Stroke in South Asian countries

Citation metadata

Authors: Mohammad Wasay, Ismail A. Khatri and Subhash Kaul
Date: Mar. 2014
From: Nature Reviews Neurology(Vol. 10, Issue 3)
Publisher: Nature Publishing Group
Document Type: Report
Length: 7,987 words

Main content

Abstract :

Three of the world's top 10 most populous countries are located in South Asia. The healthcare problems of this region are different from those in the developed world, and the rapidly changing socioeconomic scenario, fast-increasing urbanization and longevity, changes in dietary patterns, and decrease in mortality from infectious diseases has made chronic illnesses of old age, such as coronary artery disease and stroke, an important area of focus. This article reviews stroke epidemiology and management issues in four South Asian countries: India, Pakistan, Sri Lanka and Bangladesh. The available literature is limited and mostly hospital-based, and differing study methodologies make direct comparisons difficult. The high prevalence of traditional risk factors, including hypertension, diabetes, dyslipidaemia and smoking, in these countries is alarming, and several nontraditional risk factors, such as water- pipe use, desi ghee, chewable tobacco, and infectious causes of stroke, are understudied. Access to tertiary stroke care is limited, and the use of tissue plasminogen activator is scarce. In addition, public and caregiver awareness of stroke risk factors and management is disappointing, and the interest of governments and policy makers in stroke is suboptimal. Interventions to reduce stroke burden and stroke-related mortality in South Asia should have a substantial impact at the global level. Wasay, M. et al. Nat. Rev. Neurol. 10, 135-143 (2014); published online 11 February 2014; doi: 10.1038/nrneurol.2014.13

Source Citation

Source Citation
Wasay, Mohammad, et al. "Stroke in South Asian countries." Nature Reviews Neurology, vol. 10, no. 3, Mar. 2014, pp. 135+. Accessed 21 Mar. 2023.

Gale Document Number: GALE|A364693006