Stroke

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STROKE Warning Signs

Stroke

NIH - Medical Encyclopedia: Stroke

"The goal is to get the person to the emergency room immediately, determine if he or she is having a bleeding stroke or a stroke from a blood clot, and start therapy -- all within 3 hours of when the stroke began."

Highlighted Article

Transient Ischemic Attack: A Dangerous Harbinger and an Opportunity to Intervene. (Semin Neurol. 2005)

"Transient ischemic attack (TIA) and ischemic stroke are both characterized by sudden onset of neurological symptoms due to focal cerebral ischemia, but they are distinguished by the duration of neurological symptoms, with TIA traditionally defined by resolution of symptoms within 24 hours and stroke reserved for symptoms of longer duration. ... The short-term risk of ischemic stroke after TIA is very high ..."

Stroke

Risk Reduction

NEWS:

Eat more healthy foods to cut stroke risk

Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis."CONCLUSIONS: In this study of patients with symptomatic carotid stenosis of 60% or more, the rates of death and stroke at 1 and 6 months were lower with endarterectomy than with stenting."

Stroke prevention guidelines focus more on patient

Stroke Risk Lower Among Statin Users "Statin use is associated with a lower risk of stroke -- but not stroke severity or mortality -- in patients with coronary heart disease ."

ARTICLES:

SPARCL: Stroke Prevention by Aggressive Reduction in Cholesterol Levels: On-treatment Analysis

JOURNAL ARTICLES:

Aspirin to Prevent Heart Attack and Stroke: What's the Right Dose? (The American Journal of Medicine 2006)

Fruit and vegetable consumption and stroke: meta-analysis of cohort studies. (Lancet. 2006)

Habitual green tea consumption and risk of an aneurysmal rupture subarachnoid hemorrhage: A case-control study in Nagoya, Japan. (Eur J Epidemiol. 2006) "BACKGROUND: Green tea, a popular beverage in Japan, contains many polyphenolic antioxidants, which might prevent cardiovascular disease. This study is designed to determine whether the consumption of green tea is associated with a reduced risk for subarachnoid hemorrhage (SAH) using a case-control study. . CONCLUSION: In a case-control study in Japan, we found that habitual green tea consumption may be strongly associated with a reduced risk for SAH. Our findings will be useful in targeting individuals and populations for the primary prevention of SAH."

Healthy Lifestyle and the Risk of Stroke in Women (Arch Intern Med. 2006) "Conclusions In this large prospective cohort of apparently healthy women, a healthy lifestyle consisting of abstinence from smoking, low body mass index, moderate alcohol consumption, regular exercise, and healthy diet was associated with a significantly reduced risk of total and ischemic stroke but not of hemorrhagic stroke. Our findings underscore the importance of healthy behaviors in the prevention of stroke."

Moderate alcohol consumption reduces risk of ischemic stroke: the Northern Manhattan Study. (Stroke. 2006)

Nutrition and Stroke Prevention. (Stroke. 2006) " . a Cretan Mediterranean diet, which is high in beneficial oils, whole grains, fruits, and vegetables and low in cholesterol and animal fat, has been shown to reduce stroke and myocardial infarction by 60% in 4 years compared with the American Heart Association diet. This effect is twice that of simvastatin in the Scandinavian Simvastatin Survival Study: a reduction of myocardial infarction by 40% in 6 years. Vitamins for lowering of homocysteine may yet be shown to be beneficial for reduction of stroke; a key issue is the high prevalence of unrecognized deficiency of vitamin B12, requiring higher doses of vitamin B12 than have been used in clinical trials to date. Efforts to duplicate with supplementation the evidence of benefit for vitamins E, C, and beta carotene have been largely fruitless."

Optimal dietary habits for the prevention of stroke. (Semin Neurol. 2006)

Polypill Strategy vs. Prevention Clinics for Stroke Prevention. (Cerebrovasc Dis. 2006)

Primary Prevention of Ischemic Stroke (Stroke. 2006) "Well-documented and modifiable risk factors include hypertension, exposure to cigarette smoke, diabetes, atrial fibrillation and certain other cardiac conditions, dyslipidemia, carotid artery stenosis, sickle cell disease, postmenopausal hormone therapy, poor diet, physical inactivity, and obesity and body fat distribution. Less well-documented or potentially modifiable risk factors include the metabolic syndrome, alcohol abuse, drug abuse, oral contraceptive use, sleep-disordered breathing, migraine headache, hyperhomocysteinemia, elevated lipoprotein(a), elevated lipoprotein-associated phospholipase, hypercoagulability, inflammation, and infection. Data on the use of aspirin for primary stroke prevention are reviewed."

Soy products and risk of an aneurysmal rupture subarachnoid hemorrhage in Japan. (Eur J Cardiovasc Prev Rehabil. 2006) CONCLUSION: The findings suggest that a diet high in soy products may be protective against the development of subarachnoid hemorrhage.

The protective effect of fish n-3 fatty acids on cerebral ischemia in rat hippocampus. (Neurochem Int. 2006) " The present findings suggest that fish n-3 EFA could decrease the oxidative status and apoptotic changes in ischemic rat hippocampal formation. Dietary supplementation of n-3 EFA may be beneficial to preserve or ameliorate ischemic cerebral vascular disease."

Weight reduction for primary prevention of stroke in adults with overweight or obesity. (Cochrane Database Syst Rev. 2006) "AUTHORS' CONCLUSIONS: Obesity seems to be associated with an increased risk of stroke and it has been suggested that weight loss may lead to a reduction of stroke occurrence. However, this hypothesis is not based on strong scientific evidence resulting from randomised controlled clinical trials. This systematic review identified the urgent need for well-designed, adequately-powered, multi centre randomised controlled trials assessing the effects of weight reduction in persons with overweight or obesity on stroke occurrence."

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