Arterial hypertension as a leading cause of intracerebral haemorrhages in young individuals

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Intracerebral hemorrhages (ICH) are socially significant disease that not only has an immediate risk to life and health, but also leads to disability, long recovery period and socio-economic difficulties. Considering the prevalence and risks of ICH, identification its main characteristics in young individuals with an emphasis on etiology is an important aspect of its prevention and treatment.

The aim: to study the structure of hemorrhagic strokes, as well as etiological factors of ICH in young male and female patients in Novosibirsk region.

Material and methods. A retrospective analysis of 180 case histories of patients with acute cerebrovascular accidents aged from 15 to 46 years who were treated at the Regional Vascular Center No. 2 of State Novosibirsk Regional Clinical Hospital from 2021 to 2022 was performed.

Results. The main etiological factors of ICH in young individuals in studied population were arterial hypertension (AH), including the same in combination with other cardiovascular pathologies. Vascular anomalies took second place; and in 4% of cases, the causes of ICH remained unspecified. Only 65% of patients were aware of the presence of hypertension at the time of hospitalization with ICH; in other cases, it was not diagnosed before ICH encounter.

Conclusion. Arterial hypertension today is one of the main risk factors for morbidity and mortality in young patients with ICH. The diagnosis and treatment of hypertension should be given greater attention in younger patients as part of the primary ICH-related prevention strategy.

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作者简介

Ksenia Rerikh

State Novosibirsk Regional Clinical Hospital; Novosibirsk State Medical University of the Ministry of Healthcare of Russia

编辑信件的主要联系方式.
Email: kseniya.rerikh@yandex.ru
ORCID iD: 0000-0002-4141-9161

MD, postgraduate student of the Department of neurology, neurologist at the Department for patients with acute cerebrovascular accidents of the Regional Vascular Center No. 2

俄罗斯联邦, 630087, Novosibirsk, 130 Nemirovicha-Danchenko St.; 630091, Novosibirsk, 52 Krasny Avenue

Larisa Shchepankevich

State Novosibirsk Regional Clinical Hospital; Novosibirsk State Medical University of the Ministry of Healthcare of Russia

Email: shepankevich@rambler.ru
ORCID iD: 0000-0001-6951-2205

MD, Dr. Sci. (Medicine), associate professor, head of the Department of neurology, Novosibirsk State Medical University of the Ministry of Healthcare of Russia, curator of the 8th Department of neurology, State Novosibirsk Regional Clinical Hospital

俄罗斯联邦, 630087, Novosibirsk, 130 Nemirovicha-Danchenko St.; 630091, Novosibirsk, 52 Krasny Avenue

Andrey Zatynko

State Novosibirsk Regional Clinical Hospital; Novosibirsk State Medical University of the Ministry of Healthcare of Russia

Email: shepankevich@rambler.ru
ORCID iD: 0009-0000-3737-3431

MD, head of the Department for patients with acute cerebrovascular accidents of the Regional Vascular Center No. 2, State Novosibirsk Regional Clinical Hospital

俄罗斯联邦, 630087, Novosibirsk, 130 Nemirovicha-Danchenko St.; 630091, Novosibirsk, 52 Krasny Avenue

Elena Taneeva

State Novosibirsk Regional Clinical Hospital

Email: tev@oblmed.nsk.ru
ORCID iD: 0000-0002-6538-6069

MD, chief neurologist of the Novosibirsk region, head of the Regional Vascular Center No. 2, State Novosibirsk Regional Clinical Hospital

俄罗斯联邦, 630087, Novosibirsk, 130 Nemirovicha-Danchenko St.

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2. Fig. 1. Structure of stroke in the studied young people aged 18-45 years (n = 180)

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3. Fig. 2. Etiology of intracerebral hemorrhages in the studied patients (n = 41)

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