Recent Advances in Geriatric Medicine

Volume: 1

Chronic Diseases in Geriatric Patients

Indexed in: EBSCO.

The incidence of multiple chronic diseases affecting a single individual is common among elderly patients. This incidence is believed to be associated with a decline in many health outcomes, ...
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New Horizons in Ischaemic Stroke among Older People

Pp. 92-106 (15)

Tuck Yean Yong and Kareeann Sok Fun Khow

Abstract

The incidence and prevalence of ischaemic stroke increase substantially with age. In addition, clinical outcomes after a stroke are influenced significantly by age. Risk factor profiles for ischaemic stroke differ between young and older patients. Furthermore older patients with ischaemic stroke often receive less effective treatment and experience poorer outcomes than the younger population. For those who survive an acute ischaemic stroke, a comprehensive approach involving lifestyle modifications, antiplatelet or anticoagulant therapy, blood-pressure control, cholesterol-lowering and carotid artery stenosis intervention where applicable, is effective in reducing the risk of recurrent stroke. Long-term rehabilitation and supportive care is critical in the management of older people after an acute ischaemic stroke. Future research is still needed to reduce the incidence of ischaemic stroke and improve outcomes in the older population.

Keywords:

Anticoagulant, Antiplatelet therapy, Carotid artery stenosis, Hypertension, Older, Rehabilitation, Risk factors, Secondary prevention, Stroke.

Affiliation:

Internal Medicine, Flinders Private Hospital, Flinders Drive, Bedford Park, South Australia 5042, Australia.