Cerebral Atherosclerosis: Medical History

Medical history (history of illness) represents an important component in the diagnosis of cerebral atherosclerosis (atherosclerosis, hardening of the arteries). Family History

  • Are there any diseases of the cardiovascular system (e.g., coronary artery disease (CAD), myocardial infarction/heart attack) in your family that are common?

Social history

  • What is your profession?
  • Is there any evidence of psychosocial stress or strain due to your family situation?

Current medical history/systemic history (somatic and psychological complaints).

  • What symptoms have you noticed?
  • Did you experience any visual disturbances, headaches or dizziness?* .
  • Have you noticed any limitations in the mobility/strength of your arms/legs?* .
  • Did you experience any sensory disturbances?*
  • When did these symptoms occur?
  • How long did they last?
  • Have these symptoms occurred before?

Vegetative anamnesis including nutritional anamnesis.

  • Please tell us your body weight (in kg) and height (in cm). [
  • Do you get enough exercise every day?
  • Do you smoke? If so, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?
  • Do you use drugs? If yes, which drugs and how often per day or per week?

Self history incl. medication history.

  • Pre-existing conditions (cardiovascular disease, cardiac arrhythmias, diabetes mellitus (diabetes), dyslipidemia).
  • Operations
  • Allergies
  • Medication history

Medication history (due torisk factor apoplexy/stroke).

  • ALLHAT study: doxazosin patients had higher risk of stroke and combined cardiovascular disease than chlorthalidone patients. The risk of CHD was doubled (Davis et al 2000).
  • Nonsteroidal anti-inflammatory drugs (NSAIDs: ibuprofen, diclofenac, etc.).
  • Oral contraceptives (birth control pills).

Environmental history

  • Air pollutants: particulate matter

* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)