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Neurofiziološke metode u dijagnostici moždanog udara

Sestre Milosrdnice University hospital and Institute of Clinical Medical Research;


001 Demarin.p65 Second Congress of Croatian Society for Neurovascular Disorders of Croatian Medical Association Drugi kongres Hrvatskoga dru tva za neurovaskularne poremeæaje Hrvatskoga lijeŁniŁkog zbora Acta Clin Croat, Vol. 43, Suppl. 1, 2004 9 THE BURDEN OF STROKE: A GROWING HEALTH CARE AND ECONOMY PROBLEM MO DANI UDAR RASTU˘I MEDICINSKI I SOCIJALNO EKONOMSKI PROBLEM Vida Demarin University Department of Neurology, Sestre milosrdnice University Hospital, Zagreb, Croatia Klinika za neurologiju, KliniŁka bolnica Sestre milosrdnice , Referentni centar za neurovaskularne poremeæaje Ministarstva zdravstva Republike Hrvatske, Zagreb Summary Stroke is often considered as a significant economy burden in health care systems worldwide. According to epidemiological data, there has been a considerable decrease in stroke morbidi- ty and mortality in most West European countries, mainly be- cause of the implementation of prevention measures. Quite a reverse trend has been observed in most of the Central and East European countries where the epidemic of stroke is ex- pected in the near future. New research facts from the fields of molecular science and genetics have enabled better understand- ing of the stroke pathogenesis while contemporary neuroimag- ing techniques as well as Doppler ultrasonography have con- tributed to our perception of stroke. During the last few years, there has been an increasing demand for redefinition and new classification of stroke and transient ischemic attack, implying new definitions such as acute ischemic cerebral syndromes, or acute neurovascular syndromes. It is important to emphasize the importance of stroke as a medical emergency that should be managed in specialized stroke units. The results from large clin- ical studies have shown that stroke units significantly reduce the mortality and disability among stroke patients. Treatment of acute ischemic stroke with rTPA-thrombolysis within the first 3 hours from the stroke onset, and antiaggregation and ant

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