FAKTOR RESIKO STROKE PADA USIA MUDA: TINJAUAN LITERATUR
Risk Factors for Stroke at Young Age: Literature Review
DOI:
https://doi.org/10.33023/jikep.v8i1.798Keywords:
faktor resiko, hemoragik, infark, stroke, usia mudaAbstract
Pendahuluan: Stroke termasuk dalam penyakit peradaban yang paling merusak dengan dampak tinggi pada kesehatan dan kualitas hidup dengan prevalensi lebih dari 15 juta kasus baru setiap tahun di seluruh dunia. Tingginya angka stroke tersebut berpotensi meningkatkan prevalesi di semua kelompok usia, terdapat sejumlah besar orang yang menderita stroke di bawah usia 50 tahun, yang disebut stroke "muda". Salah satu penyebab tertinggi stroke pada usia muda adalah masalah pembuluh darah seperti stenosis, rupture, oklusi, aneurisma dan malformasi arterivena Penelitian ini bertujuan untuk mengidentifikasi factor resiko yang dapat menyebabkan stroke di usia muda. Metode: Penelitian menggunakan literature review dengan menelusuri hasil publikasi antara tahun 2017 – 2020, dengan database dalam pencarian artikel yaitu Cohrane, Pubmed, Proquest, Science Direct. Hasil tinjauan literatur mengidentifikasi enam studi sesuai kriteria inklusi dan melibatkan pasien di bawah usia 50 tahun dengan stroke. Hasil: ditemukan kejadian stroke usia mudah lebih banyak pada jenis kelamin laki-laki (62%) dengan kisaran usia 18-59 tahun. Factor resiko terjadinya strok antara lain hipertensi, kurang olah raga, dan pola makan banyak lemak, riwayat diabetes melitus, dyslipidemia, hiperkolesterolemia, hiperurisemia, gagal jantung, epilepsi, stenosis arteri karotis/serebral, infark miokard, stroke pada keluarga dan kardiomiopati. Kesimpulan dan rekomendasi: terdapat 3 faktor risiko yang sangat berpengaruh terhadap kejadian stroke pada usia muda yaitu riwayat hipertensi, dislipidemia dan riwayat diabetes. Oleh karena itu, untuk mencegah stroke pada usia muda diharapkan mengubah gaya hidup dengan mengkonsumsi makanan yang sehat, hindari merokok, alkohol, manajemen stress dan rutinkan berolahraga.
Kata Kunci : Faktor Resiko, Stroke, Usia Muda, Hemoragik, Infark
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References
AHA (2017) ‘No Title’.
Alebeek, M. E. van, Arntz, R. M. and Ekker, M. S. (2017) ‘Risk factors and mechanisms of stroke in young adults: The FUTURE study’. doi: DOI: 10.1177/0271678X17707138.
Alloubani, A., Saleh, A. and Abdelhafiz, I. (2018) ‘Hypertension and diabetes mellitus as a predictive risk factors for stroke’, Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 12(4), pp. 577–584. doi: 10.1016/j.dsx.2018.03.009.
American Heart Association Statistics Committee and Stroke Statistics Subcommitte Heart Disease and Stroke Statistic. (2016) ‘Update: a report from the America Heart Association. Circulation’.
Budi, H. (2019) ‘Faktor Risiko Stroke pada Usia Produktif di Rumah Sakit Stroke Nasional (RSSN) Bukit Tinggi’. doi: DOI: http://dx.doi.org/10.32419/jppni.v3i3.163.
Depkes, R. (2009) ‘Departemen Kesehatan RI. 2009. Kategori Usia.’
Diji Kuriakose (2020) ‘Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives’. doi: doi:10.3390/ijms21207609.
Gainey, J. et al. (2018) ‘Stroke and dyslipidemia: Clinical risk factors in the telestroke versus non-telestroke’, Lipids in Health and Disease. Lipids in Health and Disease, 17(1), pp. 1–10. doi: 10.1186/s12944-018-0870-x.
Gollion, C. et al. (2020) ‘Atrial fibrillation and migraine with aura in young adults with ischemic stroke’. doi: https://doi.org/10.1177/0333102420970880.
Heo, J. hoe et al. (2020) ‘Pathophysiologic and Therapeutic Perspectives Based on Thrombus Histology in Stroke’. doi: doi: 10.5853/jos.2019.03440. Epub 2020 Jan 31.
Jaakkola, J. et al. (2016) ‘Stroke as the first manifestation of Atrial Fibrillation’, PLoS ONE, 11(12), pp. 1–9. doi: 10.1371/journal.pone.0168010.
Jansen IGH (2016) ‘Comparison of CTA- and DSA-Based Collateral Flow Assessment in Patients with Anterior Circulation Stroke’. doi: 10.3174/ajnr.A4878.
Jiri Polivka (2019) ‘Risks associated with the stroke predisposition at young age: facts and hypotheses in light of individualized predictive and preventive approach’. doi: doi.org/10.1007/s13167-019-00162-5.
Lasek-Bal, A. (2018) ‘Risk factor profile in patients with stroke at a young age’. doi: https://doi.org/10.1080/01616412.2018.1455367.
Mahendrakrisna, D. (2019) ‘Karakteristik Pasien Stroke Usia Muda di RSUD Kota Surakarta’.
Rashid, H. U. (2019) ‘Risk Factors in Young Stroke’. doi: https://doi.org/10.3329/jom.v21i1.44097.
Schellekens, M. M. I. (2018) ‘Prothrombotic factors do not increase the risk of recurrent ischemic events after cryptogenic stroke at young age: the FUTURE study’. doi: https://doi.org/10.1007/s11239-018-1631-4.
Simonetti, B. G. (2015) ‘Risk factors, aetiology and outcome of ischaemic stroke in young adults: the Swiss Young Stroke Study (SYSS)’. doi: DOI 10.1007/s00415-015-7805-5.
Sinaga, J. and Sembiring, E. (2019) ‘Pencegahan Stroke Berulang Melalui Pemberdayaan Keluarga Dan Modifikasi Gaya Hidup’, Jurnal Abdimas, 22(2), pp. 143–150.
Smajlovi? D (2015) ‘Strokes in young adults: Epidemiology and prevention. Vasc Health Risk Manag’. doi: https://dx.doi.org/10.2147%2FVHRM.S53203.
Soto-Cámara, R. et al. (2020) ‘Age-Related Risk Factors at the First Stroke Event’, Journal of Clinical Medicine, 9(7), p. 2233. doi: 10.3390/jcm9072233.
Tun, N. N. et al. (2017) ‘Diabetes mellitus and stroke: A clinical update’, World Journal of Diabetes, 8(6), p. 235. doi: 10.4239/wjd.v8.i6.235.
World Health Organization (2018) Stroke, Cerebrovascular Accident.
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