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Kotsaftis P et al. – The aim of this study is to identify the main cardiovascular risk factors (CRFs) in patients over 65 years with ischemic stroke...Hypertension, either alone or in combination with other CRFs, constitutes the main CRF. Diabetes mellitus (DM) is not frequently the sole CRF but its coexistence with other CRFs ranks DM as the second most important CRF, with the largest percentage in the elderly. Dyslipipidemia is 4th CRF in order following the coronary heart disease (CHD). Taking into account that the provision of acute therapeutic intervention in elderly and over–aged ischemic stroke patients is in most cases difficult, because of their age and the high risk of thrombolysis in these patients, there is increased need to focus on primary prevention of ischemic stroke by treating associated CRF.

Exclusive Author Commentary
Apostolos Hatzitolios, 08/03/09

It is remarkable that this paper studied the trend the incidence of cardiovascular risk factors in two age groups (elderly vs. over-aged) within five years (2003 and 2007). Although most of the major cardiovascular risk factors were better treated during the last years, a statistically significant increase in the incidence of hypertension and dyslipidemia, but not for diabetes was observed. Concerning the two age groups, a statistically significant increase of the incidence of diabetes in the elderly was found compared to over-aged.

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