Efectividad y seguridad de anticoagulación oral y antiagregación luego de un evento cerebrovascular isquémico asociado a fibrilación auricular no valvular

Alemán, Alberto; Etchepareborda, Ignacio; Sottano, Eugenia; Colla, C.; García, Inés; Abrahin, Jose M.; Luján, Sofía; Romano, Lucas Martín; Ioli, Pablo; Gonorazky, Sergio Eduardo

doi:10.1016/j.neuarg.2014.07.003

Cited by 1 publication

(1 citation statement)

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“…[ 41 ] In the case of stroke we multiplied the DW of each category of severity by the corresponding distribution of cases reported in Argentinean literature from hospital data. [ 42 ] We mapped each DW to their corresponding category of the modified Rankin Scale (mRS) assuming similar distribution of severity on the basis of the GBD sequel definition. The mRS is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability.…”

Section: Methodsmentioning

confidence: 99%

Impact of level and patterns of alcohol drinking on coronary heart disease and stroke burden in Argentina

et al. 2017

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BackgroundDeaths from cardiovascular disease (CVD), including coronary heart disease (CHD) and stroke are expected to increase in Latin America. Moderate and regular alcohol consumption confers cardiovascular protection, while binge drinking increases risk. We estimated the effects of alcohol use on the number of annual CHD and stroke deaths and disability-adjusted life years (DALYs) in Argentina.MethodsAlcohol use data were obtained from a nationally representative survey (EnPreCosp 2011), and etiological effect sizes from meta-analyses of epidemiological studies. Cause-specific mortality rates were from the vital registration system.ResultsThere were 291,475 deaths in 2010 including 24,893 deaths from CHD and 15,717 from stroke. 62.7% of men and 38.7% of women reported drinking alcohol in the past year. All heavy drinkers (i.e. women who drank >20g/day and men who drank >40g/day of alcohol) met the definition of binge drinking and therefore did not benefit from cardioprotective effects. Alcohol drinking prevented 1,424 CHD deaths per year but caused 935 deaths from stroke (121 ischemic and 814 hemorrhagic), leading to 448 CVD deaths prevented (58.3% in men). Alcohol use was estimated to save 85,772 DALYs from CHD, but was responsible for 52,171 lost from stroke.ConclusionsIn Argentina, the cardioprotective effect of regular and moderate alcohol drinking is slightly larger than the harmful impact of binge drinking on CVD. However, considering global deleterious effects of alcohol in public health, policies to reduce binge drinking should be enforced, especially for young people. Studies are still needed to elucidate effects on cardiovascular health.

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Section: Methodsmentioning

confidence: 99%