Long-Term Prognosis of Ischemic Stroke in Young Adults

Article, Review English OPEN
Varona, Jose F. (2010)
  • Publisher: SAGE-Hindawi Access to Research
  • Journal: Stroke Research and Treatment, volume 2,011 (issn: 2042-0056, eissn: 2042-0056)
  • Related identifiers: doi: 10.4061/2011/879817, pmc: PMC3010699
  • Subject: Review Article | Neurology. Diseases of the nervous system | RC346-429 | Article Subject

There is limited information about long-term prognosis of ischemic stroke in young adults. Giving the potentially negative impact in physical, social, and emotional aspects of an ischemic stroke in young people, providing early accurate long-term prognostic information is very important in this clinical setting. Moreover, detection of factors associated with bad outcomes (death, recurrence, moderate-to-severe disability) help physicians in optimizing secondary prevention strategies. The present paper reviews the most relevant published information concerning long-term prognosis and predictors of unfavorable outcomes of ischemic stroke affecting young adults. As a summary, we can conclude that, in the long term, stroke in the young adult increases slightly the risk of mortality, implies higher risk of future cardiovascular events, and determines functional limitations in a significant percentage of patients. Nevertheless, in every individual case the prognosis has to be considered depending on several factors (stroke subtype, initial severity, cardiovascular risk factors) that determine the long-term outcomes.
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