CVA - Lecture 11 Flashcards

1
Q

CVA

A

a sudden loss of neurological fxn resulting from interruption of blood flow to the brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

CVA is also known as a

A

brain attack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

cerebrovascular dz

A

any disorder in which areas of the brain are transiently or permanently affected by ischemia or hemorrhage

or

disorder in which one or more blood vessels of the brain is/are impaired by a pathologic process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

prevalence

A

7 mill in US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

incidence

A

795,000 people per yea

610,000 new strokes

185,00 recurrent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

CVA is the most common cause of

A

chronic disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how much does incidence increase every decade

A

doubles after 55

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how often does someone suffer a new stroke

A

every 40 sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how often does someone die from a stroke

A

every 3-4 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

high risk pop

A

men

african americans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

men

A

30% higher incidence

80% greater risk of developing a subsequent stroke

increased exposure to modifiable risk factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

african americans

A

black men have a 50% greater incidence than white men

black women have a 130% higher incidence than white women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

mortality –> ischemic CVA

A

17-25% within the first month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

hemorrhagic CVA mortality

A

40-60% within the first month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when does survivability approach normal

A

~18 months post CVA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how many strokes are preventable

A

80%

17
Q

S&S

A

sudden onset of
-numbness or weakness
-confusion and slurring of speech
-visual disturbance
-dizziness, gait disturbance and/or balance/coordination dysfunction
-severe headache w/ unknown cause

18
Q

what to do when sudden onset of symptoms occurs

A

call 911

19
Q

non-modifiable risk factors

A

over 55 years of age

male

black

family history

prior CVA

20
Q

over 55 years of age

A

lifetime risk of 1 in 6

21
Q

family history

A

increased likelihood of CVA

22
Q

prior CVA

A

greatly increases the risk of having a 2nd CVA (25-40% w/in 5 years)

prior TIA

23
Q

prior TIA

A

warning signal

can be considered a modifiable risk factor

24
Q

modifiable risk factors

A

hypertension

cigarette smoking

hypercholesteremia

obesity

physical inactivity

adult onset diabetes (type II)

ETOH abuse

drug use

25
Q

hypertension

A

single most significant controllable risk factor

aggravates atherosclerosis and can cause rupture of weakened blood vessel walls

26
Q

cigarette smoking

A

increased BP

decreased blood ability to carry O2

increased platelet aggregation –> increased clotting

27
Q

adult onset diabetes

A

control of type 2 DM

28
Q

ETOH abuse

A

increase risk of hemorrhagic CVA

although light alc consumption can decrease risk of CVA by decreasing platelet aggregation

29
Q

drug use

A

quickly increase BP –> likelihood for CVA

30
Q

classification of CVA

A

ischemic

hemorrhagic

31
Q

ischemia

A

thrombic

embolic

TIA