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Why Stroke becomes more common in Young Indians?


At a recent American Stroke Association conference, the organization presented results from a national study which reveals that stroke rates among young men and women have increased by 51 percent and 17 percent, respectively, since the mid-1990s, the Associated Press reported.

The highest increases in stroke rates were observed in males aged between 15 and 34 years, at 51 percent. In males aged 35 to 44, stroke occurrence increased by 47 percent; and the rates for females in the same age bracket rose by 36 percent.

How do the symptoms of stroke in young people differ from those in the older age group?

The most common symptoms of stroke, including loss of speech, facial droop, and weakness on one side of the body are the same in this younger age group as those in the older age group. Other symptoms can include vision loss, double vision, slurred speech, dizziness, or difficulty walking.

Identifying stroke as a cause for these symptoms is often delayed by a lack of recognition that stroke can happen to someone in this younger age range.

What is the average age for stroke?

The majority of strokes occur in people who are 65 or older. As many as 10% of people in the U.S. who experience a stroke are younger than 45.

How do the causes of stroke in young people differ from those in the older age group?

In the older age group, stroke is most often caused by atherosclerosis—cholesterol-laden plaque that hardens in the arteries and interferes with blood flow. Even in younger people, risk factors such as diabetes, high blood pressure, high cholesterol, and cigarette smoking can lead to atherosclerosis. Certain heart and hematologic conditions also need to be considered.

Some drugs, infections, and inflammatory conditions can also lead to stroke in young people. Some causes of stroke in young people may be genetically influenced. In 25-35% of young people, an exact cause for stroke cannot be identified.

Researchers said the spike in stroke rates may stem from rising obesity rates in kids and young adults. In previous studies, the condition has also been linked to high blood pressure, which can be exacerbated by factors such as stress and anxiety

.

Physiotherapist;s believe that improved recovery may be connected to the younger brain’s natural ability to use undamaged brain circuits to take over the functions of damaged circuits. In older patients, that brain plasticity may be reduced, but recovery does continue.

How can young people reduce their risk for stroke? Is there an identified genetic risk?

Smoking increases the risk of stroke. Controlling traditional risk factors, like high blood pressure or diabetes, is essential regardless of age. Some specific and relatively rare genetic conditions, such as sickle cell anemia, have been associated with stroke in young people.

SOURCES:

Stanford Health Care, American Stroke Association, American Heart Association, Centers for Disease Control and Prevention, National Heart, Lung and Blood Institute, American Association for the Advancement of Science, Evidence-Based Review of Stroke Rehabilitation — The Rehabilitation of Younger Stroke Patients: November 2013:22

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