2. Stroke
It is a medical emergency in which the blood supply to
any portion of the brain is interrupted or reduced
Leading to localized brain damage and subsequent brain
dysfunction or neurological deficit
For the brain to function, it needs a constant supply of
blood to deliver vital nutrients like glucose and oxygen
to the brain cells
A Stroke occurs when this supply is impaired or cut off
Other names: Cerebro-vascular accident/disease (CVA)
Cerebral Infarction
Cerebral Haemorrhage
3. Epidemiology*
According to the World Health Organization,
15 million people suffer stroke worldwide each year.
Of these, 5 million die and another 5 million are
permanently disabled.
High blood pressure contributes to more than 12.7
million strokes worldwide.
Europe averages approximately 650,000 stroke deaths each
year.
Stroke is one of the leading causes of death and disability
in India. The estimated adjusted prevalence rate
of stroke range, 84-262/100,000 in rural and 334-
424/100,000 in urban areas.
*2018, WHO & NHS
5. Etiology and Risk Factors
Sedentary lifestyle:
Being overweight or obese
Physical inactivity
Unhealthy diet
High blood pressure (hypertension)
High cholesterol
(Hypercholesterolemia or
dyslypidemia)
Atherosclerosis or hardening
Diabetes
Cardiovascular disease (heart
failure, heart defects heart attack,
arrhythmia)
Obstructive sleep apnoea: sleep
disorder in which the oxygen level
intermittently drops during the
night
Tumour
Infection (endocarditis)
Smoking
Alcohol consumption
Age more than 50 years
Gender: men have higher risk to
develop, in female onset is late but
more deadly
Female may develop stroke as
secondary to use of birth control
pill and hormonal therapy
(estrogen), as well as pregnancy
and child birth
Race: african-american have higher
risk of stroke than other races
Asian> european
Previous history of vascular event:
myocardial infarction, peripheral
embolism
6. Types of Stroke
Most common type of stroke
(85%)and is caused by blockage
of the blood vessels supplying
the brain
This may be due to hardening
and narrowing of the arteries
(atherosclerosis) or by a blood
clot blocking a blood vessel
The most severe type of
stroke. It occurs when a
blood vessel in the brain
burst, allowing blood to
leak and cause damage to
an area of the brain
weakening of
an artery wall
that creates a
bulge, or
distention