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Stroke Iskemik

Time is Brain!!
Definition
Stroke is rapidly developing clinical signs of focal
(at times global) disturbance of cerebral function,
lasting for more than 24 hours or leading to
death, with no apparent cause other than
vascular origin. (WHO)
Cerebro Vascular Disease defines as abnormality
of the brain resulting from a pathologic process
of the blood vessels (occlusion of the lumen by
embolus or thrombus, rupture of the vessels,
altered permeability of vessel wall, increased
viscosity)

Epidemiology
Man : woman = 1.5 : 1
Blacks risk 2x.
Highest incidence at age > 65 years old
Faktor Risiko
Non Modifiable
Usia
Jenis kelamin
Ras
Genetik
Modifiable
Hipertensi
Atrial fibrilasi
Diabetes mellitus
Merokok
Hiperlipidemia, hipertrigliserida
Hiperkoagulasi darah
Pil KB
Congestive heart failure
Penyakit jantung koroner
Intake kalium yg rendah
Konsumsi alkohol
Obesitas
Drug abuse
Classification of Stroke
Stroke
TIA
Gejala bertahan <24
jam
RIND (Reversible
Ischemic Neurological
Deficit)
Gejala berlangsung >24
jam, <1 minggu
Stroke in Evolution
Gejala neurologis yang
sedang berlangsung,
memberat
Complete Stroke
Gejala neurologis
sudah menetap
Classification of Stroke
Stroke
Ischemic
Embolus
Thrombus
Hemorrhagic
ICH
SAH

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