"The age of stroke management should be reduced by 10 years"

"The age of stroke management should be lowered by 10 years"

Canadian researchers have proposed reducing the age of stroke management from 65 to 55 years.

Yonsei University Severance Hospital Department of Cardiology, Department of Cardiology, and Professor Kim Tae-hoon and Professor of Cardiology, Bundang CHA Hospital, Department of Cardiology, Korea, showed that Korean patients with atrial fibrillation had a stroke And that is more influential than any other.

Currently, national medical staff use the stroke risk badessment index (CHA2DS2-VASc) of patients with atrial fibrillation used in European and American medical circles to exceed the score predetermined and led the administration of prophylactic drugs and tests. Currently, the index of badessment is between 65 and 74 years (1 point) and more than 75 years (2 points) as risk group.

However, according to the racial characteristics and lifestyle of Westerners It was pointed out that it is not enough to apply it as an index of evaluation for patients with atrial fibrillation in Asia, including Korea. In fact, a large number of Korean patients younger than 65 years old with atrial fibrillation and clbadified as low-risk cerebral infarction between 0 and 1 in the badessment index have a high incidence of dementia. cerebral infarction.

To calculate age, 426,650 patients over the age of 18 diagnosed with atrial fibrillation were identified according to data from the National Health Insurance Corporation, and the correlation was examined. between the score of the index and the incidence of cerebral infarction

. The risk of cerebral infarction has a decisive influence on the age variable rather than on the presence of a co-morbid disorder and it must be prepared against the risk of cerebral infarction prior to the onset of stroke. age of 65 in the evaluation index.

In addition, there were no comorbid diseases on the badessment index and there was not much age, so the score of risk was 0 point Patients in the categorized group should be prepared for the risk of stroke if they are older than 55 years. The study found that the annual incidence of cerebral infarction in the 55-to-59 age group with a risk score of 0.94 was 1.94%, similar to the previous year. annual incidence of cerebral infarction 2.06% The incidence of cerebral infarction in the 60-64 age group with a risk score of 0 was also 20% higher than the one of the whole group with a score of 1.

The evaluation index based on Western patients is an badessment of the risk of cerebral infarction according to the I & # 39; increased age in Asian patients with atrial fibrillation, including Korea.

The study was supported by the Ministry of Health and Welfare and the National Institute of Health Research and Social Services of the Korea Institute of Medical Research and Development. published in the latest issue of Stroke. .

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