Largest Study Of Stroke Patients In Africa Reveals High Rate Of Especially Dangerous Type

canada goose discount uk Last April, Fredua Agyemang, a musician in Kumasi, Ghana, was performing onstage at a funeral, which in this country is often a festive affair with hundreds of guests. Suddenly, he began to feel dizzy, then lost consciousness and collapsed. canada goose discount uk

canada goose outlet locations in toronto When he woke up three days later, his bandmates broke the news: He had suffered a stroke. Immediately, he thought of another doctor visit eight years earlier, when, at the age of 34, he had been diagnosed with hypertension and prescribed medication to reduce his blood pressure. The medication had given him problems with erectile dysfunction, a common side effect, and he soon stopped taking it regularly. That decision seemed foolish, he recalls. He was having canada goose clearance difficulty moving and speaking and knew that he wouldn’t be back onstage anytime soon. canada goose outlet locations in toronto

canada goose outlet real Doctors found that Agyemang’s stroke was hemorrhagic, meaning that a blood vessel in his brain burst from excessive pressure. are “ischemic,” meaning they’re caused by a clot or other blockage of a blood vessel in the brain. But according to a new study, the largest ever of stroke patients in Africa, up to one third of strokes in this area of the world are hemorrhagic. And while the survival rate for ischemic strokes is around 80 percent, for hemorrhagic strokes the odds of survival are only 50/50. Agyemang is lucky to be alive. canada goose outlet real

canada goose outlet montreal The study surveyed 2,000 stroke patients in Ghana and Nigeria (including Agyemang) to better understand canada goose store what factors are most likely to put people at risk. The results were released Friday at the International Stroke Conference in Los Angeles and will be canada goose clearance sale published next month in the peer reviewed journal The Lancet. canada goose outlet montreal

canada goose outlet belgium Researchers already knew that the overall rate of stroke in Africa is among the world’s highest, with around canada goose coats on sale 316 new cases each year per 100,000 people. uk canada goose rate, by comparison, is around 246 new cases per 100,000 people, according to the CDC.) But the study sheds new light on the prevalence of hemorrhagic stroke. canada goose outlet belgium

canada goose outlet ottawa “We are seeing way more hemorrhagic stroke [in Africa] than in the West, and we need to understand what’s driving this,” says Dr. Fred Stephen Sarfo, a neurologist at the Kwame Nkrumah University buy canada goose jacket cheap of Science and Technology in Kumasi, who led the Ghana side of the study. “It’s a huge and neglected burden.” canada goose outlet ottawa

canada goose outlet online store review canada goose outlet uk Hemorrhagic stroke is of particular concern because it is so likely to be fatal, Sarfo says. But this type of stroke also highlights the danger of another health issue that is increasingly widespread in Africa: Canada Goose sale hypertension. The study found that hypertension Canada Goose Coats On Sale was to blame in more than 90 percent canada goose black friday sale of hemorrhagic cheap canada goose uk stroke cases. canada goose outlet online store review

canada goose parka outlet The link between hypertension and hemorrhagic stroke goes uk canada goose outlet a long way toward explaining why the latter has become such a problem. Cardiovascular problems like hypertension were canadian goose jacket once rare in Africa, but today, the continent has the world’s highest rate of cheap Canada Goose high blood pressure, afflicting nearly 50 percent of the population, according to the canada goose coats World Health Organization. Epidemiologists have found that as African canada goose uk black friday countries develop and become more urban, the profile of disease is rapidly changing. Infectious diseases like malaria, tuberculosis and HIV, while still major problems, are being joined by noncommunicable, long term diseases associated with a more sedentary lifestyle and increased consumption of tobacco and processed food. canada goose parka outlet

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canada goose outlet 80 off WHO predicts that cases of such diseases, especially cancer and heart and respiratory disease, will increase 27 percent in Africa in the next 10 years, leading to an additional 28 million deaths and that by canada goose factory sale 2030, deaths from such diseases will exceed those from infectious disease and other traditional health problems. The number of people in Africa with hypertension is projected to rise from 80 million in 2000 to 150 million by 2025. canada goose outlet 80 off

canada goose outlet in vancouver Still, the general public in Africa is largely unfamiliar with cardiovascular disease, and people rarely seek the kind of regular check ups that can identify high blood pressure, says Dr. Prebo Barango, a noncommunicable disease specialist for the WHO in Zimbabwe. Barango said that WHO surveys have shown that in some African countries, as many as 70 percent of those with high blood Canada Goose Parka pressure are not aware of their condition. As a result, it very often goes undiagnosed and untreated. In that respect, Agyemang was Canada Goose Online an exception to the rule. Many stroke patients never even know they have blood pressure problems until they suddenly pass out and wake up in the hospital. canada goose outlet in vancouver

canada goose outlet store uk “They don’t see themselves at risk,” Sarfo says. “They think they’re fine, and then all of a sudden, the pressure goes up, the blood vessel bursts and then they have a stroke.” canada goose outlet store uk

canada goose outlet woodbury Barango adds that WHO is helping to train health care workers, especially in rural areas, Canada Goose online to routinely look for signs of high blood pressure. And, he says, health professionals need better buy canada goose jacket access to the right tools. canada goose outlet woodbury

canada goose sale uk “You would be surprised how many health care facilities don’t have a Canada Goose Outlet functioning blood pressure gauge,” he says. “The solution starts at the rural and primary health care level.” canada goose sale uk

canada goose outlet website legit In addition to the lack of awareness, Ghanaians face other obstacles to canada goose uk outlet effective hypertension treatment. The medicine can Canada Goose Jackets be costly, in a country where average annual income canada goose is about $1,400. And it must be taken for canada goose uk shop life, whereas many people are accustomed to treating diseases that resolve over time. Once the problem escalates to a stroke, the cost becomes even higher, from CT scans in the emergency room to months or years of physical therapy and rehabilitation, during which time many, like Agyemang, are unable to return to work. canada goose outlet website legit

canada goose jacket uk “For us within Africa, we need to focus mainly on prevention of stroke, because it’s quite challenging to manage” once it happens, Sarfo says. canada goose jacket uk

canada goose factory outlet vancouver To that end, Sarfo recommends at risk people eat more leafy green vegetables, stop smoking, exercise more and, of course, take their blood pressure medicine as prescribed. He and his fellow researchers are developing a smartphone app for people with hypertension that can read their blood pressure and send reminders to take their pills canada goose factory outlet vancouver.