
Comment réduire votre risque d'accident vasculaire cérébral ?
Revu par Dr Krishna Vakharia, MRCGPDernière mise à jour par Victoria RawDernière mise à jour 5 Feb 2024
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Selon l'Association des AVC, chaque année, plus de 100 000 personnes au Royaume-Uni auront un AVC. Plus d'un tiers de ces personnes en mourront. Les AVC peuvent causer des dommages graves et irréversibles, mais jusqu'à 90 % d'entre eux pourraient être évités en adoptant un mode de vie plus sain.
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Prévention des AVC
Juliet Bouverie OBE, Chief Executive Officer, Stroke Association says: "Not all les AVC are avoidable, but as many as nine out of 10 could be prevented because they are linked to factors you can change or manage."
Contrary to popular belief, it's not just older people who need to know how to reduce their chance of stroke. While most cases occur in people aged over 65 years, a stroke can happen at any age.
Bouverie says: "Many people think that strokes only happen to older people. But stroke can strike anyone - at any time."
What happens during a stroke?
Retour au sommaireThere are two main types of stroke. A minority - 2-3 out of 20 strokes - involves a bleed into the brain. This happens when a blood vessel in the brain bursts. The rest are caused by a clot, which cuts off the blood flow through an artery in the brain.
In both of these, the blood supply that provides essential oxygen to your brain cells is suddenly cut off to a part of your brain. As a result, the affected cells become damaged or die.
Bouverie explains how serious this can be.
"The brain is the control centre for who you are and what you can do," she says. "The effects of a stroke can be life-changing for you and your family."
The potential outcomes following a stroke are varied depending on the extent of brain damage. They range from the relatively less serious and temporary effects to life-altering disabilities and even death. Stroke is the leading cause of adult disability and the fourth biggest cause of death in the UK.
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Stroke survivors speak out
Retour au sommaireUnfortunately, many people don't realise they're susceptible to stroke. In fact, according to a UK survey of stroke survivors by the Stroke Association in December 2021, more than four out of five said they hadn't realised their chance of stroke was high.
What's more, nine out of 10 stroke survivors would go back in time and urge their younger self to make lifestyle changes that may have prevented their stroke.
"When we asked stroke survivors what advice they would have given to their younger self and what changes they had made since their stroke, we were overwhelmed by the response, with more than 5,300 people contributing," says Bouverie.
Survey results
The top changes that stroke survivors would have urged their younger selves to make include:
Reduce stress levels - 46%.
Monitor blood pressure - 37%.
Eat a more balanced diet - 32%.
Exercise more frequently - 32%.
Lose a set amount of weight - 28%.
Stop smoking - 25%.
Drink less alcohol - 24%.
Monitor high cholesterol - 22%.
Reduce salt intake - 17%.
How to reduce the risk of stroke
Retour au sommaireBlood supply to the brain can be cut off in two ways:
Ischaemic strokes are caused by a blood clot.
Haemorrhagic strokes are caused by bleeding on the brain.
There are several conditions affecting the heart and blood vessels (arteries), known as contributing factors that increase the likelihood of these events.
These include:
Hypertension artérielle - the biggest single health hazard contributing to stroke. Hypertension artérielle can cause blood vessels in your brain to restrict and harden which can lead to a blood clot and can also cause a weakened blood vessel to burst.
Hypercholestérolémie - too much cholestérol in your blood can cause fatty deposits to build up which can restrict blood flow and cause clots.
Diabète - raised blood sugar (glucose) levels can damage and block blood vessels in the brain. However, it's important to note that only diabète de type 2 can be prevented through lifestyle changes.
Fibrillation auriculaire - this condition can disrupt the blood flow in the heart chambers which sometimes leads to a small clot that gets lodged in a brain blood vessel.
The good news is these can usually be prevented, managed, and improved through your lifestyle choices to minimise your chance of having a stroke.
Reema Pillai, a dietitian at Dietitian Fit, says: "Working on reducing your odds of developing certain conditions associated with stroke can help - such as obtaining optimal cholesterol levels and blood pressure."
Bouverie adds: "It's crucial that everyone knows that with some simple lifestyle changes, this likelihood could be reduced. The bonus is that these changes not only lower your chance of stroke but also bring a wide range of other health benefits."
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Addressing stress levels
Retour au sommaireThere is a growing body of des preuves linking high levels of niveaux de stress to stroke, as well as other diseases relating to the heart and blood vessels (cardiovascular diseases). In some severe cases, stress may place extra strain on your heart, resulting in raised blood pressure and blood sugar (glucose). Feeling highly stressed and following an unhealthy lifestyle often go hand in hand - further increasing poor physical and santé mentale.
Manger sainement
Retour au sommaireAltering your diet is one of the most effective methods of stroke prevention. This not only involves cutting back on unhealthy foods but making sure you're eating a nutritious and well-balanced diet.
Pillai says: "Choose to eat a diet high in fibre that is found in fruits, vegetables, beans, pulses nuts, and seeds."
Reducing salt intake
Reducing your salt intake should be a top priority. According to the World Health Organization (WHO), most people consume 9-12 grams a day of salt - twice the recommended maximum intake of 6 grams per day. This statistic is worrying, as salt is the main source of sodium which significantly contributes to high blood pressure.
Bouverie suggests switching to a reduced-sodium alternative such as LoSalt, while Pillai cautions against hidden salt in processed foods.
Limiting saturated fat
Saturated fats can raise your cholesterol levels and cause excess la prise de poids - a contributing factor for stroke, type 2 diabetes, and other cardiovascular diseases. One study suggests that cutting back on saturated fats for at least two years can significantly lower your chances of cardiovascular diseases like stroke.
Drinking less alcohol
Retour au sommaireFollowing the UK alcohol guidelines of up to 14 units per week is also important for stroke prevention. What's more, sensible drinking can benefit your health in many other ways, from treating anxiety to reducing your chance of serious diseases like maladie du foie et le cancer. There are many tips for reducing your intake. For example, the Stroke Association recommends introducing a number of alcohol-free days each week.
Perdre du poids
Retour au sommaireReaching and maintaining a healthy weight can also lower your likelihood of stroke. BMI calculators can help to indicate if you're carrying a dangerous amount of excess weight. If so, your chances of developing the main contributing factors associated with stroke increase. Being en surpoids ou souffrant d'obésité can lead to a multitude of issues to do with your heart, respiratory system, immune response, cartilage and bones, and mental health.
Arrêter de fumer
Retour au sommaireThere is a lot of strong evidence linking fumer - which transfers harmful chemicals into your bloodstream - to strokes. One study found that smokers were six times more likely to have a stroke than non-smokers who had never been exposed to second-hand smoke. Smoking also makes you twice as likely to die from a stroke.
Exercising
Retour au sommairePillai says: "Keeping active and taking part in exercice physique régulier provides a multitude of benefits, including helping to lower cholesterol and blood pressure, which can be contributing factors of a stroke."
You can participate in the Stroke Association's Stride for Stroke challenge - one step for each of the 1.3 million stroke survivors in the UK.
Monitoring your cholesterol and blood pressure
Retour au sommaireThe Stroke Association recommends having your cholesterol and blood pressure checked regularly. This means a blood pressure check at least once a year - and a cholesterol check at least every five years, or more frequently if advised by your healthcare professional.
Check-ups are important as these health issues typically cause no symptoms. Being aware of them will enable your doctor to recommend the appropriate treatment.
Sélections des patients pour AVC

Cerveau et nerfs
Comment repérer un mini-AVC : signes et symptômes précoces
Bien qu'un mini-AVC ne soit pas un AVC complet, les symptômes sont très similaires. Avec un mini-AVC, ces symptômes disparaissent complètement en 24 heures. Cependant, c'est toujours un signe d'avertissement important que votre risque d'avoir un AVC majeur à l'avenir a augmenté. Cela peut être un signal que vous êtes sur le point d'avoir un AVC complet, donc vous devriez agir immédiatement. Repérer les signes d'un mini-AVC est crucial pour obtenir de l'aide médicale et des conseils. Cela peut réduire considérablement votre probabilité d'épisodes futurs et le risque d'un AVC plus grave.
par Victoria Raw

Cerveau et nerfs
Votre guide pour la prévention des AVC
Chaque année, environ 100 000 personnes au Royaume-Uni subissent un AVC. Bien qu'il y ait environ 1,4 million de personnes au Royaume-Uni qui ont survécu à un AVC, beaucoup d'entre elles dépendent des autres pour leurs soins en conséquence. Connaître vos facteurs de risque, les faire traiter et apporter des changements simples à votre mode de vie peut réduire considérablement votre risque d'AVC.
par Lynn Stephen
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À propos de l'auteurVoir la biographie complète

Amberley Davis
Rédacteur senior
BA (Hons), CPD
Amberley est une rédactrice senior chez Patient et a écrit de manière approfondie sur une gamme de sujets liés à la santé et au bien-être.
À propos du critiqueVoir la biographie complète

Dr Krishna Vakharia, MRCGP
Médecin-chef pour la santé, Optum UK
MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)
Le Dr Krishna Vakharia est un médecin généraliste du NHS. Elle est également examinatrice régulière pour le diplôme de troisième cycle en dermatologie pratique à l'Université de Cardiff, ainsi que médecin-chef pour la santé chez Optum UK.
Historique de l'article
Les informations sur cette page sont examinées par des cliniciens qualifiés.
Next review due: 5 Dec 2027
5 Feb 2024 | Dernière version
4 fév 2022 | Publié à l'origine
Écrit par :
Amberley Davis

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