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Stroke Archive

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High blood pressure? Treat the risk, not the number

People with a high risk for heart attacks and strokes might benefit from taking blood pressure–lowering medications, even if their blood pressure is in the normal or "high normal" range and they have no clear signs of cardiovascular disease.

Reducing heart risks in the wake of breast cancer treatment

Hormone therapy is a highly successful breast cancer treatment for women, but it can elevate cardiovascular risk. Women can reduce those risks by being vigilant about their heart health and working closely with their doctors. Women who have taken or are taking these medications as part of breast cancer treatment should focus on adopting a healthy lifestyle, exercising regularly, and keeping close tabs on their blood pressure, cholesterol levels, and blood sugar levels.

Look inside your heart

The traditional measures to gauge heart disease risk don’t always tell the whole story. Sometimes more medical information is needed. An increasingly used test to predict a person’s risk for heart attack or stroke is a coronary artery calcium scan. It measures the amount of calcified plaque in the heart’s arteries, high levels of which suggest higher overall plaque buildup. The number can determine if people should begin statin therapy and make additional lifestyle changes.

Screening for atrial fibrillation: An update

Atrial fibrillation (afib), an often-silent heart rhythm disorder, increases the risk of stroke. Early detection may enable people to start taking anti-clotting drugs to prevent a stroke. Current afib screening methods include asking people about afib symptoms and taking an electrocardiogram during routine check-ups. Wearable devices such as smart watches and fitness trackers can detect afib, but they aren’t yet accurate enough to be used for widespread screening.

What's the relationship between diabetes and dementia?

It has been known for many years that type 2 diabetes increases a person’s risk for stroke and heart disease, and more recent studies have shown that diabetes also increases risk of dementia. But new research examined the association between when a person first is diagnosed with diabetes and their risk of developing dementia later.

Which disease starts first?

Among atherosclerosis, obesity, high blood pressure, high cholesterol, and diabetes, which are all related, cholesterol deposits start first.

Do I need to take my blood pressure in both arms?

Taking blood pressure readings in both arms can help reveal potential heart risks.

Advice about daily aspirin

The heart-protecting benefits of a daily low-dose aspirin have to be weighed against the risk of bleeding, a common side effect that is usually minor but sometimes serious. The calculation depends on age and whether a person has cardiovascular disease, diabetes, or a condition that raises risk of bleeding.

Plant-based diet quality linked to lower stroke risk

People who ate healthy plant-based foods had a 10% reduction in stroke risk, compared with people who ate unhealthy plant-based foods, according to a Harvard study published online March 10, 2021, by the journal Neurology.

Is a "normal" blood pressure reading too high for women?

A study published Feb. 16, 2021, in Circulation found that women with blood pressure readings in a normal range may still be at higher risk for cardiovascular events. For example, heart attack risk in women rose at a systolic (the upper number) reading of 110 to 119 millimeters of mercury (mm Hg) and was the same at this level as men with a systolic pressure of 160 mm Hg. But experts say it’s too soon to change blood pressure recommendations for women until more research confirms the results.

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