An Updated Definition of Stroke for the 21st Century A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association
An Updated Definition of Stroke for the 21st Century A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association
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DOI：
10.1161/str.0b013e318296aeca
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发表时间：
2013-07-01
期刊：
影响因子：
8.3
通讯作者：
Vinters, Harry V.
中科院分区：
文献类型：
--
作者：
Sacco, Ralph L.;Kasner, Scott E.;Vinters, Harry V.
尽管对脑血管疾病的病理生理学的理解具有全球影响和进步，但在临床实践、临床研究或公共卫生评估中，术语“卒中”的定义并不一致。经典的定义主要是临床的，没有考虑到科学和技术的进步。美国心脏协会/美国卒中协会的卒中理事会召集了一个写作小组，为21世纪卒中的更新定义制定专家共识文件。中枢神经系统梗死定义为基于永久性损伤的神经病理学、神经影像学和/或临床证据，可归因于缺血的脑、脊髓或视网膜细胞死亡。中枢神经系统梗死发生在临床范围内：缺血性卒中具体指伴有明显症状的中枢神经系统梗死，而根据定义，无症状性梗死不会引起任何已知症状。中风还广泛地包括脑内出血和蛛网膜下腔出血。更新后的卒中定义纳入了临床和组织标准，可纳入公共卫生的实践、研究和评估。
Despite the global impact and advances in understanding the pathophysiology of cerebrovascular diseases, the term "stroke" is not consistently defined in clinical practice, in clinical research, or in assessments of the public health. The classic definition is mainly clinical and does not account for advances in science and technology. The Stroke Council of the American Heart Association/American Stroke Association convened a writing group to develop an expert consensus document for an updated definition of stroke for the 21st century. Central nervous system infarction is defined as brain, spinal cord, or retinal cell death attributable to ischemia, based on neuropathological, neuroimaging, and/or clinical evidence of permanent injury. Central nervous system infarction occurs over a clinical spectrum: Ischemic stroke specifically refers to central nervous system infarction accompanied by overt symptoms, while silent infarction by definition causes no known symptoms. Stroke also broadly includes intracerebral hemorrhage and subarachnoid hemorrhage. The updated definition of stroke incorporates clinical and tissue criteria and can be incorporated into practice, research, and assessments of the public health.