Current Trends Featuring the Bridge Between Stroke and End-Stage Renal Disease: A Review
| Autor: | Thulasi Priya Jayaprakash, Safeera Khan, Olisaemeka D Ogbue, Parul Malhotra, Radhika Akku |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Population 030204 cardiovascular system & hematology End stage renal disease 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine Internal Medicine cardiovascular diseases education Stroke Dialysis education.field_of_study stroke complications business.industry Mortality rate end-stage renal disease (esrd) General Engineering Atrial fibrillation medicine.disease Neurology Nephrology Emergency medicine Hemodialysis business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | The relationship between end-stage renal disease (ESRD) and cerebral stroke is graded and cumulative, having a significant impact on morbidity and mortality. Ischemic stroke is more prevalent than hemorrhagic stroke and both stroke types have modifiable and non-modifiable risk factors. The presence of risk factors such as hypertension, diabetes, and atrial fibrillation (AF) before stroke occurrence in dialysis patients has a significant impact on the outcomes such as a discharge to rehabilitation, in-hospital mortality with the worst prognosis when compared to the general population. ESRD patients with either peritoneal or hemodialysis (HD) are at increased risk of stroke than the general population, with a high mortality rate at the commencement of dialysis and gradually decreases. Primary and secondary prevention of risk factors plays a significant role in this susceptible population and helps to mitigate better treatment and outcomes. Our review article focuses on the mechanisms, outcomes, treatment, and preventive aspects of stroke in the ESRD population. |
| Databáze: | OpenAIRE |
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