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The Growing Problem of Stroke among Young Adults

  • Stroke (C Sila, Section Editor)
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Abstract

Although overall stroke incidence has been declining in developed countries, there is evidence that stroke in the young is increasing. Increasing incidence may be particularly pronounced among minorities in whom historically a higher burden of stroke has been reported. Compared with older adults, time spent with disability is longer for those affected at younger ages, and new data suggests that among 30-day young adult stroke survivors, increased mortality persists for as long as 20 years. Stroke in young adults is often missed by less experienced clinicians due to its unexpectedness, leading to lost opportunities for intervention. The causes and risk factors for stroke in the young are often rare or undetermined, but young adults with stroke also have a high burden of traditional cardiovascular risk factors, including hypertension, diabetes, obesity, and substance abuse. Disseminating awareness and promoting research on young adult stroke are steps towards reducing the burden of stroke.

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Acknowledgments

Sally Sultan has received grant support from NIH (T32-NS07153).

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Conflict of Interest

Sally Sultan declares that she has no conflict of interest. Mitchell S. V. Elkind serves as a consultant to Jarvik Heart, BMS-Pfizer Pharmaceutical Partnership, and Biogen IDEC; receives research support from diaDexus, Inc., Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership, and the NIH/NINDS and NHLBI; and has given expert testimony on behalf of Novartis, Organon/Merck, and GlaxoSmithKline. He serves as Resident and Fellow Section Editor of Neurology, for which he receives compensation from the American Academy of Neurology. He is also a board member of the American Heart Association/American Stroke Association Founders Affiliate and New York City Boards, for which he receives no payment.

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Authors and Affiliations

  1. Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA

    Sally Sultan & Mitchell S. V. Elkind

  2. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA

    Mitchell S. V. Elkind

  3. Neurological Institute of New York, 710 West 168th Street, 6th floor, New York, NY, 10032, USA

    Sally Sultan

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Correspondence to Sally Sultan.

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Sultan, S., Elkind, M.S.V. The Growing Problem of Stroke among Young Adults. Curr Cardiol Rep 15, 421 (2013). https://doi.org/10.1007/s11886-013-0421-z

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