An "alarming" rise in the number of working-age men and women having strokes means it can no longer be seen as an older person's disease, a charity has warned.
The number of strokes occurring in men aged between 40 and 54 has gone up by 46% in less than 15 years, while it has risen by almost 30% in women, the Stroke Association said.
Overall, the number of strokes occurring in people of working age (20 to 64) rose by a quarter during the same period.
ITV's Rachel Younger reports:
Hospital admissions for stroke for 40-54-year-olds in England in 2014:
Stroke occurs when the blood supply to part of the brain is cut off. This is often the result of a blood clot, but can also be caused by high blood pressure.
The charity warned that figures have rocketed as people lead increasingly sedentary and unhealthy lifestyles.
The charity warned that more stroke victims of working-age will be forced to live with a loss of income due to death and disability - already costing £1.3 billion each year.
It called on employers to do more to recognise the symptoms of stroke and understand the needs of stroke survivors.
FAST - Recognising the signs of a stroke:
Face - the face may have dropped on one side, the person may not be able to smile or their mouth or eye may have drooped
Arms - the person with suspected stroke may not be able to lift both arms and keep them there because of arm weakness or numbness in one arm
Speech -their speech may be slurred or garbled, or the person may not be able to talk at all despite appearing to be awake.
Time - it is time to dial 999 immediately if you notice any of these signs or symptoms