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Atherosclerosis and Inflammation

Sestre Milosrdnice University hospital and Institute of Clinical Medical Research; [email protected]
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  • Economics
  • Medicine


Èlanci.p65 Acta clin Croat, Vol. 41, Suppl. 3, 2002 7 Second Congress of Croatian Stroke SocietyDrugi kongres Hrvatskoga dru tva za prevenciju mo danog udara FOREWORD Stroke remains the third most common cause of death in the world, and the leading cause of death in theRepublic of Croatia. In addition, stroke is also the leading cause of disability in Croatia and worldwide. We are fullyaware of the fact that not only older age groups are affected by stroke, as individuals of the most productive age haverecently been ever more involved, making stroke a great health as well as economic problem. Epidemiologic datafrom the industrialized countries have shown a decreasing trend in the stroke morbidity and mortality over the lastdecades of the past century, which could be directly attributed to the preventive measures implemented in thesecountries. In contrast, data for Croatia point to an increase in the stroke morbidity and mortality. A similarunfavorable tendency in the incidence of stroke has also been recorded in other Central and East Europeancountries as well as in a majority of developing countries. Therefore, an epidemic of stroke has been anticipated tooccur in the decades to come. It has been demonstrated that the management of stroke patients on appropriatelyequipped wards (stroke units) significantly reduces the mortality and disability, whereas additional disabilityreduction can be achieved by early rehabilitation of stroke patients. For the first time in history, an efficacioustherapy for ischemic stroke has become available with the use of recombinant tissue plasminogen activator, however,only within 3 hours from the onset of stroke.Unfortunately, not all new concepts have yet been generally accepted and frequently are not used in practice. Itis therefore necessary to addresss both medical professionals and the population at large to make them aware thatstroke is preventable by the consistent use of all methods of primary and secondary prevention. Also, it should berepeated over a

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