Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services
Introduction: Stroke is a major cause of mortality and disability worldwide. It is one of the foremost non-communicable diseases and the third leading cause of death in Bangladesh. Bangladesh is a developing country and as such, the prevalence, risk factors and management of the condition has some d...
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MDPI AG
2025-02-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/12/2/58 |
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| author | Mudasar Aziz Naznin Bipasha Udit Gupta Isabela V. P. Ramnarine Jessica Redgrave Ali N. Ali Arshad Majid Simon M. Bell |
| author_facet | Mudasar Aziz Naznin Bipasha Udit Gupta Isabela V. P. Ramnarine Jessica Redgrave Ali N. Ali Arshad Majid Simon M. Bell |
| author_sort | Mudasar Aziz |
| collection | DOAJ |
| description | Introduction: Stroke is a major cause of mortality and disability worldwide. It is one of the foremost non-communicable diseases and the third leading cause of death in Bangladesh. Bangladesh is a developing country and as such, the prevalence, risk factors and management of the condition has some differences with more Westernised populations. In this review, we look at the epidemiology of stroke in Bangladesh and what barriers exist to improving stroke care in this country. Methods: A systematic search of the PubMed database, Mymensingh Medical Journal, Bangladesh Journal of Neuroscience and Google Scholar was conducted for articles relating to stroke in Bangladesh. Results: The incidence of stroke in Bangladesh is 3 strokes per 1000 people. The prevalence of haemorrhagic stroke is higher than in Western populations, and novel risk factors such as sitting in a squatting position and betel nut chewing increase a Bangladeshi’s stroke risk. A lack of education on stroke symptoms and a poor internal infrastructure are the main barriers to improving stroke care in this country. Conclusions: Stroke in Bangladesh is associated with traditional risk factors and non-traditional risk factors that are behaviourally ingrained into the local culture. Improved outcomes for these patients will rely on education programmes for the population, a regard for these risk factors and improving the availability of evidence-based treatments. Innovative approaches from policy decision makers to enhance equitable access to stroke services may help in providing stroke care in Bangladesh. |
| format | Article |
| id | doaj-art-a8e5dcf13d54469883af14e2f2a80025 |
| institution | DOAJ |
| issn | 2308-3425 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj-art-a8e5dcf13d54469883af14e2f2a800252025-08-20T02:44:42ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252025-02-011225810.3390/jcdd12020058Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke ServicesMudasar Aziz0Naznin Bipasha1Udit Gupta2Isabela V. P. Ramnarine3Jessica Redgrave4Ali N. Ali5Arshad Majid6Simon M. Bell7Sheffield Institute of Translational Neuroscience, University of Sheffield, Sheffield S10 2GF, UKDepartment of Neurology, University Hospitals Southampton, Southampton SO16 6YD, UKSheffield Institute of Translational Neuroscience, University of Sheffield, Sheffield S10 2GF, UKSheffield Institute of Translational Neuroscience, University of Sheffield, Sheffield S10 2GF, UKSheffield Institute of Translational Neuroscience, University of Sheffield, Sheffield S10 2GF, UKSheffield Institute of Translational Neuroscience, University of Sheffield, Sheffield S10 2GF, UKSheffield Institute of Translational Neuroscience, University of Sheffield, Sheffield S10 2GF, UKSheffield Institute of Translational Neuroscience, University of Sheffield, Sheffield S10 2GF, UKIntroduction: Stroke is a major cause of mortality and disability worldwide. It is one of the foremost non-communicable diseases and the third leading cause of death in Bangladesh. Bangladesh is a developing country and as such, the prevalence, risk factors and management of the condition has some differences with more Westernised populations. In this review, we look at the epidemiology of stroke in Bangladesh and what barriers exist to improving stroke care in this country. Methods: A systematic search of the PubMed database, Mymensingh Medical Journal, Bangladesh Journal of Neuroscience and Google Scholar was conducted for articles relating to stroke in Bangladesh. Results: The incidence of stroke in Bangladesh is 3 strokes per 1000 people. The prevalence of haemorrhagic stroke is higher than in Western populations, and novel risk factors such as sitting in a squatting position and betel nut chewing increase a Bangladeshi’s stroke risk. A lack of education on stroke symptoms and a poor internal infrastructure are the main barriers to improving stroke care in this country. Conclusions: Stroke in Bangladesh is associated with traditional risk factors and non-traditional risk factors that are behaviourally ingrained into the local culture. Improved outcomes for these patients will rely on education programmes for the population, a regard for these risk factors and improving the availability of evidence-based treatments. Innovative approaches from policy decision makers to enhance equitable access to stroke services may help in providing stroke care in Bangladesh.https://www.mdpi.com/2308-3425/12/2/58Bangladeshstrokeprevalenceincidencemanagementservices |
| spellingShingle | Mudasar Aziz Naznin Bipasha Udit Gupta Isabela V. P. Ramnarine Jessica Redgrave Ali N. Ali Arshad Majid Simon M. Bell Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services Journal of Cardiovascular Development and Disease Bangladesh stroke prevalence incidence management services |
| title | Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services |
| title_full | Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services |
| title_fullStr | Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services |
| title_full_unstemmed | Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services |
| title_short | Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services |
| title_sort | stroke in bangladesh a narrative review of epidemiology risk factors and acute stroke services |
| topic | Bangladesh stroke prevalence incidence management services |
| url | https://www.mdpi.com/2308-3425/12/2/58 |
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