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When combined, cardiovascular conditions were responsible for >33% of pregnancy-related deaths; these conditions include cardiomyopathy (10.8%), other cardiovascular conditions (15.1%), and cerebrovascular accidents (7.6%).
The various components of metabolic syndrome are predisposing factors for development of coronary artery disease (CAD) and cerebrovascular accident (CVA).
The differential diagnosis for our patient's decline and altered mentation weeks after the initial event included worsening normal pressure hydrocephalus, cerebrovascular accident, and seizure.
The decision was made to start the patient on intravenous immunoglobulins (IVIG) while investigating for cerebrovascular accident. MRI for head and neck was done and showed infarction areas in left cerebellar hemisphere (Figure 1 (Radiology Department at Hamad General Hospital, Doha, Qatar)).
Cardiovascular incident rates were 7,044 mortalities, 3,993 cardiac mortalities, 1,150 sudden deaths, 1,837 MIs, and 1,490 cerebrovascular accidents (CVAs).
The constant growth of the transplant waiting list has resulted in an expansion of the donor criteria, culminating in the inclusion of brain-dead donors who are older and sicker than the standard donors and whose deaths are more frequently caused by cerebrovascular accidents (2-9).These potential expanded criteria donors (defined as being 60 years old or older, or being 50-59 years old and having 2 out of 3 of the following: hypertension, a cerebrovascular accident as cause of death or a creatinine level greater than 1.5 mgdL) are less likely to be multi-organ donors, as co-morbidities limit the suitability of organs for transplantation (2,3).
This total included 67 cases of acute/unstable coronary syndrome (myocardial infarction or unstable angina), 24 cases of stable angina, 26 cerebrovascular accidents, 10 transient ischemic attacks, 18 cases of peripheral vascular disease, and 4 cases of heart failure.
Individuals with left cerebrovascular accidents show significant reduction in movement speed and increased trajectory curvature [1, 2].
Furthermore, patients with CMAC are more likely to experience cerebrovascular accidents than the general population.
When organs like the heart and the brain have their blood supply cut off by atherosclerosis, heart attacks (myocardial infarctions or MI's) and strokes (cerebrovascular accidents or CVA's) ensue.
A study conducted in Lahore depicted that chronic disease (CLD) had the highest mortality 16.8%, followed by cerebrovascular accidents 14% and ischaemic heart disease 7.8%.8