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Stroke, Vol 20, 1581-1585, Copyright © 1989 by American Heart Association

ARTICLES

Stroke in the People's Republic of China

FL Shi, RG Hart, DG Sherman and CH Tegeler
Neurology Department, First Affiliated Hospital, Kunming Medical College, People's Republic of China.

Recent epidemiologic studies confirm that stroke is the most frequent cause of death in the People's Republic of China, with an incidence (219/100,000 people) more than fivefold that of myocardial infarction. Intracerebral hemorrhage causes about one third of all strokes, nearly three times the frequency in North American stroke registries. A marked regional variation in stroke incidence exists, with a threefold higher stroke incidence in northern than in southern Chinese cities, suggesting important environmental or dietary influences. Stroke treatment often involves a combination of modern and traditional herbal medicine; the latter may modify platelet aggregation and blood viscosity. Stroke, particularly intracerebral hemorrhage, is the most frequent and important vascular disorder in the People's Republic of China.

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