SCREENING OF CEREBROVASCULAR DISEASES IN INDIVIDUALS AGED OVER 40 YEARS
Keywords:
cerebrovascular diseases, screening, individuals aged over 40 years, risk factors, ischemic stroke, transient ischemic attack, arterial hypertension, atherosclerosis, diabetes mellitus, dyslipidemia, prevention, early diagnosis.Abstract
Cerebrovascular diseases (CVDs) remain one of the leading causes of mortality and disability among individuals over 40 years of age, which determines the high medical and social significance of their early detection. The aim of this article is to analyze modern approaches to screening for cerebrovascular diseases in individuals over 40 years of age and to substantiate its role in the prevention of stroke and chronic cerebral ischemia. The article discusses the main risk factors for CVDs, including arterial hypertension, atherosclerosis, diabetes mellitus, lipid metabolism disorders, and lifestyle factors. Key screening methods are described, such as clinical assessment, neuropsychological testing, Doppler ultrasound of the brachiocephalic arteries, neuroimaging, and laboratory investigations. It is shown that comprehensive screening makes it possible to detect preclinical forms of cerebrovascular pathology, to initiate timely preventive and therapeutic measures, and to reduce the risk of acute cerebrovascular events. The conclusion is drawn regarding the feasibility of implementing systematic CVD screening in primary healthcare practice among individuals over 40 years of age.
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