Technology of the stroke prevention: experience in the use of methods of preventive cardioneurology

Summarized twenty years of experience in the P.V.Mandryka Central Military Clinical Hospital stroke prevention system among the assigned contingent. A retrospective non-randomized cohort study was conducted to assess the results of use in a group of patients with a high cardiovascular risk of visualization and functional diagnostics of the circulatory system. The incidence of stroke, its types (ischemic, hemorrhagic), subtypes of ischemic stroke, and hospital mortality were analyzed. Examination of patients included electrocardiography, Holter monitoring, ultrasound duplex scanning of the carotid and vertebral arteries, echocardiography, 24-hour blood pressure monitoring. For the studied period, the use of these methods per 1000 patients increased 1.4-4.1 times, and the incidence of stroke decreased by 28%. In the structure of acute disorders of cerebral circulation, the proportion of cardioembolic strokes increased from 8 to 24%, the number of atherothrombotic strokes decreased from 40 to 12%. It was concluded that modern methods of ultrasound diagnostics and functional studies of the circulatory system under the condition of qualified interpretation of the data obtained significantly increase the effectiveness of preventive programs and reduce the frequency of strokes.

cardio-neurological examination, pathogenetic subtypes of ischemic stroke, prevention of stroke