Acidente vascular cerebral isquémico – Prevenção: Aspectos actuais – É preciso agir
Palavras-chave:
Acidente Vascular Cerebral, prevenção, factores de risco, hipertensão arterial, lipidos, antiagregação plaquetária, estatinas, Inibidores da ECAResumo
O Acidente Vascular Cerebral (AVC) é a patologia com maior mortalidade e morbilidade em
Portugal. A Medicina moderna tem contribuído
para um aumento da população idosa e, consequentemente, aumento do número de doentes
com AVC. A trombólise, recentemente aprovada na Europa, apenas beneficia um número muito
restrito de doentes. Assim, consideramos que a única forma de tentar diminuir a incidência
desta doença consiste no controlo dos factores de risco. Neste artigo salienta-se a importância
da terapêutica preventiva, abordam-se os factores de risco mais frequentemente relacionados
com o AVC, com especial ênfase para aqueles que podem ser controlados, nomeadamente a hipertensão arterial e a dislipidemia, entre outros. Abordam-se os novos estudos que clarificam o papel das estatinas e dos inibidores
do enzima conversor da angiotensina na prevenção primária e secundária do AVC. Chama-se a atenção para a empatia necessária entre médico-doente para uma melhor aderência às
medidas preventivas propostas. Salienta-se a importância de campanhas globais de informação como medida fundamental na diminuição da incidência do AVC.
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