RESUMO
OBJECTIVE: To determine the frequency of cardiovascular risk factors in patients of different ages with ischemic cerebrovascular accident.Patients and methods. Descriptive, retrospective study of 1,077 patients with stroke or transient ischemic attack. RESULTS: Arterial hypertension (49%-67%) and atrial fibrillation (38%-46%) were the most prevalent risk factors in men and women aged over 65 years. Among individuals aged less than 65 years, smoking in men (58%) and arterial hypertension (64%) and hyperlipidemia (36%) in women predominated. Atrial fibrillation was particularly frequent in patients aged over 80 years (46% in men and 52% in women). CONCLUSION: On the basis of the high prevalence of arterial hypertension and atrial fibrillation in these patients, the appropriate management of these conditions should by a priority for the prevention of cerebrovascular diseases, especially in advanced aged patients.
Assuntos
Acidente Vascular Cerebral/epidemiologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Espanha/epidemiologiaRESUMO
Fundamento. Determinar la frecuencia de los factores de riesgo cardiovascular en pacientes de diferentes edades con accidente cerebrovascular isquémico (ACVA). Pacientes y métodos. Estudio descriptivo retrospectivo de 1.077 pacientes con ACVA isquémico (incluyendo ataque isquémico transitorio).Resultados. La hipertensión arterial (49 por ciento-67 por ciento) y la fibrilación auricular (38 por ciento-46 por ciento) fueron los factores de riesgo más prevalentes en los hombres y mujeres mayores de 65 años. Entre los menores de 65 años predominan el tabaquismo en los varones (58 por ciento) y la hipertensión arterial (64 por ciento) y la hiperlipidemia (36 por ciento) en las mujeres. La fibrilación auricular fue especialmente frecuente entre los pacientes mayores de 80 años (presente en el 46 por ciento de los varones y el 52 por ciento de las mujeres). Conclusión. Dada la elevada prevalencia de la hipertensión arterial y la fibrilación auricular en estos pacientes, el manejo adecuado de esos procesos debería ser objetivo prioritario en la prevención de las enfermedades cerebrovasculares, especialmente en los pacientes de edad avanzada (AU)
Assuntos
Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Masculino , Feminino , Humanos , Espanha , Fatores de Risco , Incidência , Estudos Retrospectivos , Acidente Vascular Cerebral , Fatores EtáriosRESUMO
BACKGROUND: Abscess of the psoas muscle (PA) is an infrequent disease of difficult diagnosis. During the last decade, the number of cases has increased because of the raising use of radiology tecniques: ecography, computerized tomography and magnetic resonance nuclear. METHODS: The presentation and management of psoas abscess was studied retrospectively in 23 patients from 1992 2000. RESULTS: Sixteen of 23 abscesses were regarded as secundary: spondylodiscitis and pyelonefritis were most frequent pathologic processes. Homolateral pain in the flank area and hip were the usual manifestations. The duration of symptoms prior to the diagnosis was superior than 7 days. Staphylococcus aureus was the most common pathogen, followed by Escherichia coli and Mycobacterium tuberculosis. All abscesses were diagnosed by computerized tomography images. Seven patients underwent percutaneous drainage, while nine received surgical debridement. Four of the patients with psoas abscess died and only three relapsed. CONCLUSIONS: Not specific symptoms and signs and subacute presentation difficult diagnosis of AP. High range antibiotics and drainage (percutaneous or surgical) should be considered as the election treatment.