Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993)

• Autor(a) principal: Reis Brazão, Luz
• Data de Publicação: 1994
• Outros Autores: Graça Vieira, Rita, Nóbrega, José Júlio, Freitas, Decla, Reis, Ana Paula, Andrade, José Luís, Teixeira, Chaves, Tranquada, João, Nóbrega Araújo, Jorge
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/2447
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Objective: To evaluate the experience of a de­ partment of internal medicine in relation to ce­rebrovascular disease highlightning the im­portance of risk factors associated with this disease. Design: Retrospective review of medical re­cords from 1986 to 1993. Setting: Department of Internal Medicine in a tertian care Hospital. Patients: One thousand three hundred and se­ venty three (1373) patients admitted with the diagnosis ofcerebrovasculardisease in which the Jollowing parameters were evaluated: Distribution by sex, age and season, indivi­dual risk factors (hypertension, diabetes me­llitus, hyperlipidemia and cardiovascular diseases), localization of lesion, type of cerebro­ vascular disease, morbidity and mortality. Interventions: Since 1992 we administered ni­modipina to our patients at a dose of 240mg P.O./day with subarachnoide hemorraghea and 120mg P.O./day with cerebrovascular di­sease of ischemic etiology. Measurements and main results: There was a greater incidence of cerebrovascular disease infemales and in the age group between 71 and 80 years. It occured more Jfemia were the most Jrequent risk Jactors representing 67,3% and 41% of the total. The left hemisphere of the brain was the most often involved and cerebrovascular disease of ischemic etiology the most frequent, represen­ ting 78,2% of the total Mortality was 17,9%, we would like to stress that during the eight years studied the morta­ lity rate reduced with a significant decrease since 1992. Conclusions: Cerebrovascular diseases was the most common cause of admission between 1986 and 1993. Taking into account the importance of the riskfactor we would like to stress that the in­cidence of cerebrovascular disease maybe reduced if we ali cooperate towards a better prevention of some of the risk factors associ­ated with this disease, namely hypertension, hyperlipidemia and diabetes mellitus.