of patients suspected on having cerebrovascular disease (CVD) or stroke risk factors has been carried out in Stroke Prevention Centres (SPC) in Riga. The analysis of the incidence of CVD, correlations of clinical symptoms with diagnostic findings and risk factors was performed. Methods: 1102 outpatients aged 7-89 years (65% female, 35 % male) underwent color-coded duplex sonography of precerebral and cerebral blood vessels (CCDS), had checked brachial blood pressure and blood test. Vascular pathology detected by CCDS was confirmed by CT angiography. Some of patients underwent X-ray, EEG, CT scan or MRI examination. Results: Isolated dyslipidemia was the reason for observation in 2% of cases only, although 56% of surveyed had registered high level of cholesterol at the moment of observation or in the past. Patients with arterial hypertension (14% of all) had atherosclerotic lesions in arteries in 42% of cases. From 22% of patients with vertiginous syndromes and tinnitus CVD was proved in 5% of cases. Vascular pathology in cases of headache (18% of all) was found in only 11%. Silent atherosclerotic process in pre-cerebral arteries was suspected in 15% of patients but proved in 27% of all surveyed. Conclusion: The underestimation of dyslipidemia and arterial hypertension as a stroke risk factors and the mismatch of diagnoses in patients with unspecified vestibular disorders and headache was found. The prevalence of detected silent carotid stenoses from all suspected proved the efficacy of US vascular screening in prevention, detection and follow-up of CVD.

Atslēgas vārdi
Stroke prevention, Stroke risk factors, Cerebrovascular diseases, Stenosis of precerebral and cerebral arteries, Vascular ultrasound screening, Vestibular disorders, Headache
Hipersaite
http://ijcnmh.arc-publishing.org/editions/10/articles/33

Baltgaile, G., Timofejeva, T., Kovaldina, Ž., Raita, A., Pečerska, J. Screening of Cerebrovascular Diseases in Stroke Prevention Centres in Latvia. International Journal of Clinical Neurosciences and Mental Health, 2014, Iss.1, Suppl.1, 59.-64.lpp. e-ISSN 2182-570X.

Publikācijas valoda
English (en)