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Stroke Research and Treatment
Volume 2011 (2011), Article ID 879817, 5 pages
http://dx.doi.org/10.4061/2011/879817
Review Article

Long-Term Prognosis of Ischemic Stroke in Young Adults

Department of Internal Medicine, University Hospital “Madrid Montepríncipe”, CEU-San Pablo University School of Medicine and Institute of Applied Molecular Medicine (IMMA), Avenida Montepríncipe 25, Boadilla del Monte, 28660 Madrid, Spain

Received 19 August 2010; Revised 7 October 2010; Accepted 8 November 2010

Academic Editor: Janika Kõrv

Copyright © 2011 Jose F. Varona. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

There is limited information about long-term prognosis of ischemic stroke in young adults. Giving the potentially negative impact in physical, social, and emotional aspects of an ischemic stroke in young people, providing early accurate long-term prognostic information is very important in this clinical setting. Moreover, detection of factors associated with bad outcomes (death, recurrence, moderate-to-severe disability) help physicians in optimizing secondary prevention strategies. The present paper reviews the most relevant published information concerning long-term prognosis and predictors of unfavorable outcomes of ischemic stroke affecting young adults. As a summary, we can conclude that, in the long term, stroke in the young adult increases slightly the risk of mortality, implies higher risk of future cardiovascular events, and determines functional limitations in a significant percentage of patients. Nevertheless, in every individual case the prognosis has to be considered depending on several factors (stroke subtype, initial severity, cardiovascular risk factors) that determine the long-term outcomes.