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Neurology® Podcast

Association of Smoking and Young Cryptogenic Ischemic Stroke

Mar 20, 2025
Dr. Phillip Ferdinand, a stroke physician at Royal Stoke University Hospital and Keele University, shares insights on the alarming association between smoking and cryptogenic ischemic strokes in young adults. He discusses how smoking intensity correlates with stroke incidence, particularly in males aged 18 to 49. The conversation touches on rising trends in stroke incidents among younger populations and highlights the importance of evaluating social determinants of health. Ferdinand emphasizes the need for tailored prevention strategies and further research into smoking's impact on stroke outcomes.
15:29

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Quick takeaways

  • Young smokers face a significantly increased risk of cryptogenic ischemic stroke, particularly men with a fourfold increase for heavy smokers.
  • The study highlights the impact of social determinants, such as education level, on the relationship between smoking and stroke risk in young adults.

Deep dives

Association Between Smoking and Cryptogenic Stroke

A significant correlation exists between smoking and the occurrence of cryptogenic stroke in young individuals, particularly among men. The analysis from the CRETO study indicated that young smokers faced a nearly two and a half times higher risk of stroke when compared to non-smokers, with the association being even stronger for men, reaching over three times the risk. Furthermore, the study highlighted a dose-dependent relationship wherein heavier smokers, defined as those with over 20 pack years, exhibited a fourfold increase in stroke risk. This relationship underscores the importance of targeting smoking cessation as a critical preventative measure for stroke in this demographic.

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