Stroke is the second leading cause of death globally and is a leading cause of disability around the world. Approximately 90% of the burden of stroke is driven by modifiable risk factors, such as smoking and hypertension. This slide deck presents an overview of stroke, including facts on stroke types and risk factors, as well as solutions to reduce the global stroke burden.

This slide deck was developed by Professor Mayowa Owolabi, University of Ibadan, Nigeria, and Professor Christopher Chen, National University of Singapore, and Director of the Memory Aging and Cognition Centre, Singapore, in collaboration with Cambridge (a division of Prime, Cambridge, UK).

Index for
slide deck

Introduction

Overview of stroke
Overview of stroke
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Introduction
Introduction
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Case study
Case study

The slide details a case study with a hypothetical patient case, based on Prof. Mayowa Owolabi’s clinical experiences.

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What is stroke?
What is stroke?

Stroke is a medical emergency, requiring immediate medical attention.1-4

References:

1. Heart and Stroke Foundation of Canada. Available at: https://www.heartandstroke.ca/stroke/what-is-stroke/types-of-stroke. Accessed March 2024.

2. Campbell BCV, De Silva DA, Macleod MR,…

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Stroke throughout history
Stroke throughout history

Stroke has been viewed in many different ways over the course of human history.1

Reference:

1. Donkor ES. Stroke in the 21st Century: a snapshot of the burden, epidemiology, and quality of life. Stroke Res Treat 2018; 2018: 3238165.

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Epidemiology of stroke

Epidemiology of stroke
Epidemiology of stroke
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DALYs attributable to stroke
DALYs attributable to stroke

Stroke is a highly prevalent disease worldwide, and has a considerable burden on quality of life as measured by disability-adjusted life years (DALYs).1,2 DALYs are calculated by summing the number of years lost due to premature mortality, and the number of years lived wi…

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The increasing burden of stroke
The increasing burden of stroke

Across the world, incidence rates of stroke are predicted to increase in the coming years, with the fastest increase in incidence predicted to occur in Cyprus, Palestine, and South Africa.1,3 The data are a call to action for policymakers to redouble their efforts to impl…

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Trends of stroke in different areas of the world
Trends of stroke in different areas of the world

As outlined on the slide, global trends of stroke outcomes, including incidence, mortality, and disability, have increased over the past decades.1 However, because of disparities between low- and middle- income countries and high-income countries, the burden of these incr…

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Types of stroke

Types of stroke
Types of stroke
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The types of stroke
The types of stroke

Strokes are categorized as either haemorrhagic or ischaemic (sometimes referred to as cerebral infarction).1 Although prevalence rates vary, roughly 80% of strokes are ischaemic and the remaining 20% are haemorrhagic.1,2 However, data from low- and middle-income countries…

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Ischaemic stroke
Ischaemic stroke

Although prevalence rates vary, and may be different in different geographies, roughly 80% of strokes are ischaemic.1,5 The pathology of stroke is complex, often involving many different interrelated arterial and cardiac conditions.2 Identification of the cause of a strok…

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What causes an ischaemic stroke?
What causes an ischaemic stroke?

The pathology of ischaemic stroke is complex, but commonly involves the formation of a clot that travels in the blood to or within the brain and becomes lodged in the blood vessels of the brain (a thromboembolism), which can reduce or block blood flow (an occlusion).1-3 T…

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Haemorrhagic stroke
Haemorrhagic stroke

Unlike ischaemic stroke, there are no specific treatments for haemorrhagic stroke, which is most commonly caused by an intracerebral haemorrhage.1 Diagnosis should be performed using computed tomography (CT) head scan, which can confirm the bleeding.3,8 Mortality rates in…

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What causes a haemorrhagic stroke?
What causes a haemorrhagic stroke?

Haemorrhagic strokes are most commonly caused by an intracerebral haemorrhage, whereby the rupturing will likely be predated by many years of hypertension, but can also be caused by subarachnoid/subdural or intraventricular haemorrhage.2 Whilst the different causes of ble…

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BE FAST– time is brain
BE FAST– time is brain

BE FAST is an acronym developed to help people identify the three most common symptoms of stroke – drooping face, arm weakness, and speech difficulties.2,5 Other additional signs of stroke include vision changes, headaches, numbness, and problems with balance.5 When these…

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