(1) Family history of cerebrovascular diseases. Like hypertension, cerebrovascular disease also has genetic factors, especially immediate family members, such as parents, brothers and sisters, who have a history of cerebrovascular disease, are more likely to get such diseases than ordinary people.
(2) People with hypertension or a history of hypertension. According to statistics, 80% of patients with cerebrovascular diseases have hypertension or a history of hypertension. Even asymptomatic hypertension is four times more likely to suffer from cerebrovascular diseases than normal people. Hypertension is considered to be the most important risk factor for cerebrovascular diseases.
(3) Diabetes metabolic disorder The disorder of glucose metabolism and fat metabolism in diabetic patients can cause cardiovascular diseases, especially microangiopathy, and increase the risk of arteriosclerosis and cerebrovascular diseases.
(4) Heart diseases, especially coronary heart disease, cardiac enlargement, arrhythmia, atrial fibrillation, cardiac insufficiency, etc., all reduce cerebral blood flow to varying degrees and increase the risk of cerebrovascular diseases.
(5) Transient ischemic attack, commonly known as "small stroke", is often a prelude to cerebrovascular disease. If it recurs, it will develop into a complete cerebrovascular disease sooner or later.
(6) Cerebral arteriosclerosis is the pathological basis of cerebrovascular diseases. The intima of cerebral artery thickens and the lumen narrows, resulting in insufficient blood supply to the brain.
(7) Others, such as obesity, eating fat, hyperlipidemia, excessive addiction to alcohol and tobacco, bad temper, less physical activity, congenital cerebral artery malformation and cervical spondylosis, and frequent dizziness.
(8) Patients with blood stasis in TCM include collagen diseases, gout and macroglobulinemia.
There are also some middle-aged and elderly people who have no discomfort, but have abnormalities in objective physical examination, such as increased blood viscosity and enhanced platelet aggregation ability, which reflect changes in hemorheology and are prone to thrombosis. Some hypertensive patients do not insist on antihypertensive treatment, which increases the risk of cerebrovascular disease.