Stroke Archive

Occasional forgetfulness and memory lapses are often dismissed as a sign of normal aging. But if these episodes become more frequent or problematic, or if they affect daily life, older adults should consult their primary care physician, A doctor can offer an evaluation for mild cognitive impairment. This includes a brief in-office screening test of thinking skills like short-term recall, concentration, attention, ability to juggle multiple tasks, and orientation to time and place.

The American Heart Association added sleep to its list of factors for cardiovascular health. The others are a healthy diet; physical activity; low levels of nicotine exposure; and healthy levels of weight, cholesterol, blood sugar, and blood pressure.

Statins continue to be a first-line treatment for many people at risk of heart attacks and strokes. They help reduce cholesterol levels, reduce plaque build-up, and protect against plaque rupturing, and fight inflammation. Possible side effects are often mild, if they occur, and go away after a brief period. Otherwise, people can manage them by changing the dosage or switching to another type of statin, per their doctor's direction.

Several conditions can cause people to feel cold when others are warm. These include low body weight, skipping meals, feeling fatigued, and having a thyroid condition or a low red blood cell count (anemia).

Ten years of data suggest that AREDS2 supplements are associated with a reduced risk of macular degeneration progression without any increase in lung cancer risk, according to a follow-up study published online June 2, 2022, by JAMA Ophthalmology.

Some people with newly diagnosed mild to moderate open-angle glaucoma have another option for first-line treatment. Instead of using prescription eye drops initially, they can have a laser procedure called selective laser trabeculoplasty (SLT). SLT uses light pulses to help clean up debris clogging the eye's natural drains. Clogged drains lead to elevated eye pressure that damages the optic nerve. SLT's effects wane after three to five years, at which point it may be necessary to have the procedure again, or to begin using eye drops to treat glaucoma.

Mouth conditions unrelated to the teeth can cause discomfort and affect mouth function. Examples include canker sores, dry mouth, and thrush. Canker sores are painful ulcers that develop in the lining of the mouth or gums. Chronic dry mouth is a lack of saliva. Thrush is an overgrowth of the fungus Candida albicans that appears in the mouth as white patches or sores. Treatment for these conditions may involve simple therapies to try at home or prescription treatments.

After surgery unrelated to the heart, a diagnosis of atrial fibrillation (afib) may be more common than previously thought. These cases, which may constitute 13% of new afib diagnoses, appear to be undertreated.

Vascular dementia, which arises from longstanding, cumulative damage to small blood vessels in the brain, may cause or contribute to up to half of cases of dementia. The vessels may thicken or become blocked by blood clots, causing tiny strokes that damage specific parts of the brain important for various thinking abilities. Keeping blood pressure in the recommended range of 120/80 or lower is the best way to prevent vascular dementia.

Soil and water pollution from heavy metals, pesticides, and microplastics may affect a person's risk of cardiovascular disease. These pollutants can enter the body when people eat crops grown in dirty soil, drink water contaminated by dirty soil, or inhale soil dust. Lead, cadmium, and arsenic are among the most pressing concerns. Potentially helpful actions include testing one's drinking water, buying organic foods, and minimizing plastic use.