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Stroke Center
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STROKE - ARTICLES |
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NEW Dealing with arteriovenous malformation of the brain
August 29, 2008
Arteriovenous malformation of the brain may cause headaches and other symptoms. It commonly goes undiagnosed, even though usually present from birth, Endovascular surgery can deal with the problem which, untreated, may lead to fatal hemorrhaging.
NEW Migraine with aura increases stroke risk in women
August 29, 2008
Migraine with aura appears to be a risk factor for stroke in women, according to a new study. But the absolute risk is modified by other stroke risk factors. Migraine may cause changes in the brain that predispose to stroke.
Neurological abnormalities may precede stroke
July 18, 2008
Subtle neurological abnormalities may be important indicators of serious health issues. A study shows that reduced reflexes, lack of balance and other signs are linked to increased risk of stroke in the next few years.
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.
How To Prevent Another Stroke
January 22, 2007
After someone has experienced a stroke, apart from working to ensure full recovery, it's important to know what to do to prevent another stroke. The National Stroke Association's publication "HOPE: The Stroke Recovery Guide" contains information about preventing a second stroke; we reproduce an extract from it, here.
Exercising Restraint in Stroke Therapy
November 21, 2006
Constraint-induced movement therapy for stroke victims - restraining the non-affected arm while exercising the affected side - has received a boost from a study that yields improved recovery measurements.
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.
How to Grade a TIA
May 8, 2006
Ten percent of transient ischemic attacks (TIAs) are followed by a stroke within a week. Scoring the TIA symptoms can help determine which patients are at a greater risk (36%), and which are at low risk (below 2%) of having a stroke . . .
Obesity Surgery and High Blood Pressure
April 24, 2006
Bariatric surgery (stomach surgery for obesity) is effective in reducing weight, the body mass index (BMI), and lowering high blood pressure. Some obese patients who had the procedure were able to come off their anti-hypertensive medications . . .
Fried, Broiled, or Baked Fish?
March 13, 2006
It's long been known that cardiovascular disease is greater in people who eat fried fish rather than baked or broiled fish. Now the extensive study summarized here helps pinpoint the effects of these two food types on heart structure and function.
Should You Be Taking an Aspirin a Day?
February 27, 2006
A pooled analysis of clinical studies shows that the protective effect of aspirin on cardiovascular disease is different in women than in men. Men have their risk of heart attack reduced, while women have fewer strokes. This report may help you decide if you should be taking aspirin, but check with your doctor first!
Don't Stop Your Aspirin Without Good Reason!
November 7, 2005
Stopping long-term aspirin therapy can, if you're at risk, lead to a rebound effect that may precipitate a thrombosis causing a stroke, a TIA, or an acute coronary problem . . .
Driving After a Stroke Or Another Severe Illness
October 25, 2005
This article summarizes a Belgian study showing that a driving simulator can help stroke victims improve their driving skills. And it gives advice to people faced with the prospect of renewing their driving abilities.
Once Again, Do You Know Your CRP?
February 11, 2005
Two new studies show that a high CRP level is just as important as a high LDL cholesterol level in assessing the risk of heart attack. And someone with a low LDL cholesterol level may, in fact, have a high CRP level . . .
Even Newer Cholesterol Guidelines
September 3, 2004
Since 2001, when the National Cholesterol Education Program issued guidelines, results from 5 large studies of statins have led to even lower goals for LDL-cholesterol levels . . .
Secondhand Smoke is Also Lethal
September 3, 2004
Passive smoking - secondhand smoke - is associated with an increased death rate, and probably with an increased rate of heart attack, as shown by two recent studies.
Tooth Brushing, Flossing, AND a Mouthwash Can Help Prevent Stroke
July 29, 2004
A study has shown that adding the right mouthrinse to your regular toothbrush- and flossing-routine can lower your risk of having a stroke.
Should We Put Statins in the Drinking Water?
May 19, 2004
If some is good, is more better? It seems so, when it comes to the statin drugs. Two studies have shown greater benefits of statin therapy when the cholesterol-lowering effect is increased.
Can Eating Fruit and Vegetables Lower Your Risk of a Stroke?
October 15, 2003
A Danish study has examined whether increasing the intake of fruit and vegetables influences the likelihood of developing a stroke. . .
Can One or Two Drinks a Day Benefit People After a Stroke?
August 21, 2003
People with a history of stroke may have been advised by their physicians to avoid alcohol, but a new study shows that light to moderate drinking may have some benefits.
Take a Pill Every Day and Live Longer?
July 25, 2003
Two British physicians, after analyzing over 750 clinical trial involving 400,000 patients, have proposed that a "Polypill" containing a statin drug, three blood pressure drugs (at half dose), folic acid, and aspirin might cut the rate of heart attack and stroke by over 80%, giving many people an extra 15 years of life.
High Blood Pressure in Europe Compared to the USA and Canada
July 18, 2003
High blood pressure leads to stroke, and both conditions are considerably more common in European countries than in the USA and Canada. If we know why this is so, we may be better able to prevent both conditions.
How Weight Loss Helps Your Heart
June 5, 2003
A recent study has found that certain markers of inflammation and insulin resistance are reduced in obese women who lose weight.
Statins Work Even When the Cholesterol Isn't Raised
May 22, 2003
Statins lower total and LDL cholesterol, and reduce fatal and non-fatal heart attacks and strokes. Now it's becoming clear that these benefits are independent of the initial lipid levels . . . .
Another Look at Alcohol and Stroke
March 28, 2003
An analysis of 35 studies shows that a moderate intake of alcohol cuts the risk of stroke. But 5 or more drinks a day has the opposite effect - an increased risk of stroke.
Stroke Can be Prevented
January 24, 2003
The risk factors for having a stroke have long been known. Now it's possible to put numbers on the reduction in risk with various preventive treatments. Find out what needs to be done . . . .
An Easy Way To Brighten Someone's Day
December 6, 2002
Here's something almost anyone can do, to brighten up a Nursing Home resident's day. It shows you exactly how to become a 'Nursing Home Pen Pal'.
Vegetable Fats Figure into Reduced Stroke Risk
September 18, 2002
It's known that a heart-healthy diet can reduce the risk of having a stroke. But what components of such a diet provide this benefit? A new study suggests that vegetable fatty acids may be responsible, at least in part ...
An Aspirin a Day Keeps the Doctor Away, Doesn't it?
August 1, 2002
Many people take an aspirin a day to ward off heart attacks. But there are no effective treatments without some risks. Is daily aspirin be right for you?
Folate May Lower Stroke Risk
June 20, 2002
Are you familiar with folate? You should be. A new study says that a folate-rich diet can help reduce the risk of stroke.
A High Level of Triglycerides? (Part II)
June 14, 2002
This is the second part of Dr Anita's review of elevated serum triglycerides, what a raised level may mean, and how you can cope with it.
Atrial Fibrillation -- What's New
June 4, 2002
People quite often complain of a fluttering in their chest, or that their heart is beating erratically. Atrial fibrillation is the commonest cause of an irregular heartbeat. Here's a summary of what's known about the condition, and its present-day management.
A High Level of Triglycerides? (Part I)
May 27, 2002
Among your blood test readings you have no doubt also seen an item called "triglycerides", and especially if they have been marked as elevated, you will have asked yourself what these substances actually are, what their role in your body is, but, most of all, what excess triglycerides may mean for your health.
ARBs Do More Than Just Lower Blood Pressure
May 7, 2002
The latest blood pressure lowering drugs - the ARBs - are relatives of the ACE inhibitors. Are there important differences between the two drug classes in their effectiveness and side effects?
Rehab After a Stroke
April 12, 2002
Most stroke patients get physical therapy to help with their rehab. However, the results achieved may be less than one hoped. It may be time to consider changes in the traditional physical therapy approach . . . .
High Triglycerides Tied to Stroke Risk
February 8, 2002
A new study has identified a link between blood triglyceride levels and the risk of stroke.
Surgery to Prevent Stroke in the Over 75s
November 28, 2001
Aggressive treatment in someone over 75 is often avoided, for various reasons. This is wrong, as this analysis of the use of carotid artery surgery to prevent stroke shows...
Keeping Your Mouth Healthy May Help Prevent Stroke
July 2, 2001
Think the way you care for your teeth and gums affects only your mouth? Think again.
Fish Appears to Reduce Stroke Risk in Women
February 19, 2001
What makes fish such a central part of a healthful diet? Part of the answer is omega-3 fatty acids, a type of fat that appears to reduce stroke risk in women.
The treatment of stroke
October 17, 2000
Stroke is the third leading cause of death and the leading cause of disability in the USA. Today, there are a number of treatment options available, and these are reviewed here.
Can Vitamin E Help Women Avoid Stroke?
September 7, 2000
Many people believe that they need to fight disease with an arsenal of dietary supplements. That arsenal often includes vitamin E. This may not be the best nutrition strategy.
The hidden cost of caregiving
July 21, 2000
Caring for an elderly person with disabilities is, or can be, extremely stressful. The result is caregiver burnout, which may lead to actual physical or mental illness. A recent study has examined the death rates for spousal caregivers .
Stroke rehabilitation - a new approach?
June 16, 2000
A new technique for rehabilitating stroke patients, called constraint-induced movement therapy, forces the use of the paralyzed arm for most of the waking hours by restricting all movement of the less-affected arm.
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.
How to eat if you have high blood pressure
May 25, 2000
In more than 90% of people with hypertension, there is no obvious organic cause for the increase in pressure. This is the most common form of high blood pressure and is called .
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.
Preventing a Stroke
May 26, 1999
Stroke is a leading cause of death and disability in older persons. The National Stroke Association recently established an Advisory Board to review published guidelines and make consensus statement about how the risk of having a stroke can be reduced.
The members of the Board identified the following risk factors: high blood pressure, a heart attack (myocardial infarction, or MI), raised blood cholesterol, the irregular heart beat known as atrial fibrillation, diabetes, narrowed carotid arteries, and 4 important lifestyle ingredient -- smoking, alcohol use, exercise and diet.
Risk of stopping high blood pressure medication
January 6, 1999
High blood pressure (hypertension) is the most important risk factor for intracerebral (within-brain) hemorrhage (ICH), one form of stroke. About a third of all people having this form of stroke die within 30 days, and many of the rest are left with serious permanent disability. It is thought that raised blood pressure causes weakening of the walls of the small arteries in the brain, so that they are more likely to rupture. A team in Australia has done a study to see what are the important risk factors in hypertensive patients who have such a stroke.

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