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Stroke Archive
Articles
FDA approves a one-two punch for some strokes
The FDA has approved use of a clot-retrieving device along with a clot-busting drug on stroke patients, as long it’s within six hours of the onset of stroke symptoms.
Is there an early warning test for stroke?
Strokes seem to come out of the blue. But most of them happen due to decades-long damage to blood vessels and growth of artery-clogging plaque. That raises the question: Is there an early warning test for stroke?
Yes and no. A test called the carotid ultrasound can detect the buildup of cholesterol-filled plaque in the carotid arteries in the neck. These arteries deliver blood to the brain. The test, which uses sound waves, is quick, safe, and without any immediate potential for harm. It makes perfect sense for someone experiencing lightheadedness, memory loss, or the warning signs of a stroke or mini-stroke.
Stroke after a heart attack: What’s the risk?
Here's what heart attack survivors need to know to lower their chance of a future stroke.
Image: Bigstock
First, the good news: The rate of first-time heart attacks has dropped by nearly half in the past 25 years. And heart attack survival rates have surged, thanks to improved treatments. The bad news? Compared to people without such a history, heart attack survivors not only face a higher risk of a second heart attack, they're also more likely to have a stroke.
The risk of stroke is higher in the first year following a heart attack, especially during the first month. After a year, however, only the risk of ischemic stroke remains elevated, according to study in the July 2016 Stroke that tracked more than a quarter-million heart attack survivors over a 30-year period. (See "Types of stroke: Blockage vs. bleeding" for a primer on the different types.)
Why you should heed a ministroke
Transient ischemic attacks, or TIAs, can signal an impending stroke, but prompt care can minimize damage.
Image: FlairImages/Thinkstock
Have you ever experienced a brief episode when your body seemed to be a little off—your vision was blurry, your speech slightly slurred, or one side of your body felt weaker than the other? If so, you may have experienced a transient ischemic attack (TIA), says Dr. Natalia Rost, a neurologist at Harvard-affiliated Massachusetts General Hospital. She notes that many women may assume they have suffered a migraine and get back to life as usual once the episode has passed. In fact, a TIA is a serious medical issue and warrants getting immediate treatment.
Immediate treatment is key
Having a TIA is usually a sign that you may have already endured a few "silent strokes"—interruptions of blood flow to the brain—and may have accumulated some brain damage as a result, Dr. Rost says. However, getting prompt attention for a TIA can significantly reduce your chance of having a major stroke and incurring greater damage.
A team of French researchers reported in April 2016 that people who received care from a stroke specialist within 24 hours of a TIA had only a 4% risk of having a major stroke within the next three months, compared with the average risk of 12% to 20%. Recent studies also show that people who got prompt treatment from stroke specialists in the hospital or clinic were much more likely to get the appropriate follow-up treatments, including aspirin, blood thinners, and blood pressure medication. "Just as getting prompt treatment for chest pain minimizes damage from a heart attack, getting help for a TIA diminishes the effects on the brain," Dr. Rost says.
Yet studies have shown that women aren't as likely as men to get brain-sparing treatments. A 2013 study indicated that gender discrimination wasn't the problem; women were less likely than men to seek help within four hours of the start of symptoms, when clot-busting therapies are most effective. Women who sought help within four hours received the same treatment as men did.
Why white matter really matters
What you should do
Dr. Rost suggests doing everything you can to minimize white-matter damage—controlling your blood pressure, cholesterol, and blood glucose are important. So is a lifestyle that includes regular exercise, a healthy diet, and not smoking. "While it's important to get help for a TIA, it's better to avoid one altogether," Dr. Rost says.
Fitness in midlife may fend off strokes later
People who are more physically fit in their mid-to-late 40s may be less likely to have a stroke after age 65 than those who are less fit.
The major impact of ministrokes
Often referred to as a ministroke , a transient ischemic attack, or TIA, often lasts only minutes, but acts as a warning for a potential full stroke.
Stumble walking across the room? You simply aren't watching your step. Forget a name or can't get out the right words? It's just a fuzzy senior moment. Feeling a little dizzy? You only need to sit down for a second.
Drug no better than aspirin for stroke prevention
A study found that the drug ticagrelor (Brilinta) was no better than aspirin at preventing stroke among people who had a mild stroke or a transient ischemic attack (TIA), which mimics stroke-like symptoms. However, ongoing research may show benefits in using the drug in combination with aspirin.
Why you should always have aspirin on hand
This old standby may not be your first choice for pain relief, but it still has an important role in disease prevention and first aid.
Image: Thinkstock
We have a lot to thank aspirin for. It's cheap and plentiful. It does a good job of relieving pain and bringing down fevers. It has also been shown to reduce the risk of heart attack, stroke, and colon cancer. It can even stop heart attacks and strokes in their tracks. In fact, if you're in your 50s or 60s, you may want to think about taking a low-dose aspirin every day.
After evaluating the results of scores of studies, in April 2016 the U.S. Preventive Services Task Force (USPSTF) recommended that women and men ages 50 through 69 who have a 10% risk of a heart attack or stroke in the next 10 years take 81 milligrams (mg) of aspirin daily. Under the previous recommendations—which, were different for men and women—daily low-dose aspirin was advised for women ages 60 through 79 who were at increased risk for cardiovascular events. The recommendation was revised to reflect a new method of calculating the risk of heart attack and stroke and of increased risk of bleeding in older people.
Loneliness and isolation raise risk for stroke and heart disease, study suggests
Loneliness and isolation are associated with an increased risk for developing coronary artery disease (CAD) and stroke.
Loneliness has same risk as smoking for heart disease
Loneliness and social isolation raises your risk of heart attack, stroke, and even early death, says a new study. The risk was similar to light smoking or obesity.

Hemoglobin A1c (HbA1c): What to know if you have diabetes or prediabetes or are at risk for these conditions

What could be causing your blurry vision?

Avocado nutrition: Health benefits and easy recipes

Swimming lessons save lives: What parents should know

Preventing and treating iliotibial (IT) band syndrome: Tips for pain-free movement

Wildfires: How to cope when smoke affects air quality and health

What can magnesium do for you and how much do you need?

Dry socket: Preventing and treating a painful condition that can occur after tooth extraction

What happens during sleep — and how to improve it

How is metastatic prostate cancer detected and treated in men over 70?
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