ABSTRACT
No disponible
Subject(s)
Humans , Stroke/epidemiology , Emergency Treatment/methods , Time-to-Treatment/statistics & numerical dataABSTRACT
Hombre de 77 años que consulta por debilidad del brazo izquierdo y disartria. Refiere haber sido diagnosticado de hipertensión arterial y estar recibiendo enalapril/hidroclorotiazida, sin un control adecuado de su presión arterial. Ha sido fumador de 2 paquetes/día y sigue fumando en la actualidad. Ingresa en urgencias unos 90min después del comienzo de sus síntomas. No refiere cefalea, náuseas o vómitos. Su presión arterial es de 182/104mmHg con pulso irregular a 88 latidos por minuto. En la exploración neurológica se objetiva disartria, hemianopsia homónima izquierda, debilidad muscular e hipoestesia de miembros izquierdos. ¿Cómo debe ser evaluado y tratado este enfermo?(AU)
A 77-year old man who consulted due to left arm weakness and dysarthria. He reported having been diagnosed of high blood pressure and that he was taking enalapril/hydrochlorothiazide without adequate blood pressure control. He had smoked 2 packs of cigarettes a day and continues to smoke at present. He was admitted to the emergency service about 90min after the onset of his symptoms. He did not report headache, nausea or vomiting. His BP was 182/104mmHg, with irregular pulse at 88 beats per minute. The neurological examination revealed dysarthria, left homonymous hemianopsia, muscle weakness and hypoesthesia of the left limbs. How should this patient be evaluated and treated?(AU)
Subject(s)
Humans , Male , Middle Aged , Stroke/complications , Stroke/diagnosis , Atrial Fibrillation/complications , Atrial Fibrillation/diagnosis , Dysarthria/complications , Hemianopsia/complications , Muscle Weakness/complications , Stroke/physiopathology , Stroke , Atrial Fibrillation , Hypertension/complications , Hypesthesia/complications , /methods , Echocardiography/methodsABSTRACT
A 77-year old man who consulted due to left arm weakness and dysarthria. He reported having been diagnosed of high blood pressure and that he was taking enalapril/hydrochlorothiazide without adequate blood pressure control. He had smoked 2 packs of cigarettes a day and continues to smoke at present. He was admitted to the emergency service about 90 min after the onset of his symptoms. He did not report headache, nausea or vomiting. His BP was 182/104 mmHg, with irregular pulse at 88 beats per minute. The neurological examination revealed dysarthria, left homonymous hemianopsia, muscle weakness and hypoesthesia of the left limbs. How should this patient be evaluated and treated?
Subject(s)
Embolism/complications , Heart Diseases/chemically induced , Stroke/etiology , Aged , Atrial Fibrillation/complications , Embolism/diagnosis , Embolism/drug therapy , Heart Diseases/diagnosis , Heart Diseases/drug therapy , Humans , Male , Practice Guidelines as Topic , Stroke/diagnosis , Stroke/drug therapyABSTRACT
Stroke represents a primary health problem in the elderly population. It is the first cause of mortality in women over 65 years, and that of men over 75 years in our country. Atheromatous carotid disease (ACD) is a fundamental etiological factor for the development of ischemic stroke. It is known that approximately 10% of the subjects with stroke have carotid stenosis of 50% or greater. Non-pharmacological management of the ACD in elderly subjects is an increasingly more frequent clinical problem in the daily practice and a subject that is traditionally under debate. The aim of this article is to review the current status of knowledge on this controversial subject and to be able to apply it to our clinical practice.
Subject(s)
Carotid Artery Diseases/complications , Carotid Artery Thrombosis/complications , Stroke/etiology , Stroke/prevention & control , Humans , Secondary PreventionABSTRACT
El ictus representa un problema de salud importante en la población anciana, constituyendo en nuestro país la primera causa de mortalidad en las mujeres mayores de 65 años, y la de los hombres mayores de 75 años. La enfermedad carotídea ateromatosa (ECA) es un factor etiológico fundamental para el desarrollo de ictus isquémico. Se sabe que aproximadamente el 10% de los sujetos con ictus presentan una estenosis carotídea del 50% o superior. El manejo no farmacológico de la ECA en los sujetos ancianos es un problema clínico cada vez más frecuente en la práctica diaria, y un tema tradicionalmente sujeto a debate. El objetivo de este artículo es revisar el estado actual de los conocimientos sobre esta controvertida cuestión, para así poder aplicarlo a nuestra práctica clínica (AU)
Stroke represents a primary health problem in the elderly population. It is the first cause of mortality in women over 65 years, and that of men over 75 years in our country. Atheromatous carotid disease (ACD) is a fundamental etiological factor for the development of ischemic stroke. It is known that approximately 10% of the subjects with stroke have carotid stenosis of 50% or greater. Non-pharmacological management of the ACD in elderly subjects is an increasingly more frequent clinical problem in the daily practice and a subject that is traditionally under debate. The aim of this article is to review the current status of knowledge on this controversial subject and to be able to apply it to our clinical practice (AU)
