Sunday, 11 March 2012

Risk factors for strokes

Controllable risk factors

  • High blood pressure
The arteries wall will weaken when high blood pressure constantly passes through it because it puts unnecessary strains on the blood vessels of the circular system. Eventually, it bursts. It will bleed into the brain tissues and spaces between skull and brain. This affects the brain and causes strokes. If a person has an untreated hypertension, he will have 4 times the risk of getting a stroke. High blood pressure also leads to aneurysm. Aneurysm is a ballooning of a portion of a blood vessel due to the weakening part of its wall. When the pressure is too high, it burst and leads to stroke again.

  • Diabetes mellitus
Uncontrolled diabetic mellitus causes an increase in the systolic blood pressure. This increases the blood pressure and leads to stroke.

  • Cigarette smoking
 
Smoking doubles the risk of stroke. It causes artherosclerosis, which is hardening of blood vessels. When it hardens, the blood vessels become narrow. This also leads to high blood pressure, another main risk factor of stroke. The atherosclerotic plaque that dislodges increases the likelihood of blood clotting. This reduces the amount oxygen passed to the brain. Eventually some brain cells die due to lack of oxygen which leads to stroke.


  • High blood cholesterol and lipids
High blood cholesterol and lipids causes artherosclerosis. The formation of plaques on the wall of blood vessels decreases the amount of blood flow to the brain. At severe condition, the blood vessel is blocked and the blood supply to the brain is cut off. This causes stroke.

  • High red blood cell count
 
Excessive amount of red blood cell thickens the blood which increases the chance of blood clotting.

Other controllable risk factors include heart disease, history of transient ischemic attacks, lack of exercise and physical inactivity, obesity, substance abuse, abnormal heart rhythm and cardiac structural abnormalities.

Uncontrollable risk factors
  • Age
 
After the age of 55, the risk of getting stroke may be more than double.

  • Race
 
Africans, south Asians, Hispanic and people from first nations have higher rates of diabetes mellitus and high blood pressure. This two are the major risk factors of stroke.

  • Gender
 
Female before menopause has lower possibility of getting stroke compared to male. However, the survival rate of female patients with stroke is lower than that of males.

Other uncontrollable risk factors include history of prior stroke and heredity.


References :

http://cholesterol.about.com/lw/Health-Medicine/Conditions-and-diseases/Cholesterol-and-Stroke-Risk.htm

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