!.., ... ,
1
/ / : / : : / : / &
/ 5 ( - 3) . 700,000 , 150,000 . 5 . , , . $100000000000, .
45
3
, (USD)6000073000104000?
The lifelong expenses for stroke survivors are huge.Although in
Ukraine we do not have the particular figures, it is well-known,
that in our country stroke often predefines poverty of survivors
family in several generations.4
: Sans S., et al. The burden of cardiovascular diseases
mortality in Europe. European Heart Journal. 1997; 18:
1231-1248Mihalka L., et al. A population study of stroke in West
Ukraine. Incidence, stroke services, and 30-day case fatality.
Stroke. 2001; 32: 2227-2231Johnston S.C. et al. Global variation in
stroke burden and mortality: estimates from monitoring,
surveillance, and modelling. The Lancet Neurology. 2009; 8:
345-354Feigin V.L., et al. Worldwide stroke incidence and early
case fatality reported in 56 population-based studies: a systematic
review. The Lancet Neurology. 2009; 8: 355-369Mirzaei M., et al.
Cerebrovascular diseases in 48 countries: secular trends in
mortality 1950-2005. Journal of Neurology, Neurosurgery and
Psychiatry. 2012; 83: 138-145Thrift A.G., et al. Global stroke
statistics. International Journal of Stroke. 2014; 1: 6-18
The statistical reports, comparing stroke incidence and
mortality in different countries, are very disappointing for
Ukraine.5
45-74 54/100000 606/100000 (11,2-), 32/100000 408/100000
(12,75-).
[S. Sans et al., The burden of cardiovascular diseases mortality
in Europe, European Heart Journal, Vol. 18, August 1997,
.1231-12484]
6
? : Michael Clark Duncan
7
? , :( )( ), ,
8
/ ( - )
9
One of the leading mechanisms of ischemic stroke is narrowing of
artery lumen by atherosclerotic plaque.10
11
12
Alternatively, the blood clot may appear in heart chambers,
particularly in left atrium in patients with atrial fibrillation a
kind of cardiac arrhythmia.Such clots are rather large, and their
fragmentation may become a source of larger emboli, which, by turn,
may obstruct large artery and result in severe brain damage.13
(, ) ( )
14
15
, , , , , ( )
19
( ) (. , ) (, ) (. ) /
20
...
21
: !
(!) (, !)( ) ???
1: 2: - 3: (?) (?)
[Labiche, Grotta. Clinical Trials For Cytoprotection In Stroke.
NeuroRx : The Journal of the American Society for Experimental
NeuroTherapeutics 2004, Vol. 1, pp. 4670, 2004]
: 1: 2: - 3: (?) (?)
27 ( ) . . , , . , ( ) ,
- , !
, , ..,
28 ( ) . . , , . , ( ) ,
- , !
!
:
, , ~ 1.9 . Saver. Stroke 2006; 37: 263-266.Gonzlez. Am J
Neuroradiol 2006; 27: 728-735.Donnan. Lancet Neurol 2002; 1:
417-425.
...
NIH NINDS NIH website. Stroke proceedings. Latest update
2008.
3333US National Institute of Health recommends that a stroke
patient eligible for thrombolysis has a door to needle time of one
hour or less. However, these 60 minutes can even further be reduced
by optimising the ER algorithm. 30 minutes door-to-needle time is a
target that has been reached by highly specialised stroke
centres.
( ) ( , , , ) ( )
36
( )
37
( )
38
... :
39
!
?
1 100%
- , , , , ,
?
46
:, ,
90% ! , 2-4 2-4
?
+ ??? :
51
: , ,
(1)
, 2, , 2 - --
(2)
-- , 5-, , ,
:
(, , , , ...) ( )
- -
58
/
60
/ /
61
?
.... ... ?
? Sharon Stone
I would like to finish my presentation by short but bright
performance by Michael Clark Duncan on behalf of one of leading
killers in the world.64
?!
? ?
Dont stay unconcerned. If current situation with stroke in
Ukraine will not change, every fifth of us will die due to stroke,
and additional every fifth will become a dependent disabled
person.66
?
1543267357548775183518961905893579465987410062101751036311063110861251061328013910715595208109220147267158267159289215318178372229391240396259409271606408
MenWomen
1MenWomenSwitzerland5432France6735Iseland7548Netherlands7751Sweden8351Belgium8961Norway9058Spain9357Denmark9465Ireland9874Germany10062England&Wales10175Italy10363Austria11063North.Ireland11086Greece125106Finland13280Scotland139107Poland15595Slovenia208109Lithuania220147Portugal267158Czech&Slovakia267159Romania289215Hungary318178Estonia372229Latvia391240Bulgaria396259Russia409271Ukraine606408
1
MenWomen
2
3
