Home Health Stress and depression caused by COVID-19 may increase stroke risk

Stress and depression caused by COVID-19 may increase stroke risk

by news dir

Every year, October 29th is ‘World Stroke Day’, designated by the World Stroke Organization (WSO) to prevent strokes that cause serious disability and death, and to encourage active treatment.

Stroke is the second leading cause of death worldwide, and cerebrovascular disease, including stroke, is the fourth leading cause of death in Korea after cancer and heart disease. According to data from the Health Insurance Review and Assessment Service, the number of stroke patients in Korea is steadily increasing.

Number of outpatients and hospitalized patients with stroke (I60~I64) disease code (Source = Health Insurance Review and Assessment Service Big Data)

Stroke refers to a neurological symptom that occurs when a blood vessel supplying blood to a part of the brain is blocked (cerebral infarction) or burst (cerebral hemorrhage), resulting in damage to the brain. About half of stroke patients are caused by cerebral thrombosis, which is a blood clot in the brain artery.

In addition, depression and chronic stress are also factors that significantly increase the risk of stroke. Negative mental states such as depression and chronic stress are known to increase the risk of stroke and heart disease by causing irregular heart rate, increased blood pressure, inflammation, and decreased blood flow to the heart. It shows that more attention is needed in cardiovascular health management as stress and depression are increasing.

According to a survey by the Korea Institute for Health Promotion and Development in August, 40.7% of respondents said that they had experienced depressive symptoms due to the corona virus. In addition, according to the Centers for Disease Control and Prevention’s (CDC) Weekly Report on Morbidity and Mortality published in August, about 40% of the total respondents reported anxiety symptoms or depressive symptoms (30.9%) and pandemic-related trauma and stress disorders (26.3%). ) have experienced at least one mental disorder, such as During the COVID-19 outbreak period, a meta-analysis of depression-related research results showed that the prevalence of depression was 25%.

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Professor Kim Eung-gyu of the Department of Neurology at Busan Paik Hospital said, “The symptoms of stroke include hemiparesis, speech impairment (aphasia), pronunciation impairment (difficulty of speech), ataxia, visual and visual impairment, dementia, and headache. Since dead brain cells cannot be brought back to life, it is important to arrive at the hospital as soon as possible and receive treatment within the golden hour.

‘FAST’ stands for ‘Face, Arms, Speech, Time to act’ will be. In addition, ‘Speech’ is to evaluate whether the patient can speak normally, and ‘Time to act’ means that if any one of these symptoms is suspected, emergency treatment should be sought immediately.

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Professor Kim said, “Especially if you have a family history of stroke or high blood pressure, you should stop smoking, exercise for at least 30 minutes every day, eat plenty of fiber-rich foods such as vegetables and seaweed, and live with a positive mindset to reduce stress. . In addition, if you consistently treat high blood pressure, diabetes, and dyslipidemia, it will help prevent stroke in a healthy old age. “If you stop taking it abruptly, you may be at a much higher risk of developing cardiovascular disease, such as a stroke, compared to those who continue to take it.”

‘Low-dose aspirin’ is known to have a ‘secondary preventive effect’ that prevents the recurrence of cardiovascular diseases, including cerebral infarction, by inhibiting the formation of blood clots in patients who have experienced cardiovascular disease. According to the results of a meta-analysis of the long-term secondary prophylaxis of aspirin in patients with a transient ischemic attack or ischemic stroke, low-dose aspirin reduced the risk of stroke recurrence by 17% for 3 years or more in these patients.

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