Out of the misunderstanding of cerebrovascular disease A. Today about the knowledge about cerebrovascular disease, what misunderstandings do the people have about this disease? 1.Luminal infarction is not cerebral infarction, so it does not need to be treated. 2.Pass blood vessels twice a year, once in spring and once in autumn. 3.Lipid-lowering drugs are not needed for normal blood lipids. 4, the symptoms are relieved, there is no need for medical treatment. Second, people for some concepts related to cerebrovascular disease is very vague, luminal infarction, cerebral infarction, cerebrovascular disease and other diseases between the relationship is how! First, let’s understand the concept of what is cerebrovascular disease, so the name refers to various causes of cerebrovascular lesions, acute cerebrovascular disease is called stroke, which is often referred to as stroke, stroke is divided into two kinds, occlusion of cerebral vessels leading to ischemic stroke, cerebrovascular rupture leading to hemorrhagic stroke. Ischemic stroke is also known as cerebral infarction, cerebral infarction, depending on the cause, cerebral infarction is divided into large artery atherosclerosis, cardiogenic, small artery, also known as lacunar cerebral infarction (acute isolated infarction foci in the penetrating artery area; diameter less than 15mm), other causes, including arteritis, arterial entrapment, etc. So lacunar infarction is not treated, “small blood vessels, big problems” lacunar cerebral infarction caused by the consequences is not “small”.
The consequences of lacunar infarction are not “small”. Small vascular lesions are an important cause of dementia, so we cannot ignore them, find the cause and give the right treatment. Third, there are many elderly patients with cerebrovascular disease worried about disease recurrence, regardless of the presence of symptoms, choose to pass blood vessels twice a year, once in spring and once in autumn, is this right? This practice is undesirable, some patients have approached me clinically, want to pass blood vessels, reluctantly checked the CT, but found brain hemorrhage, at this time, if the application of vasodilator, antiplatelet drugs is very dangerous, I would suggest that the best spring and autumn to a large hospital to check, such as vascular ultrasound, blood glucose lipid tests, etc., if there is no problem, just oral drugs can be. Fourth, some patients with cerebral infarction to the hospital examination, lipids in the normal range, then certainly will not use lipid-lowering drugs, why is this wrong again? The correlation between LDL in cholesterol and cerebral infarction is greater. LDL can increase the viscosity of blood and accelerate atherosclerosis, which in turn increases the incidence of cerebral infarction. We know that the normal range of LDL is 0-4.13mmol/l, but according to the latest guidelines for cerebrovascular disease in China, for patients with cerebral infarction LDL should be lowered to below 2.59mmol/l, and patients with cerebral infarction with multiple risk factors (diabetes, smoking, cerebral atherosclerotic plaque, coronary heart disease, metabolic syndrome) Some people have symptoms of stroke, such as numbness, weakness, dizziness, unconsciousness, blurred vision, choking and coughing, etc., which last for a few minutes or hours and are relieved, so they think there is no need for medical treatment. This is wrong. The above symptoms are called transient ischemic attack, which refers to the transient and recurrent local cerebral blood circulation disorder, leading to transient neurological deficits, characterized by localized, transient and recurrent cerebral ischemic attacks. Patients do not realize the seriousness of the disease, and when it develops into cerebral infarction, it is too late to regret. Therefore, active intervention should be used to treat these populations.