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Cerebrovascular Center
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CEREBROVASCULAR - ARTICLES |
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 Treatment of post-stroke depression is worthwhile
June 20, 2008
Depression is common after a stroke. But a new study shows that medication or therapy can help.
Hormone therapy is linked to increased stroke risk among women.
May 9, 2008
Hormone replacement therapy could increase a woman's risk of having a stroke, according to a new study. The risk is present whatever the timing of the start of hormone treatment and whatever medication regime is used.
As Stroke Decreases, Dementia Increases
June 5, 2006
Death from stroke has decreased in recent years. However, the occurrence of vascular dementia - the second-most common type after Alzheimer's - has increased in the survivors, according to the study summarized here.
Preventing Cardiovascular Disease with One Pill?
July 25, 2003
Two British physicians, after analyzing over 750 clinical trial involving 400,000 patients, have proposed the development of a "Polypill" containing a statin, three antihypertensives (at half dose), folic acid, and aspirin. If taken by everyone over 55, the rate of heart attack and stroke would be cut by over 80%.
Prevalence of Hypertension in Europe and North America
July 18, 2003
A new study reveals considerable differences in the average blood pressure and the prevalence of hypertension between European countries and the USA and Canada. Recognition and treatment of hypertension appears to be even worse in Europe than in the United States.
A Meta-analysis of Alcohol and Stroke
March 28, 2003
A meta-analysis of 35 studies shows a J-shaped curve for a 'protective' effect of alcohol consumption on the risk of stroke - both ischemic and hemorrhagic.
Lycopene Shown to Block Early Signs of Atherosclerosis
February 14, 2003
A study of carotid artery intimal wall thickness expands on what we know of the connection between serum lycopene status and cardiovascular disease.
Measures to Prevent Stroke
January 24, 2003
A rigid review of the evidence in favor of different measures for the primary and secondary prevention of stroke has been published. Here's a summary.
Polyunsaturated Fat May Protect Against Stroke
September 18, 2002
It's known that "heart-healthy" diets can reduce the risk of ischemic stroke. But what component is responsible for this benefit? A new study suggests that a polyunsaturated fat - linoleic acid - may be an important factor...
Vitamin C Status Linked to Stroke Risk
July 16, 2002
A new study adds to what clinicians know about the link between vitamin C status and the risk of stroke.
Survey Data Ties Folate to Reduced Stroke Risk
June 20, 2002
Are your patients familiar with folate? They should be. A new study shows that a folate-rich diet is associated with a reduced risk of stroke.
Atrial Fibrillation - Update
June 4, 2002
As we learn more, the management of atrial fibrillation is moving from control and combating the condition towards finding the best way to cure it. Here is a summary of a recent broad review of the condition and its treatment.
Are ARBs better than ACE-inhibitors?
May 7, 2002
Both ARBs and ACE inhibitors interfere with angiotensin's effects, leading to their therapeutic effectiveness. But are there differences between the two drug classes? And are these differences clinically relevant?
Physical Therapy in Stroke
April 12, 2002
Just how useful is physical therapy for the stroke patient? It may be time to rethink the routine approaches, in favor of more innovative treatment techniques . . . . .
Potassium May Curb Stroke Risk
December 6, 2001
Scientists looking for a lead on how to prevent strokes have been taking a closer look at potassium - a mineral that may reduce risk through blood pressure control.
Carotid Endarterectomy in the Very-Old at Risk of Stroke
November 28, 2001
Aggressive treatment in the very-old (the over 75s) is often avoided, for a variety of reasons. This is wrong, as shown by this analysis of carotid endarterectomy in elderly patients at risk of stroke...
High HDL Cholesterol Protective Against Stroke
August 14, 2001
A new study focuses on an apparent link between HDL cholesterol and stroke risk.
Treating acute ischemic stroke
October 17, 2000
Ischemic stroke is the third leading cause of death and the leading cause of disability in the USA. There are a number of treatment options available in the acute phase, and two experts in the field have recently reviewed the clinical evidence for their use.
Caregivers at risk
July 21, 2000
Caring for an elderly person with disabilities is a stressful occupation and can often result in caregiver burnout that may be expressed in physical or psychiatric illness. For the first time, a formal study has been made of the role of caregiving as a risk factor for mortality .
Stroke rehabilitation - constraint-induced movement therapy
June 16, 2000
Constraint-induced movement therapy forces the use of the paretic arm for 90% of waking hours by applying constraint to the less-affected arm. Concentrated, repetitive training of the affected arm is given, 6 hours a day, for a 2-3 week period.
How To Spot Caregiver Burnout
June 8, 2000
The risk of burnout by family caregivers is well known, and it's important to be able to recognize the signs, so that timely help can be given. Here is a list.
The catastrophic nature of the sudden need for long-term care
April 14, 2000
Four days later, in the Neurological Intensive Care Unit, your attending physician explains that you've had a "cerebral vascular accident," a stroke. Talk will soon turn to post discharge planning, skilled nursing facilities, adult day care, speech therapy, and the "spend down" of your life savings. Your children, scattered across the country, and with families of their own, are torn between the need to protect the continuity of their own lives, and their roles as potential caregivers.
Risk factors for cerebral hemorrhage in hypertensive patients
January 6, 1999
It is well recognized that hypertension is the most important risk factor for intracerebral hemorrhage (ICH).
It is thought that raised blood pressure causes degenerative changes in the walls of the small arteries,
rendering them more likely to rupture.
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