Vineeta Singh1,2, Mandip S Dhamoon3, Suvarna Alladi4. 1. Department of Neurology, University of California, San Francisco, San Francisco, CA, USA. Vineeta.singh@ucsf.edu. 2. San Francisco General Hospital, University of California, San Francisco, Building 1, Room 101, 1001 Potrero Avenue, San Francisco, CA, 94110, USA. Vineeta.singh@ucsf.edu. 3. Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. 4. Department of Neurology, National Institute for Mental Health and Neurosciences, Bangalore, Karnataka, India.
Abstract
PURPOSE OF REVIEW: South Asians (SA) are at a higher risk for stroke and vascular dementia due to the disproportionate burden of diabetes, hypertension, and dyslipidemia. This review summarizes the rationale for screening, early detection, and aggressive control of metabolic factors, and critically examines the published literature on primary and secondary stroke prevention. RECENT FINDINGS: South Asians have a higher prevalence of diabetes than non-SA. SA with diabetes are at a higher risk of recurrent ischemic stroke and have a higher incidence of stroke-related dementia compared to non-South Asians. South Asians are one of the fastest-growing ethnic groups worldwide with an unusually increased risk of heart disease and stroke. An accurate assessment of those at risk of stroke and cognitive impairment is urgently needed to plan preventive strategies.
PURPOSE OF REVIEW: South Asians (SA) are at a higher risk for stroke and vascular dementia due to the disproportionate burden of diabetes, hypertension, and dyslipidemia. This review summarizes the rationale for screening, early detection, and aggressive control of metabolic factors, and critically examines the published literature on primary and secondary stroke prevention. RECENT FINDINGS: South Asians have a higher prevalence of diabetes than non-SA. SA with diabetes are at a higher risk of recurrent ischemic stroke and have a higher incidence of stroke-related dementia compared to non-South Asians. South Asians are one of the fastest-growing ethnic groups worldwide with an unusually increased risk of heart disease and stroke. An accurate assessment of those at risk of stroke and cognitive impairment is urgently needed to plan preventive strategies.
Entities:
Keywords:
Dementia; Race and ethnicity; South Asians; Special populations; Stroke
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