Each year, research estimates about 795,000 people in the United States have strokes with about 610,000 of these cases being first strokes. Nearly 1 in 4 people who survive a stroke will have another stroke.
Ischemic strokes make up about 87% of all strokes. Hemorrhagic strokes make up the remaining 13%.
Stroke is a leading cause of death and disability in the United States. People of all ages and backgrounds can have a stroke. However, some demographic factors put certain people at higher risk of stroke or death from stroke. These include:
- Race/ethnicity. African Americans have almost two times the risk of White people of having a first stroke. Hispanic Americans and American Indian/Alaska Natives are at greater risk than White people are for having a stroke but are at less risk than African Americans. African Americans and Hispanics are more likely than White people to die after having a stroke.
- Age. Stroke risk increases with age but can happen at any age.
- Geography. The highest U.S. death rates from stroke occur in the southeastern United States.
- Gender. Men are more likely than women to have a stroke.
Certain lifestyle factors and conditions also increase the risk for stroke. The most important of these include:
- High blood pressure
- Diabetes
- Heart disease (such as atrial fibrillation)
- Previous stroke or transient ischemic attack
- Cigarette smoking
Additional risk factors include:
- Physical inactivity
- Overweight or obesity
- High cholesterol
- Sickle cell disease
- Drinking too much alcohol
- Family history of stroke
- Drug use
- Genetic conditions, such as blood-clotting or vascular disorders (for example, Factor V Leiden or CADASIL)
- Certain medications (such as hormonal birth control pills)
- Being pregnant
- Menopause
Lesser risk factors include:
- Head and neck injuries
- Recent viral or bacterial infections
Amplification of risk occurs when a person has more than one of the previously listed risk factors. This means that the combined risk of two or more risk factors is greater than simply adding their effects.1,2