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Stroke in rural coastal Ecuador: a community‐based survey
Stroke will be South America's next epidemic. Therefore, information on stroke particularities in the region will help to overcome its impact burden. We evaluated prevalence, pattern of sub‐types, and pathogenic mechanisms underlying stroke in Atahualpa, a village representative of rural coastal Ecuador. In a three‐phase epidemiologic study, suspected cases were detected by a door‐to‐door survey (Phase I). Then, neurologists evaluated suspected cases and randomly selected negative persons (Phase II), and confirmed patients underwent complementary exams (Phase III). We found 20 stroke patients (mean age 70 years, 60...
Source: International Journal of Stroke - August 1, 2013 Category: Neurology Authors: Oscar H. Del Brutto, Milton Santamaría, Mauricio Zambrano, Ernesto Peñaherrera, Freddy Pow‐Chon‐Long, Victor J. Del Brutto, Elio. Ochoa, Elsy Valdiviezo, Rocío Santibáñez Tags: Panorama Source Type: research

Door‐to‐door survey of cardiovascular health, stroke, and ischemic heart disease in rural coastal Ecuador – the Atahualpa Project: methodology and operational definitions
DiscussionImplementation of public health strategies directed to improve the cardiovascular health status of a given population must be based on studies evaluating specific risk factors at regional levels. Epidemiologic surveys such as the Atahualpa Project may prove cost‐effective in improving the cardiovascular health status of people living in Latin American rural villages by increasing the knowledge on the particular needs of these populations.
Source: International Journal of Stroke - March 19, 2013 Category: Neurology Authors: Oscar H. Del Brutto, Ernesto Peñaherrera, Elio Ochoa, Milton Santamaría, Mauricio Zambrano, Victor J. Del Brutto, Tags: Protocols Source Type: research

Population-based study of cardiovascular health in Atahualpa, a rural village of coastal Ecuador
The American Heart Association (AHA) recently defined the metrics needed to categorize cardiovascular health (CVH), to implement strategies directed to reduce vascular deaths among US populations . The same could be applied to developing countries, where stroke and cardiovascular diseases will be the next health epidemics due to changes in lifestyle and increased life expectancy . Indeed, the rate of vascular deaths in Latin America is higher than in the developed world; this excess mortality fraction could be related to modifiable factors, including: inadequate access to medical care, increasing obesity and diabetes melli...
Source: International Journal of Cardiology - February 13, 2013 Category: Cardiology Authors: Oscar H. Del Brutto, Milton Santamaría, Elio Ochoa, Ernesto Peñaherrera, Rocío Santibáñez, Freddy Pow-Chon-Long, Mauricio Zambrano, Victor J. Del Brutto Tags: Letters to the Editor Source Type: research