An Examination of Stroke Risk and Burden in South Asians

Vineeta Singh*, Shyam Prabhakaran, Seemant Chaturvedi, Aneesh Singhal, Jeyaraj Pandian

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background South Asians (India, Pakistan, Sri Lanka, Bangladesh, Nepal, and Bhutan) are at a disproportionately higher risk of stroke and heart disease due to their cardiometabolic profile. Despite evidence for a strong association between diabetes and stroke, and growing stroke risk in this ethnic minority—notwithstanding reports of higher stroke mortality irrespective of country of residence—the explanation for the excess risk of stroke remains unknown. Methods We have used extensive literature review, epidemiologic studies, morbidity and mortality records, and expert opinions to examine the burden of stroke among South Asians, and the risk factors identified thus far. Results We summarize existing evidence and indicate gaps in current knowledge of stroke epidemiology among South Asian natives and immigrants. Conclusions This research focuses attention on a looming epidemic of stroke mainly due to modifiable risk factors, but also new determinants that might aggravate the effect of vascular risk factors in South Asians causing more disabling strokes and death.

Original languageEnglish (US)
Pages (from-to)2145-2153
Number of pages9
JournalJournal of Stroke and Cerebrovascular Diseases
Volume26
Issue number10
DOIs
StatePublished - Oct 1 2017

Keywords

  • South Asians
  • Stroke
  • epidemiology
  • immigrants
  • race and ethnicity
  • special populations

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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