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Stroke
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Evaluation on the Efficacy
and Safety of Panax Notoginseng Saponins in the Treatment of Stroke among
Elderly People: A Systematic Review and Meta-Analysis of 206 Randomized
Controlled Trials - Evid Based Complement Alternat Med 2023 May 4 -
"Evidence regarding the effect of Panax notoginseng
saponins (PNS) on treating elderly stroke patients is scare and inconsistent.
This study investigated the efficacy and safety of PNS by means of meta-analysis
so as to provide an evidence-based reference for the treatment of elderly
patients with stroke. ... Single PNS intervention or PNS combined with WM/TAU
significantly improves the neurological status, the overall clinical efficacy
and daily living activities of elderly stroke patients. However, more
multicenter RCT research with high quality is required in the future to verify
the results in this study" - See
Panax ginseng
at Amazon.com.
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Resveratrol Preconditioning
Mitigates Ischemia-Induced Septal Cholinergic Cell Loss and Memory Impairments
- Stroke 2023 Mar 13 - "Cholinergic cells originating
from the nuclei of the basal forebrain (BF) are critical for supporting various
memory processes, yet BF cholinergic cell viability has not been explored in the
context of focal cerebral ischemia. In the present study, we examined cell
survival within several BF nuclei in rodents following transient middle cerebral
artery occlusion. We tested the hypothesis that a previously established
neuroprotective therapy-resveratrol preconditioning-would rescue BF cell loss,
deficits in cholinergic-related memory performance, and hippocampal synaptic
dysfunction after focal cerebral ischemia ... We demonstrate for the first time
that focal cerebral ischemia induces cholinergic cell death within
memory-relevant nuclei of the BF. The preservation of cholinergic cell viability
may provide a mechanism by which resveratrol preconditioning improves memory
performance and preserves functionality of memory-processing brain structures
after focal cerebral ischemia" - See resveratrol products at Amazon.com.
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Neuroprotective effects of
melatonin-mediated mitophagy through nucleotide-binding oligomerization domain
and leucine-rich repeat-containing protein X1 in neonatal hypoxic-ischemic brain
damage - FASEB J 2023 Feb;37 - "Hypoxia-ischemia
(HI) is a major cause of brain damage in neonates. Mitochondrial dysfunction
acts as a hub for a broad spectrum of signaling events, culminating in cell
death triggered by HI. A neuroprotective role of melatonin (MT) has been
proposed, and mitophagy regulation seems to be important for cell survival ...
This study aimed to clarify whether NLRX1 participates in the regulation of
mitophagy during MT treatment for hypoxic-ischemic brain damage (HIBD) ... In
summary, MT modulates mitophagy induction through NLRX1 and plays a protective
role in HIBD, providing insight into potential therapeutic targets for MT to
exert neuroprotection" - See melatonin at Amazon.com.
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Statin use may reduce risk of brain-bleed
strokes up to 38 percent - Washington Post, 12/20/22 -
"The study found that longer use of statins was linked
to a lower risk for experiencing an intracerebral hemorrhage, ranging from a 16
percent lower risk for shorter-term use to a 38 percent lower risk for those who
had taken statins for five years or more. The researchers also found that the
location of the bleeding in the brain did not affect the risk reductions."
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Protective effects of
curcumin on ischemia/reperfusion injury - Phytother Res 2022 Sep 19 -
"Ischemia/reperfusion (I/R) injury is a term used to
describe phenomena connected to the dysfunction of various tissue damage due to
reperfusion after ischemic injury. While I/R may result in systemic inflammatory
response syndrome or multiple organ dysfunction syndrome, there is still a long
way to improve therapeutic outcomes. A number of cellular metabolic and
ultrastructural alterations occur by prolonged ischemia. Ischemia increases the
expression of proinflammatory gene products and bioactive substances within the
endothelium, such as cytokines, leukocytes, and adhesion molecules, even as
suppressing the expression of other "protective" gene products and substances,
such as thrombomodulin and constitutive nitric oxide synthase (e.g.,
prostacyclin, nitric oxide [NO]). Curcumin is the primary phenolic pigment
derived from turmeric, the powdered rhizome of Curcuma longa. Numerous studies
have shown that curcumin has strong antiinflammatory and antioxidant
characteristics. It also prevents lipid peroxidation and scavenges free radicals
like superoxide anion, singlet oxygen, NO, and hydroxyl" - See
curcumin at Amazon.com.
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Network Pharmacology and
Bioinformatics Methods Reveal the Mechanism of Berberine in the Treatment of
Ischaemic Stroke - Evid Based Complement Alternat Med 2022 Jun 29 -
"The potential targets and biological effects of
berberine in the treatment of ischaemic stroke were predicted in this study. The
lncRNA H19/EGFR/JNK1/c-Jun signalling pathway may be a key mechanism of
berberine-induced neuroprotection in ischaemic stroke" - See
berberine at Amazon.com.
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Serum L-Carnitine Levels Are
Associated With First Stroke in Chinese Adults With Hypertension - Stroke
2022 Jun 30 - "The mean level of serum L-carnitine in
the stroke population was 4.7 μg/mL, which was significantly lower than that of
the control group (5.7 μg/mL). When L-carnitine was assessed as quintiles,
compared with the reference group (quintile 1, <3.3 μg/mL), the odds of stroke
were 0.62 (95% CI, 0.39-1.00) in quintile 2, 0.66 (95% CI, 0.40-1.10) in
quintile 3, 0.47 (95% CI, 0.28-0.81) in quintile 4, and 0.50 (95% CI, 0.30-0.84)
in quintile 5. The trend test was significant (P=0.01). When quintiles 2 to 5
were combined, the adjusted odds ratio of first stroke was 0.58 (95% CI,
0.38-0.87) compared with quintile 1" - See
l-carnitine at Amazon.com.
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Problem in the Recent
American Heart Association Guideline on Secondary Stroke Prevention: B Vitamins
to Lower Homocysteine Do Prevent Stroke - Stroke 2022 Jun 24 -
"We recommend
that the guideline be revised to say that B vitamins to lower homocysteine
prevent stroke and that methylcobalamin or hydroxycobalamin should be used
instead of cyanocobalamin" - See
methylcobalamin at Amazon.com.
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Vitamin
D deficiency can lead to dementia - Science Daily, 6/14/22 -
"low levels of vitamin D were associated with lower brain volumes and an
increased risk of dementia and stroke ... genetic analyses supported a causal
effect of vitamin D deficiency and dementia ... in some populations as much as
17 per cent of dementia cases might be prevented by increasing everyone to
normal levels of vitamin D (50 nmol/L)" - See
vitamin D at Amazon.com.
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Inverse association between
plasma phylloquinone and risk of ischemic stroke in Chinese adults with
hypertension and high body mass index: a nested case-control study - J Nutr
2022 Jun 6 - "In Chinese patients with hypertension,
there was an inverse association between baseline plasma phylloquinone and risk
of first ischemic stroke among those with higher BMI" - Note: People take
vitamin k antagonists such as Warfarin to prevent strokes. I'm not a doctor but
it sounds like they could also be contributing to strokes by reducing plasma
vitamin K.
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Gut Bacteria Linked to
Stroke Severity, Risk - Medscape, 5/6/22 - "Gut
microbiota have been implicated in dementia risk, cardiovascular disease, and
multiple sclerosis relapse. Prior research has also pointed to a possible link
between gut bacteria and stroke ... A potential future development of our study
would be to investigate the effects of altering the gut microbiota of patients
at high risk of stroke by giving them probiotics, prebiotics, or performing
fecal matter transplants and measuring whether their risk of stroke is reduced
... The exact mechanisms by which gut bacteria might influence neurologic
conditions such as stroke are uncertain, but one possibility is that they could
cause changes to the immune system" - See
probiotic supplements at Amazon.com and
prebiotic supplements at
Amazon.com.
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Probiotic Improves
Symptoms of Irritable Bowel Syndrome - Medscape, 5/9/22 -
"After the 30-day treatment period with B longum 35624,
a significant decrease in IBS severity was observed, compared with baseline. The
IBS-SSS score went from 303 to 208 (P < .001). More than half of the patients
(57%) experienced an overall decrease in their symptoms. The rate of severe
symptoms decreased from 46.6% to 20%; moderate symptoms decreased from 48.1% to
36.1%; mild symptoms increased from 4.7% to 35.2%; and 8.7% of patients were in
remission after the treatment vs 0.9% before. A significant improvement in
disease severity (more than a 50-point decrease in the IBS-SSS score) was
observed in 65.7% of patients, regardless of the IBS subtype ... After 30 days
of treatment, a significant improvement in quality of life was noted in the
patients (IBS-QOL score 68.8 vs 60.2, P < .001), and more than 6 out of 10 (63%)
were satisfied with the treatment"
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Decreased Risk of Stroke in
People Using Red Yeast Rice Prescriptions (LipoCol Forte®): a Total
Population-Based Retrospective Cohort Study - Evid Based Complement Alternat
Med 2022 Apr 23 - "Compared with the non-RYR cohort,
patients who received RYR prescriptions had a decreased risk of stroke (HR 0.65,
95% CI 0.59-0.71), including hemorrhagic stroke (HR 0.60, 95% CI 0.44-0.83),
ischemic stroke (HR 0.49, 95% CI 0.43-0.57), and other types of strokes (HR
0.53, 95% CI 0.42-0.67). The association between RYR prescription and stroke
risk was significant in both sexes and in people aged more than 40 years, as
well as in those individuals with various medical conditions. The frequency of
RYR prescription (HR 0.57, 95% CI 0.50-0.64) was associated with a decreased
risk of stroke with a dose-response relationship (p for trend<0.0001). This
study showed a potentially positive effect of RYR on the risk of stroke.
However, compliance with medication use should be cautioned" - See
red yeast rice at Amazon.com.
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Vitamin D and brain health:
an observational and Mendelian randomization study - Am J Clin Nutr 2022 Apr
22 - "Vitamin D deficiency was associated with an
increased risk of dementia and stroke, with the strongest associations for those
with 25(OH)D <25nmol/L (vs. 50-75.9 nmol/L, adjusted HR: 1.79" - See
vitamin D at Amazon.com.
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Notoginsenoside R1
ameliorates mitochondrial dysfunction to circumvent neuronal energy failure in
acute phase of focal cerebral ischemia - Phytother Res 2022 Apr 13 -
"Due to sudden loss of cerebral blood circulation, acute
ischemic stroke (IS) causes neuronal energy attenuation or even exhaustion by
mitochondrial dysfunction resulting in aggravation of neurological injury. In
this study, we investigated if Notoginsenoside R1 ameliorated cerebral energy
metabolism by limiting neuronal mitochondrial dysfunction in acute IS ...
Notoginsenoside R1 administration increases cerebral glucose and lactate
transportation and ATP levels, ameliorates neuronal mitochondrial function after
IS. Notoginsenoside R1 may be a novel protective agent for neuronal mitochondria
poststroke"
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Exposure-Response Analysis
and Mechanism of Ginkgolide B's Neuroprotective Effect in Acute Cerebral
Ischemia/Reperfusion Stage in Rat - Biol Pharm Bull 2022 -
"Ginkgolide B (GKB) is a well-established
neuroprotectant for acute ischemia stroke. However, its cerebral exposure and
real-time response remain elusive in acute ischemia/reperfusion stage, and it
hinders its usage in therapeutic window of ischemia stroke ... GKB exhibits
greater cerebral exposure in acute ischemia/reperfusion rats and neuroprotective
effect through reducing PAF in exposure-response manner and mediating
PAF-regulated intracellular signaling pathways. Our finding highlights clinical
implications of GKB in therapeutic time window of ischemic stroke" - See
Ginkgo biloba at Amazon.com.
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Sulforaphane protects
myocardium from ischemia-reperfusion injury by regulating CaMKIIN2 and CaMKIIδ
- Biochem Biophys Res Commun 2022 Mar 4 - "Myocardial
ischemia/reperfusion (I/R) injury poses a significant threat to human health.
High level of reactive oxygen species (ROS) and calcium overload are the
foremost causes of myocardial damage in I/R. Sulforaphane (SFN) is known for its
promising antioxidant effect ... this study demonstrated that SFN exerts
cardioprotective effect toward I/R injury through upregulating CaMKIIN2 and
down-regulating CaMKIIδ" - See sulforaphane at Amazon.com.
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Astragalus Flavone Induces
Proliferation and Differentiation of Neural Stem Cells in a Cerebral Infarction
Model - Med Sci Monit 2022 Mar 7 - "Ischemic
cerebrovascular disease leads to the activation and differentiation of neural
stem cells (NSCs) into mature neurons and glia cells to repair nerve damage.
Astragalus flavone (ASF) has shown its potential role in proliferation and
differentiation into dopamine neurons of NSCs ... ASF therapy can improve the
neurologic functions and reduce the cerebral infarction volume in a cerebral
infarction model. Moreover, ASF promoted the proliferation of NSCs and induced
differentiation into neurons and oligodendrocytes, which might be involved in
regulating factors in Notch signaling" - See
astragalus at Amazon.com.
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Association
Between Plasma L-Carnitine and Cognitive Impairment in Patients
with Acute Ischemic Stroke - J Alzheimers Dis 2022 Jan 14 -
"L-carnitine has been shown to exert
neuroprotective effects on cerebral ischemia, mainly by
improving mitochondrial function and reducing inflammation.
L-carnitine supplementation has also been promoted to enhance
cognitive function ... The study sample population was drawn
from the China Antihypertensive Trial in Acute Ischemic Stroke.
Plasma L-carnitine were measured at baseline in 617 patients
with ischemic stroke using ultrahigh-performance liquid
chromatography-tandem mass spectrometry ... Plasma L-carnitine
were inversely associated with cognitive impairment at 3 months
after ischemic stroke, and the adjusted odds ratio (95% CI) for
the highest versus lowest quartiles of L-carnitine was 0.60
(0.37, 0.98; p for trend = 0.04). Each 1-SD increase in
log-transformed L-carnitine concentration was significantly
associated with a 15% (95% CI: 1%, 29%) reduction in the risk of
cognitive impairment after stroke. The addition of L-carnitine
to the model including conventional risk factors significantly
improved the risk reclassification for cognitive impairment (net
reclassification improvement: 17.9%, integrated discrimination
improvement: 0.8% ; both p < 0.05). Furthermore, joint effects
of L-carnitine and inflammation markers were observed, and
patients with higher L-carnitine and a lower inflammatory status
simultaneously had the lowest risk of poststroke cognitive
impairment" - See L-carnitine at Amazon.com.
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Olive oil consumption is
associated with a lower risk of cardiovascular disease and stroke - Clin
Nutr 2021 Nov 15 - "Olive oil is associated with lower
risk of CVD and stroke. The maximum benefit could be obtained with a consumption
between 20 and 30 g/day. The association could be stronger for virgin olive oil
and might operate from the early stages of the disease" - See
olive leaf extract at Amazon.com but it
could just be the omega-9 in olive oil.
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Melatonin ameliorates
cerebral ischemia-reperfusion injury in diabetic mice by enhancing autophagy via
the SIRT1-BMAL1 pathway - FASEB J 2021 Dec -
"Diabetic brains are more vulnerable to ischemia-reperfusion injury. Previous
studies have proved that melatonin could protect against cerebral
ischemia-reperfusion (CIR) injury in non-diabetic stroke models; however, its
roles and the underlying mechanisms against CIR injury in diabetic mice remain
unknown ... these results indicate that melatonin treatment can protect against
CIR-induced brain damage in diabetic mice, which may be achieved by the
autophagy enhancement mediated by the SIRT1-BMAL1 pathway" - See
melatonin at Amazon.com.
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The Effect of Probiotics in
Stroke Treatment - Evid Based Complement Alternat Med 2021 Oct 28 -
"enteral nutrition (EN) ... The probiotics combined with
EN group's therapeutic effects were superior to those of the EN alone. Thus,
probiotics combined with EN is worthy of both clinical application and promotion
in stroke treatment" - See probiotic supplements at Amazon.com.
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Coffee or Tea? Drinking
Both Tied to Lower Stroke, Dementia Risk - Medscape, 11/15/21 -
"Those who drank both coffee and tea during the day saw
the greatest benefit. Drinking 2-3 cups of coffee and 2-3 cups of tea lowered
stroke risk by 32% (P < .001) and dementia risk by 28% ... Drinking both
beverages offered significantly greater benefits than drinking just coffee or
tea alone, with an 11% lower risk for stroke (P < .001), an 8% lower risk for
dementia (P = .001), and 18% lower risk for vascular dementia ... Among those
participants who experienced a stroke during the follow-up period, drinking 2-3
cups of coffee was associated with 20% lower risk for poststroke dementia (P =
.044), and for those who drank both coffee and tea (0.5-1 cups of coffee and 2-3
cups of tea per day) the risk for poststroke dementia was lowered by 50%" -
See green tea extract at Amazon.com and
green tea extract at iHerb.
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Role of citicoline and
choline in the treatment of post-stroke depression: an exploratory study - J
Int Med Res 2021 Nov - "To compare selective serotonin
reuptake inhibitors (SSRIs) and nootropic drugs in the reduction of anxiety and
depressive symptoms in post-stroke patients ... A total of 44 post-stroke
patients with depression (aged 45-75 years) were enrolled in the study: 20 were
treated with SSRIs and 24 received nootropic drugs. From baseline to follow-up,
the SSRI group showed a large effect size with regard depression (success rate
difference [SRD] 0.57; 95% confidence interval [CI] 0.21, 0.79) and anxiety (SRD
0.49; 95% CI 0.14, 0.74), whereas the nootropic group showed a small effect size
for depression (SRD 0.16; 95% CI -0.17, 0.46) and a small effect size for
anxiety (SRD 0.36 ... The administration of nootropic drugs could be a valid
therapeutic strategy to manage post-stroke patients suffering from mild-moderate
anxiety or anxious-depressive syndrome, but this requires further research"
- See
citicholine at Amazon.com.
-
Plasma selenium and the risk
of first stroke in adults with hypertension: a secondary analysis of the China
Stroke Primary Prevention Trial - Am J Clin Nutr 2021 Sep 21 -
"Previous studies indicated that selenium (Se) may play
an important role in cardio-cerebrovascular disease. However, the relationship
between circulating selenium and risk of first stroke remains inconclusive ...
In summary, there was a significant inverse association between plasma Se and
risk of first stroke in Chinese adults with hypertension, especially among those
with higher baseline folate concentrations and those with higher time-averaged
SBP over the treatment period" - See
se-methyl l-selenocysteine at Amazon.com
and
iHerb.
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Low-sodium salt prevents stroke - Science Daily, 8/30/21 - "Participants
in intervention villages were given free salt substitute (about 75% sodium
chloride and 25% potassium chloride) as a replacement for regular salt and
advised to use it for all cooking, seasoning and food preservation. They were
also encouraged to use the salt replacement more sparingly than they previously
used salt to maximise their sodium reduction. Sufficient salt substitute was
provided to cover the needs of the entire household (about 20 g per person per
day). Participants in control villages continued their usual habits ... The risk
of stroke was reduced with salt substitute compared to regular salt (29.14
versus 33.65 per 1,000 patient-years; rate ratio [RR] 0.86"
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People
with stroke who walk 30 minutes per day may have 54% lower risk of early death
- Science Daily, 8/11/21 - "people
who walk or garden at least three to four hours per week, or bike at least two
to three hours per week, or the equivalent after having a stroke may have a 54%
lower risk of death from any cause"
-
Plasma choline and betaine
and risks of cardiovascular events and recurrent stroke after ischemic stroke
- Am J Clin Nutr 2021 Jun 22 - "Choline and betaine have
been suggested to play a pivotal role in neurotransmitter synthesis, cell
membrane integrity, and methyl-group metabolism, exerting neuroprotective
effects in patients with various neurological disorders ... Plasma choline and
betaine were inversely associated with cardiovascular events and recurrent
stroke after ischemic stroke. Specifically, in fully adjusted models, each
additional SD of choline and betaine was associated with 35% (95% CI: 20%-48%)
and 30% (95% CI: 14%-43%) decreased risks of subsequent cardiovascular events,
respectively, and 34% (95% CI: 16%-48%) and 29% (95% CI: 12%-43%) decreased
risks of recurrent stroke, respectively" - See
choline at Amazon.com and
betaine anhydrous (TMG) at Amazon.com.
-
Association of Serum
Magnesium Levels With Risk of Intracranial Aneurysm: A Mendelian Randomization
Study - Neurology 2021 Jun 22 - "Magnesium has been
implicated in regulating blood pressure and vascular endothelial cell function,
but its role in the pathophysiology of intracranial aneurysm is not know ...
This study provides evidence to support that increased serum magnesium
concentrations reduce the risk of intracranial aneurysm and associated
hemorrhage" - See magnesium supplements at Amazon.com.
-
Magnesium Strongly Tied to
Lower Risk for Intracranial Aneurysm - Medscape, 6/30/21 -
"The effects may be partially mediated by
magnesium's influence on systolic blood pressure ... These results suggest that
raising serum magnesium levels ― through a magnesium-rich diet or magnesium
supplementation ― "may play a role in the primary prevention of intracranial
aneurysm and associated hemorrhage,"" - See
magnesium supplements at Amazon.com.
-
Relationship
between the Circulating Selenium Level and Stroke: A
Meta-Analysis of Observational Studies - J Am Coll Nutr 2021
Mar 30 - "Although our results suggest that the circulating
selenium level is inversely associated with stroke, current
evidence is still insufficient to conclude their definite
association. More well-designed prospective cohort studies with
detailed selenium biomarker specification are needed to
elaborate the concerned issues further" - See
se-methyl l-selenocysteine at Amazon.com.
-
Adding triglyceride-lowering Omega-3 based medication to statins may lower
stroke risk - AHA, 3/11/21 - "Adding the
triglyceride-lowering medication icosapent ethyl cut the risk of a first stroke
by an additional 36% in patients already taking statin medications to treat high
cholesterol ... In previous research, icosapent ethyl reduced the risk of major
cardiovascular events ... The prescription medication is a highly purified form
of an omega-3 fatty acid. The study’s results do not apply to supplements
available over-the-counter"
-
Eating
more refined grains increases risk of heart attack, early death - Science
Daily, 2/19/21 - "The study found that having more than
seven servings of refined grains per day was associated with a 27 per cent
greater risk for early death, 33 percent greater risk for heart disease and 47
per cent greater risk for stroke"
-
Green Tea, Coffee May Help You Avoid a 2nd Heart Attack - WebMD, 2/4/21 -
"Stroke survivors who drank at least seven cups per day
were 62% less likely to die during the study period, versus non-drinkers.
Similarly, the risk was cut by 53% among heart attack survivors who downed that
much tea ... Green tea was not the only beverage tied to longer life. For heart
attack survivors -- as well as people with no cardiovascular problems --
moderate coffee intake was also linked to better survival."
-
Flu Vaccine Protective
Against Stroke, CV Events? - Medscape, 7/30/20 -
"Adults over the age of 50 years had a vaccination rate of 1.8% compared with
15.3% in the general population ... But these older adults who were vaccinated
had better outcomes in the year following vaccination, with a 28% lower risk of
MI, a 73% lower risk of death, a 47% lower risk of TIA, and a 73% lower risk of
all-cause mortality ... Among patients with obesity, 2.4% were vaccinated
compared with 9% of those with a healthy weight. And flu vaccination in obese
patients was associated with a 41% reduction in MI, a 55% reduction in TIA, and
a 76% reduction in all-cause mortality"
-
Metformin Inhibits
Intracranial Aneurysm Formation and Progression by Regulating Vascular Smooth
Muscle Cell Phenotype Switching via the AMPK/ACC Pathway - J
Neuroinflammation 2020 Jun 16 - "vascular smooth muscle
cell (VSMC) ... intracranial aneurysm (IA) ... Metformin protects against IA
formation and rupture by inhibiting VSMC phenotype switching and proliferation,
migration, and apoptosis. Thus, metformin has therapeutic potential for the
prevention of IA" -
ReliableRXPharmacy carries metformin.
-
Intracranial aneurysm - Wiki -
"Intracranial aneurysm, also known as brain aneurysm, is a
cerebrovascular disorder in which weakness in the wall of a
cerebral artery or vein causes a localized dilation or
ballooning of the blood vessel"
-
Dietary and Serum
Omega-6/Omega-3 Fatty Acids Are Associated with Physical and Metabolic Function
in Stroke Survivors - Nutrients. 2020 Mar 6 -
"six-minute walk distance (6MWD) ... The dietary intake ratio of omega-6/omega-3
fatty acids averaged 12.6 ± 7.1 and the serum concentration ratio was 1.21 ±
0.37, which were correlated (r = 0.88, p < 0.01). Higher dietary intake and
serum concentrations of omega-6/omega-3 fatty acids were associated with lower
6MWD and higher HOMA-IR, while a higher serum omega-6/omega-3 concentration
index was associated with lower VO2peak (p's < 0.05). These preliminary data
suggest that both dietary omega-6 and omega-3 fatty acids (quantitated as their
intake ratio) and the serum concentration ratio of omega-6/omega-3 may be
important indices of physical dysfunction and insulin resistance in chronic
stroke survivors"
-
Shingles vaccine may also reduce stroke risk - Science Daily, 2/12/20 -
"Receiving the shingles vaccine lowered the risk of
stroke by about 16%, lowered the risk of ischemic (clot-caused) stroke by about
18% and lowered the risk of hemorrhagic (bleeding) stroke by about 12% ... The
vaccine's protection was strongest among people ages 66 to 79 years ... Among
those under the age of 80 years, the shingles vaccine reduced the risk of stroke
by nearly 20% and in those older than 80, reduced the risk by about 10% ... The
reason for increased risk of stroke after a shingles infection may be due to
inflammation caused by the virus"
-
Higher
iron levels may boost heart health -- but also increase risk of stroke -
Science Daily, 7/16/19 - "The results reveal not only
are naturally higher iron levels associated with a lower risk of high
cholesterol levels, they also reduce the risk of arteries becoming furred with a
build-up of fatty substances ... However the research, funded by the Wellcome
Trust, also revealed the potential risks associated with naturally higher iron
levels. These included a higher risk of blood clots related to slow blood flow
blood -- a common cause of stroke -- and a higher risk of bacterial skin
infection ... getting the right amount of iron in the body is a fine balance --
too little can lead to anemia, but too much can lead to a range of problems
including liver damage"
-
Combined citicoline and
docosahexaenoic acid treatment improves cognitive dysfunction following
transient brain ischemia - J Pharmacol Sci. 2019 Apr;139(4):319-324 -
"BCCAO ischemic mice were treated for a total of 11 days
with a combination of citicoline (40 mg/kg body weight/day) and DHA (300 mg/kg
body weight/day) or each alone. Combined citicoline and DHA synergistically and
significantly improved learning and memory ability of ischemic mice compared
with either alone. Further, citicoline and DHA treatment significantly prevented
neuronal cell death, and slightly increased DHA-containing PtdCho in the
hippocampus, albeit not significantly. Taken together, these findings suggest
that combined citicoline and DHA treatment may have synergistic benefits for
partially improving memory deficits following transient brain ischemia" -
[Nutra
USA] - See
choline at Amazon.com
and
docosahexaenoic acid at Amazon.com.
-
Vitamin
D and estradiol help guard against heart disease, stroke, and diabetes -
Science Daily, 6/12/19 - "vitamin D has been associated
with several markers of metabolic syndrome, including obesity, hyperglycemia,
insulin resistance, and type 2 diabetes mellitus. Supplementation with vitamin D
has been shown to reduce the risk of metabolic syndrome over a 20-year follow-up
... Because the synergistic benefits of vitamin D and estrogen are already
documented to improve bone health in women, researchers in this newest study
from China hypothesized that the same interaction might affect metabolic
syndrome. The cross-sectional study included 616 postmenopausal women aged 49 to
86 years who were not taking estrogen and vitamin D/calcium supplements at the
beginning of the trial. It concluded there was a positive correlation between
vitamin D and estradiol" - See
vitamin D at Amazon.com.
-
Neuroprotective Effects
of Diets Containing Olive Oil and DHA/EPA in a Mouse Model of Cerebral Ischemia
- Nutrients. 2019 May 18;11(5) - "These findings support
the use of DHA/EPA-omega-3-fatty acid supplementation and olive oil as dietary
source of MUFAs in order to reduce the damage and protect the brain when a
stroke occurs" - See
omega-3 supplements at Amazon.com.
-
Fish Oil, Particularly
EPA, Linked to Reduced Ischemic Stroke - Medscape, 1/17/19 -
"It is quite remarkable that we saw a significant 28%
reduction in stroke in REDUCE-IT with a highly purified ethyl ester of EPA (icosapent
ethyl), and in this study they found a 26% lower rate of stroke associated with
higher EPA levels ... "It is also worth noting in this study that while EPA was
associated consistently with cardiovascular benefits, the case for DHA was more
mixed. This latter observation may in part help explain why all the recent
studies of omega-3 fatty acids had been neutral – until REDUCE-IT ... Also,
lower rates of large artery atherosclerosis were seen with higher intakes of
total marine n-3 PUFA (HR 0.69); EPA (HR 0.66); and DHA (HR, 0.72) and higher
adipose tissue content of EPA (HR 0.52), but not with higher adipose tissue
content of total marine n-3 PUFA or DHA" - See
omega-3 supplements at Amazon.com.
-
Saunas May Reduce Stroke Risk - NYT, 5/2/18 - "After
adjusting for other variables, they found that compared with people who took
saunas once a week, those who took them two to three times weekly were 12
percent less likely to have a stroke. People who took saunas four to seven times
a week reduced their risk for stroke by 62 percent" - See
JNH Lifestyle saunas at
Amazon.com.
-
Pomegranate
supplementation improves cognitive and functional recovery following ischemic
stroke: A randomized trial - Nutr Neurosci. 2018 Feb 13:1-6 -
"we
administered commercially-available pomegranate polyphenol or placebo pills
twice per day for one week to adult inpatients in a comprehensive rehabilitation
setting starting approximately 2 weeks after stroke. Pills contained 1 g of
polyphenols derived from whole pomegranate, equivalent to levels in
approximately 8 oz of juice. Placebo pills were similar to the pomegranate pills
except that they contained only lactose ... Pomegranate-treated subjects
demonstrated more neuropsychological and functional improvement and spent less
time in the hospital than placebo controls" - See
pomegranate extract at Amazon.com.
-
Association of Serum
25(OH) D Levels with Infarct Volumes and Stroke Severity in Acute Ischemic
Stroke - J Nutr Health Aging. 2018;22(1):97-102 -
"NIH Stroke Scale (NIHSS) score ... In conclusion, reduced serum 25(OH) D levels
in acute ischemic stroke are an early predictor of larger volumes of ischemic
tissue and worse neurological deficit (assessed by the NIHSS)" - See
vitamin D at Amazon.com.
-
Folic Acid
Supplementation for Stroke Prevention in Patients With Cardiovascular Disease
- Am J Med Sci. 2017 Oct;354(4):379-387 - "Folic acid supplementation was
associated with a significant benefit in reducing the risk of stroke in patients
with CVD (RR = 0.90; 95% CI: 0.84-0.97; P = 0.005). In the stratified analysis,
greater beneficial effects were observed in participants with a decrease in
homocysteine concentrations of 25% or greater (RR = 0.85; 95% CI: 0.74-0.97; P =
0.03), those with a daily folate dose of less than 2mg (RR = 0.78; 95% CI:
0.68-0.89; P = 0.01), and populations in regions with no or partly fortified
grain (RR = 0.87; 95% CI: 0.81-0.94; P = 0.04)" - See
methylfolate at Amazon.com.
-
Cardioprotective Effects
of Pomegranate (Punica granatum) Juice in Patients with Ischemic Heart Disease
- Phytother Res. 2017 Sep 15 - "Ischemic heart disease
is the leading cause of mortality worldwide ... Pomegranate juice caused
significant reductions in the intensity, occurrence, and duration of angina
pectoris in patients with unstable angina. Consistently, the test patients had
significantly lower levels of serum troponin and malondialdehyde. Other studied
parameters did not change significantly. The results of this study suggest
protective effects of pomegranate juice against myocardial ischemia and
reperfusion injury" - See
pomegranate extract at Amazon.com.
-
Vitamin D Status and the
Risk of Recurrent Stroke and Mortality in Ischemic Stroke Patients: Data from a
24-Month Follow-Up Study in China - J Nutr Health Aging. 2017;21(7):766-771
- "Compared with the first quartile of serum 25(OH) D
levels, the ORs for stroke recurrence and mortality were as follows: second
quartile, 0.80 (95% CI, 0.63-0.93) and 0.77 (95% CI, 0.65-0.89); third quartile,
0.42 (95% CI, 0.31-0.55) and 0.39 (95% CI, 0.30-0.52); fourth quartile, 0.12
(95% CI, 0.07-0.19) and 0.10 (95% CI, 0.06-0.15), respectively" - See
vitamin D at Amazon.com.
-
B-vitamin and choline
supplementation increases neuroplasticity and recovery after stroke -
Neurobiol Dis. 2017 Jul;103:89-100 - "In supplemented
diet mice, we report improved motor function after ischemic damage compared to
mice fed a control diet after ischemic damage. Within the perilesional cortex,
we show enhanced proliferation, neuroplasticity and anti-oxidant activity in
mice fed the supplemented diet" - [Nutra
USA] - See
Citicholine at Amazon.com.
-
Dietary intake of
antioxidant vitamins and risk of stroke: the Japan Public Health Center-based
Prospective Study - Eur J Clin Nutr. 2017 Jul 12 -
"When stratified by current smoking status, the inverse association between
dietary vitamin C intake and incidence of total stroke observed among
non-smokers but not smokers, with respective multivariable hazard ratios for the
highest versus lowest quintiles of vitamin C of 0.81 (95% confidence interval
(CI), 0.68-0.96; P-trend=0.03) among non-smokers; and 1.03 (0.84-1.25;
P-trend=0.55) among smokers" - See
American Health Products - Ester C W/Citrus Bioflavonoids, 1000 mg, 180 veg tablets at Amazon.com.
-
Dietary Protein Intake
and Stroke Risk in a General Japanese Population: The Hisayama Study -
Stroke. 2017 May 9 - "the risks of total stroke and
ischemic stroke significantly decreased by 40% (95% confidence interval,
12%-59%) and 40% (5%-62%), respectively, in subjects with the highest quartile
of vegetable protein intake compared with those with the lowest one. In
contrast, subjects with the highest quartile of animal protein intake had a 53%
(4%-77%) lower risk of intracerebral hemorrhage"
-
Longitudinal association
between fasting blood glucose concentrations and first stroke in hypertensive
adults in China: effect of folic acid intervention - Am J Clin Nutr. 2017
Jan 25 - "A high FBG concentration (≥7.0 mmol/L) or
diabetes, compared with a low FBG concentration (<5.0 mmol/L), was associated
with an increased risk of first stroke (6.0% compared with 2.6%, respectively;
HR: 1.9; 95% CI: 1.3, 2.8; P < 0.001). Folic acid treatment reduced the risk of
stroke across a wide range of FBG concentrations ≥5.0 mmol/L, but risk reduction
was greatest in subjects with FBG concentrations ≥7.0 mmol/L or with diabetes
(HR: 0.66; 95% CI: 0.46, 0.97; P < 0.05). There was a significant interactive
effect of FBG and folic acid treatment on first stroke" - See
methylfolate at Amazon.com.
-
Stroke-like brain damage is reduced in mice injected with omega-3s - Science
Daily, 8/23/16 - "At 24 hours, mice treated with DHA,
but not EPA, had a significant reduction in brain injury. In the following
weeks, the DHA group also had significantly better results in multiple brain
functions compared to the EPA-treated mice and untreated (control) mice"
- See
docosahexaenoic acid at Amazon.com.
-
Inosine
treatment helps recovery of motor functions after brain injury - Science
Daily, 8/3/16 - "Brain injuries were created in the area
controlling each monkey's favored hand. Four monkeys received inosine treatment,
while four received a placebo ... While both the treated and placebo groups
recovered significant function, three out of four of the treated monkeys were
able to return to their pre-operative grasping methods. The placebo group
developed a compensatory grasping method for retrieving food rewards unlike the
original thumb-and-finger method ... Inosine has also been administered in human
clinical trials for multiple sclerosis and Parkinson's disease and has been
proven to be safe in doses up 3000 mg/day. Athletes have used inosine as a
nutritional supplement for decades, and inosine supplements are widely available
commercially" - See
inosine at Amazon.com.
-
Effectiveness of Gotu Kola
Extract 750 mg and 1000 mg Compared with Folic Acid 3 mg in Improving Vascular
Cognitive Impairment after Stroke - Evid Based Complement Alternat Med.
2016;2016:2795915 - "17 subjects were treated with
1000 mg/day of gotu kola extract, 17 subjects treated with 750 mg/day of gotu
kola extract, and 14 subjects treated with 3 mg/day of folic acid for 6 weeks. A
Montreal Cognitive Assessment-Indonesian version (MoCA-Ina) was conducted at the
beginning of treatment and after 6 weeks of therapy. It was found that all
trials effectively improved poststroke VCI based on MoCA-Ina scores over the
course of the study. There is no significant difference in ΔMoCA-Ina (score at
the 6th week of treatment - score at the beginning) mean score among the three
groups, indicating that gotu kola is as effective as folic acid in improving
poststroke VCI. Gotu kola was shown to be more effective than folic acid in
improving memory domain. This study suggested that gotu kola extract is
effective in improving cognitive function after stroke" - See
gotu kola at Amazon.com.
-
n-3
Polyunsaturated Fatty Acids Reduce Neonatal Hypoxic/Ischemic Brain Injury by
Promoting Phosphatidylserine Formation and Akt Signaling - Stroke. 2015 Sep
15 - "n-3 PUFAs robustly protect against H/I-induced
brain damage in neonates by activating Akt prosurvival pathway in compromised
neurons. In addition, n-3 PUFAs promote the formation of membrane
phosphatidylserine, thereby promoting Akt activity and improving cellular
survival" - See
fish oil supplements at Amazon.com.
-
Association
between intakes of magnesium, potassium, and calcium and risk of stroke: 2
cohorts of US women and updated meta-analyses - Am J Clin Nutr. 2015 May 6 -
"Pooled multivariate RRs of total stroke for women in
highest compared with lowest quintiles were 0.87 (95% CI: 0.78, 0.97) for total
magnesium, 0.89 (95% CI: 0.80, 0.99) for total potassium, and 0.97 (95% CI:
0.87, 1.09) for total calcium intake. Pooled RRs for women in highest compared
with lowest quintiles of a combined mineral diet score were 0.72 (95% CI: 0.65,
0.81) for total stroke, 0.78 (95% CI: 0.66, 0.92) for ischemic stroke, and 0.80
(95% CI: 0.61, 1.04) for hemorrhagic stroke. In the updated meta-analyses of all
prospective studies to date, the combined RR of total stroke was 0.87 (95% CI:
0.83, 0.92) for a 100-mg/d increase of magnesium intake, 0.91 (95% CI: 0.88,
0.94) for a 1000-mg/d increase of potassium intake, and 0.98 (95% CI: 0.94,
1.02) for a 300-mg/d increase of calcium intake" - See
magnesium supplements at Amazon.com
and
potassium citrate at Amazon.com.
-
Vitamin D
status, hypertension and ischemic stroke: a clinical perspective - J Hum
Hypertens. 2015 Mar 26 - "Meticulous management of
hypertension, regular monitoring of serum 25(OH)D levels and treatment of severe
vitamin D deficiency, particularly in hypertensive subjects, could help in
effective prevention of stroke" - See
vitamin D at Amazon.com.
-
Efficacy of
Folic Acid Therapy in Primary Prevention of Stroke Among Adults With
Hypertension in China: The CSPPT Randomized Clinical Trial - JAMA. 2015 Mar
15 - "randomly assigned to receive double-blind daily
treatment with a single-pill combination containing enalapril, 10 mg, and folic
acid, 0.8 mg (n = 10 348) or a tablet containing enalapril, 10 mg, alone
(n = 10 354) ... Among adults with hypertension in China without a history of
stroke or MI, the combined use of enalapril and folic acid, compared with
enalapril alone, significantly reduced the risk of first stroke. These findings
are consistent with benefits from folate use among adults with hypertension and
low baseline folate levels" -
See
folic acid products at Amazon.com.
-
Folic Acid May Help Ward Off Stroke in People With High Blood Pressure -
WebMD, 3/15/15 - "20,000 adults in China with high blood
pressure who had not suffered a heart attack or stroke .... Participants were
randomly assigned to take a daily pill with folic acid and the high blood
pressure drug enalapril (brand name Vasotec) or a pill with enalapril alone ...
the risk of stroke was 21 percent lower among those taking enalapril/folic acid"
- See
folic acid products at Amazon.com.
-
Low
vitamin D predicts more severe strokes, poor health post-stroke - Science
Daily, 2/5/15 - "Stroke patients with low vitamin D
levels were found to be more likely than those with normal vitamin D levels to
suffer severe strokes and have poor health months after stroke ... Overall,
patients who had low vitamin D levels -defined as less than 30 nanograms per
milliliter (ng/mL) -- had about two-times larger areas of dead tissue resulting
from obstruction of the blood supply compared to patients with normal vitamin D
levels ... For each 10 ng/mL reduction in vitamin D level, the chance for
healthy recovery in the three months following stroke decreased by almost half,
regardless of the patient's age or initial stroke severity" - See
vitamin D at Amazon.com.
-
Potassium Intake and Stroke
Mortality Risks - Medscape, 12/18/14 - "Comparing
highest to lowest quartile of potassium intake with multivariate analyses
yielded a hazard ratio of 0.90 (95% confidence interval [CI], 0.85-0.95) for
all-cause mortality, 0.88 (95% CI, 0.79-0.98) for all stroke, and 0.84 (95% CI,
0.74-0.96) for ischemic stroke" - See
potassium citrate at Amazon.com.
-
Circulating
biomarkers of dairy fat and risk of incident stroke in U.S. men and women in 2
large prospective cohorts - Am J Clin Nutr. 2014 Dec;100(6):1437-1447 -
"In 2 large prospective cohorts, circulating biomarkers
of dairy fat were not significantly associated with stroke"
-
Dietary
Fiber Intake Is Inversely Associated with Stroke Incidence in Healthy Swedish
Adults - J Nutr. 2014 Dec;144(12):1952-1955 - "High
intakes of total fiber and fiber from fruits and vegetables but not from cereals
were inversely associated with risk of stroke. After adjustment for other risk
factors for stroke, the multivariable RRs of total stroke for the highest vs.
lowest quintile of intake were 0.90 (95% CI: 0.81, 0.99) for total fiber, 0.85
(95% CI: 0.77, 0.95) for fruit fiber, 0.90 (95% CI: 0.82, 1.00) for vegetable
fiber, and 0.94 (95% CI: 0.84, 1.04) for cereal fiber" - See
fiber supplements at Amazon.com.
-
n-3 PUFA
Induce Microvascular Protective Changes During Ischemia/Reperfusion -
Lipids. 2014 Oct 26 - "we may conclude that consumption
of n-3 polyunsaturated fatty acids, especially in the triacylglycerol form,
could be a promising therapy to prevent microvascular damage induced by
ischemia/reperfusion and its consequent clinical sequelae" - See
fish oil supplements at Amazon.com.
-
Higher Potassium Intake
Linked to Reduced Stroke - Medscape, 9/4/14 - "In
the WHI study of older women aged 50-79, those without hypertension who had
higher levels of potassium had a 27% reduced risk of stroke than women with low
potassium levels ... in general, this population was well below the recommended
daily allowance of potassium. In the United States, this is 4700 mg. The women
in the WHI study had average intake of 2600 mg, which is very similar to average
US intakes. Only 2.8% of women met or exceeded the 4700 mg recommended intake
... The World Health Organization recommends a potassium intake of more than
3510 mg per day, which may be easier to achieve, but still only 16% of women in
this cohort met this requirement ... A baked potato contains 900 mg of potassium
and a banana contains 420 mg"
-
Plasma
Magnesium and Risk of Ischemic Stroke Among Women - Stroke. 2014 Aug 12 -
"Conditional on matching factors, women in the lowest magnesium quintile had a
relative risk of 1.34 (95% confidence interval, 0.86-2.10; P trend=0.13) for
total ischemic stroke compared with women in the highest quintile. Additional
adjustment for risk factors and confounders did not substantially alter the risk
estimates for total ischemic stroke. Women with magnesium levels <0.82 mmol/L
had significantly greater risk of total ischemic stroke (multivariable relative
risk, 1.57; 95% confidence interval, 1.09-2.27; P=0.01) and thrombotic stroke
(multivariable relative risk, 1.66; 95% confidence interval, 1.03-2.65; P=0.03)
compared with women with magnesium levels ≥0.82 mmol/L" - See
Jarrow Formulas, MagMind at Amazon.com.
-
Protein
has the effect of lowering blood pressure, which may play a role in reducing
stroke risk - Science Daily, 6/11/14 - "the
participants with the highest amount of protein in their diets were 20 percent
less likely to develop a stroke than those with the lowest amount of protein in
their diets ... For every additional 20 grams per day of protein that people
ate, their risk of stroke decreased by 26 percent ... Protein has the effect of
lowering blood pressure, which may play a role in reducing stroke risk"
-
Panax
notoginseng saponins promotes stroke recovery by influencing expression of Nogo-A,
NgR and p75NGF, in vitro and in vivo - Biol Pharm Bull. 2014;37(4):560-8 -
"This may be the mechanism of Panax notoginseng saponins
that contributes to the recovery of nerve function, which plays an important
role in brain protection after cerebral infarction" - See
ginseng at Amazon.com.
-
Potassium-rich diet and risk of stroke: Updated meta-analysis - Nutr Metab
Cardiovasc Dis. 2014 Mar 18 - "Pooled analysis of 14
cohorts (overall 333,250 participants and 10,659 events) showed an inverse and
significant association between K intake and risk of stroke (Relative Risk:
0.80; 95% CI: 0.72-0.90). Our results indicated a favorable effect of higher K
intake on risk of stroke" - See
potassium citrate at Amazon.com.
-
Brain
saver: Vitamin E supplement helps 'redirect' blood during stroke - Science
Daily, 4/29/14 - "brain damage during a stroke can be
prevented by triggering the surrounding blood vessels to dilate and redirect the
blood flow around a blockage ... The blood vessel "redirect" is the result of 10
weeks' worth of supplementation with a little-known type of vitamin E called
tocotrienol. Tocotrienol appears to stimulate arteriogenesis -- or the
remodeling of existing blood vessels that can instantaneously expand in response
to a demand for oxygen-rich blood. This collateral blood supply can make a major
difference in stroke outcomes ... Tocotrienol, found naturally in palm oil, is a
vitamin E variant and currently available in stores as an oral nutritional
supplement. Because it doesn't appear to interfere with other stroke therapies
like blood thinners, or have any other side effects, Rink thinks that the
vitamin could someday become a common stroke prevention strategy" - See
Jarrow FamilE (contains all eight members of the vitamin E family, includes
Tocomin) at Amazon.com.
-
Iron Deficiency May Raise Stroke Risk - WebMD, 2/20/14 -
"Those who had an
iron deficiency had stickier platelets -- which are small blood cells that
trigger clotting when they stick together -- and were more likely to suffer a
stroke ... Even those with moderately low iron levels were about twice as likely
to suffer a stroke as those with iron levels in the middle of the normal range"
- See
iron supplements at Amazon.com.
-
Can Vitamin C Ward Off Stroke? - WebMD, 2/14/14 - "Vannier's
team looked at 65 people who had suffered a hemorrhagic stroke, comparing them
with 65 healthy people ... On average, those who had a stroke had depleted
levels of vitamin C, while vitamin C levels were normal in the healthy
individuals ... Depleted levels of vitamin C was linked to longer
hospitalizations, but not a higher risk of death ... Vitamin C levels were
significantly lower in people who had brain bleeds, compared with healthy
people, but we have not yet calculated an odds risk" - See
vitamin C products at Amazon.com.
-
Intakes of
Potassium, Magnesium, and Calcium and Risk of Stroke - Stroke. 2014 Feb 11 -
"36 094 participants aged 21 to 70 years. Dietary intake
was assessed with a food frequency questionnaire ... 12 years of follow-up ...
magnesium intake was associated with reduced stroke risk (hazard ratio [95%
confidence interval] per 100 mg/d, 0.80 [0.67-0.97] dietary magnesium; 0.78
[0.65-0.93] total magnesium). Potassium and calcium intakes were not associated
with stroke" - See
Magtein at Amazon.com.
-
Vitamin D Deficiency Linked
to Fatal CVD - Medscape, 12/23/13 - "Even after
adjustment for other potential confounders, including smoking and physical
activity, vitamin D deficiency still conferred a significant 27% increased risk
for total CVD, and a 62% increased risk for fatal CVD ... Individuals with low
vitamin D levels also had a significant 36% increased risk of total CHD and a
nonsignificant 33% increased risk of total stroke" - See
vitamin D at Amazon.com.
-
Tea
consumption and cardiovascular disease risk - Am J Clin Nutr. 2013 Oct 30 -
"performed a search in 3 databases for meta-analyses and
compared them with studies they subsumed ... In the case of stroke, a
consistent, dose-response association with tea consumption on both incidence and
mortality was noted with RRs of 0.80 (95% CI: 0.65, 0.98) for flavonoids and
0.79 (95% CI: 0.73, 0.85) for tea when high and low intakes were compared or the
addition of 3 cups/d was estimated" - Note: Blueberries are one of the
highest in flavonoids. My pick for flavonoids would be
Garden of Life, Radical Fruits Antioxidant Complex at Amazon.com.
-
Vitamin B Supplements May
Lower Stroke Risk - Medscape, 9/18/13 - "Researchers
searched for randomized controlled trials published before August 2012 that
compared vitamin B supplementation with placebo, very-low-dose B vitamins, or
usual care; had a minimum follow-up of 6 months; and included stroke events as a
study endpoint ... The researchers noted a reduction in overall stroke events
resulting from lowered homocysteine levels following B vitamin supplementation
(risk ratio, 0.93"
-
Low Levels
of High Density Lipoprotein Cholesterol and Increased Risk of Cardiovascular
Events in Stable Ischemic Heart Disease Patients: A Post Hoc Analysis from the
COURAGE Trial - J Am Coll Cardiol. 2013 Aug 8 -
"While low HDL-C level is a powerful and independent predictor of cardiovascular
risk, recent data suggest that this may not apply when low-density lipoprotein
cholesterol (LDL-C) is reduced to optimal levels using intensive statin therapy
... performed a post hoc analysis in 2,193 men and women with stable ischemic
heart disease (SIHD) from the COURAGE trial ... In the overall population, the
rate of death/MI was 33% lower in the highest HDL-C quartile as compared with
the lowest quartile, with quartile of HDL-C being a significant, independent
predictor of death/MI (P = 0.05), but with no interaction for LDL-C category
(P=0.40). Among subjects with LDL-C levels < 70 mg/dL, those in the highest
quintile of HDL-C had a 65% relative risk reduction in death or MI as compared
to the lowest quintile, with HDL-C quintile demonstrating a significant, inverse
predictive effect" - See
niacin at Amazon.com
and my niacin page.
-
Garlic
intake is an independent predictor of endothelial function in patients with
ischemic stroke - J Nutr Health Aging. 2013;17(7):600-4 -
"ischemic stroke (ISS) ... 125 Chinese patients with
prior ISS due to athero-thrombotic disease were recruited from the outpatient
clinics during July 2005 to December 2006 ... validated food frequency
questionnaire ... Daily garlic intake is an independent predictor of endothelial
function in patients with ISS and may play a role in the secondary prevention of
atherosclerotic events" - See
garlic supplements at Amazon.com.
-
Fish
oil-enriched diet protects against ischemia by improving angiogenesis,
endothelial progenitor cell function and postnatal neovascularization -
Atherosclerosis. 2013 Aug;229(2):295-303 - "C57Bl/6 mice
were fed a diet containing either 20% fish oil, rich in long-chain n-3
polyunsaturated fatty acids (PUFAs), or 20% corn oil, rich in n-6 PUFAs. After 4
weeks, hindlimb ischemia was surgically induced by femoral artery removal. We
found that blood flow recovery was significantly improved in mice fed a fish oil
diet compared to those fed a corn oil diet (Doppler flow ratio (DFR) at day 21
after surgery 78 +/- 5 vs. 56 +/- 4; p < 0.01). Clinically, this was associated
with a significant reduction of ambulatory impairment and ischemic damage in the
fish oil group. At the microvascular level, capillary density was significantly
improved in ischemic muscles of mice fed a fish oil diet. This correlated with
increased expression of VEGF and eNOS in ischemic muscles, and higher NO
concentration in the plasma. Endothelial progenitor cells (EPCs) have been shown
to have an important role for postnatal neovascularization. We found that the
number of EPCs was significantly increased in mice fed a fish oil diet. In
addition, oxidative stress levels (DCF-DA, DHE) were reduced in EPCs isolated
from mice exposed to fish oil, and this was associated with improved EPC
functional activities (migration and integration into tubules). In vitro,
treatment of EPCs with fish oil resulted in a significant increase of cellular
migration. In addition, the secretion of angiogenic growth factors including IL6
and leptin was significantly increased in EPCs exposed to fish oil" -
See
Mega Twin EPA at Amazon.com
and
Jarrow Max DHA at Amazon.com.
-
Low
Dehydroepiandrosterone Sulfate is Associated With Increased Risk of Ischemic
Stroke Among Women - Stroke. 2013 May 23 - "Between
1989 and 1990, 32 826 women without prior stroke in the Nurses' Health Study, an
observational cohort, provided blood samples and were followed up for
cardiovascular events ... Conditional on matching factors, the lowest DHEAS
quartile exhibited a relative risk of 1.30 for ischemic stroke (95% confidence
interval, 0.88-1.94), compared with the highest quartile and marginally
unchanged when adjusted for confounders (relative risk=1.33; 95% confidence
interval, 0.87-2.02). When modeled as a binary variable dichotomized at the
lowest quartile, women with low DHEAS (≤the lowest quartile) had a significantly
increased multivariable adjusted risk of ischemic stroke compared with those
with higher levels (relative risk=1.41; 95% confidence interval, 1.03-1.92)"
- See
DHEA at Amazon.com.
-
Reducing
salt and increasing potassium will have major global health benefits -
Science Daily, 4/4/13 - "increased potassium intake
reduces blood pressure in adults, with no adverse effects on blood lipids,
hormone levels or kidney function. Higher potassium intake was linked with a 24%
lower risk of stroke in adults and may also have a beneficial effect on blood
pressure in children, but more data is needed" - See
potassium citrate at Amazon.com.
-
Dietary
Fiber Intake and Risk of First Stroke: A Systematic Review and Meta-Analysis
- Stroke. 2013 Mar 28 - "Total dietary fiber intake was
inversely associated with risk of hemorrhagic plus ischemic stroke, with some
evidence of heterogeneity between studies (I2; relative risk per 7 g/day, 0.93;
95% confidence interval, 0.88-0.98; I2=59%). Soluble fiber intake, per 4 g/day,
was not associated with stroke risk reduction with evidence of low heterogeneity
between studies, relative risk 0.94 (95% confidence interval, 0.88-1.01;
I2=21%). There were few studies reporting stroke risk in relation to insoluble
fiber or fiber from cereals, fruit, or vegetables" - See
Garden of Life, RAW Fiber at Amazon.com.
-
Urinary and
plasma magnesium and risk of ischemic heart disease - Am J Clin Nutr. 2013
Mar 13 - "Urinary excretion of magnesium, an indicator
of dietary magnesium uptake, might provide more consistent results ... examined
7664 adult participants free of known cardiovascular disease in the Prevention
of Renal and Vascular End-Stage Disease (PREVEND) study-a prospective
population-based cohort study ... median follow-up of 10.5 y ... urinary
magnesium excretion had a nonlinear relation with IHD risk (P-curvature = 0.01).
The lowest sex-specific quintile (men: <2.93 mmol/24 h; women: <2.45 mmol/24 h)
had an increased risk of fatal and nonfatal IHD (multivariable HR: 1.60; 95% CI:
1.28, 2.00) compared with the upper 4 quintiles of urinary magnesium excretion.
A similar increase in risk of the lowest quintile was observed for mortality
related to IHD (HR: 1.70; 95% CI: 1.10, 2.61) ... Low urinary magnesium
excretion was independently associated with a higher risk of IHD incidence. An
increased dietary intake of magnesium, particularly in those with the lowest
urinary magnesium, could reduce the risk of IHD" - See magnesium supplements at Amazon.com.
-
Coffee and Green Tea May Help Lower Stroke Risk - WebMD, 3/15/13 -
"The study looked at the green tea and coffee drinking
habits of more than 82,000 Japanese adults, ages 45 to 74, for an average of 13
years ... People who drank at least 1 cup of coffee daily had about a 20% lower
risk of stroke compared to those who rarely drank it ... People who drank 2 to 3
cups of green tea daily had a 14% lower risk of stroke, and those who had at
least 4 cups had a 20% lower risk, compared to those who rarely drank it ...
People who drank at least 1 cup of coffee or 2 cups of green tea daily had a 32%
lower risk of intracerebral hemorrhage, compared to those who rarely drank
either beverage. Intracerebral hemorrhage happens when a blood vessel bursts and
bleeds inside the brain. About 13% of strokes are due to this condition ... Some
chemicals in coffee include chlorogenic acid, which is thought to cut stroke
risks by lowering the chances of developing type 2 diabetes" - [Abstract]
- Note: Chlorogenic acid is in fruit extracts such as blueberry extract. See
Garden of Life, Radical Fruits Antioxidant Complex at Amazon.com.
-
Fish oil
component reduces brain damage in newborns, mouse study suggests - Science
Daily, 2/20/13 - "the novel use of a component of fish
oil reduced brain trauma in newborn mice. The study reports that neonatal brain
damage decreased by about 50% when a triglyceride lipid emulsion containing
docosahexaenoic acid (DHA) was injected within two hours of the onset of
ischemic stroke ... DHA provided protection while EPA did not" - See
Jarrow Max DHA at Amazon.com.
-
Risk of
hospitalization or death from ischemic heart disease among British vegetarians
and nonvegetarians: results from the EPIC-Oxford cohort study - Am J Clin
Nutr. 2013 Jan 30 - "Vegetarians had a 32% lower risk"
-
High dietary
fiber intake prevents stroke at a population level - Clin Nutr. 2012 Dec 28
- "In 1647 unselected subjects, dietary fiber intake
(DFI) was detected in a 12-year population-based study ... HR for incidence of
stroke was lower when the daily intake of soluble fiber was >25 g or that of
insoluble fiber was >47 g. In multivariate analyses, using these values as
cut-off of DFI, the risk of stroke was lower in those intaking more that the
cut-off of soluble (HR 0.31, 0.17-0.55) or insoluble (HR 0.35, 0.19-0.63) fiber.
Incidence of stroke was also lower (-50%, p < 0.003 and -46%, p < 0.01,
respectively)" - See
Garden of Life, RAW Fiber at Amazon.com.
-
Total and
specific fruit and vegetable consumption and risk of stroke: A prospective study
- Atherosclerosis. 2012 Dec 28 - "We prospectively
followed 74,961 participants (34,670 women and 40,291 men) who had completed a
food frequency questionnaire in the autumn of 1997 and were free from stroke,
coronary heart disease, and cancer at baseline ... 10.2 years of follow-up ...
The multivariable relative risk (RR) of total stroke for the highest vs. lowest
category of total fruit and vegetable consumption was 0.87 (95% confidence
interval [CI] 0.78-0.97; P for trend = 0.01). The association was confined to
individuals without hypertension (corresponding RR, 0.81; 95% CI, 0.71-0.93; P
for trend = 0.01). Among individual fruits and vegetable subgroups, inverse
associations with total stroke were observed for apples/pears (RR, 0.89; 95% CI,
0.80-0.98; P for trend = 0.02) and green leafy vegetables (RR, 0.92; 95% CI,
0.81-1.04; P for trend = 0.03) ... Particularly consumption of apples and pears
and green leafy vegetables was inversely associated with stroke"
-
Red and
processed meat consumption and risk of stroke: a meta-analysis of prospective
cohort studies - Eur J Clin Nutr. 2012 Nov 21 -
"performed a literature search on PubMed database through June 2012 ...
Comparing the highest category of consumption with lowest category, the pooled
relative risks (RRs) of total stroke were 1.15 (95% confidence interval (CI),
1.05-1.25) for total meat (red and processed meat combined) (n=4), 1.09 (95% CI,
1.01-1.18) for red meat (n=5) and 1.14 (95% CI, 1.05-1.25) for processed meat
(n=5); the corresponding RRs of ischemic stroke (highest vs lowest quintile)
were 1.15 (95% CI, 1.04-1.28), 1.13(95% CI, 1.01-1.25) and 1.19 (95% CI,
1.08-1.31). Consumption of red and/or processed meat was not associated with
hemorrhagic stroke. In the dose-response analysis, the risk of stroke increased
significantly by 10% and 13% for each 100 g per day increment in total and red
meat consumption, respectively, and by 11% for each 50 g per day increment in
processed meat consumption"
-
Dietary
fiber intake and stroke risk: a meta-analysis of prospective cohort studies
- Eur J Clin Nutr. 2012 Oct 17 - "We performed a
literature search on PubMed database through July 2012 to indentify prospective
studies of dietary fiber intake in relation to risk of stroke ... The
dose-response analysis suggested a 12% (RR=0.88; 95% CI, 0.79-0.97) reduction in
risk of stroke for each 10 g per day increment in dietary fiber intake ...
Findings of this meta-analysis indicate a significant inverse dose-response
relationship between dietary fiber intake and risk of stroke" - See
Garden of Life, RAW Fiber at Amazon.com.
-
Serum
lycopene decreases the risk of stroke in men: A population-based follow-up study
- Neurology. 2012 Oct 9;79(15):1540-7 - "The study
population consisted of 1,031 Finnish men aged 46-65 years in the Kuopio
Ischaemic Heart Disease Risk Factor cohort. Serum concentrations of carotenoids
retinol and α-tocopherol were measured by high-performance liquid chromatography
... men in the highest quartile of serum lycopene concentrations had 59% and 55%
lower risks of ischemic stroke and any stroke, compared with men in the lowest
quartile (hazard ratio [HR] = 0.45, 95% confidence interval [CI] 0.25-0.95, p =
0.036 for any stroke and HR = 0.41; 95% CI 0.17-0.97, p = 0.042 for ischemic
stroke). α-Carotene, β-carotene, α-tocopherol, and retinol were not related to
the risk of strokes" - See
Jarrow Lyco-Sorb (contains Lyco-O-Mato) at Amazon.com.
-
Tomatoes May Lower Your Risk for Stroke - WebMD, 10/8/12 -
"Men who had the highest levels of lycopene in their
blood were 55% less likely to have a stroke, compared with men who had the
lowest levels of the antioxidant in their blood ... The new study included
slightly more than 1,000 men from Finland aged 46 to 65. Researchers measured
the level of lycopene in their blood when the study began and followed the men
for about 12 years" - See
Jarrow Lyco-Sorb (contains Lyco-O-Mato) at Amazon.com.
-
Fish
consumption and risk of stroke and its subtypes: accumulative evidence from a
meta-analysis of prospective cohort studies - Eur J Clin Nutr. 2012 Oct 3 -
"A database was derived from 16 eligible studies (19
cohorts), including 402 127 individuals (10 568 incident cases) with an average
12.8 years of follow-up ... Accumulated evidence generated from this
meta-analysis suggests that fish intake may have a protective effect against the
risk of stroke, particularly ischemic stroke" - See
Mega Twin EPA at Amazon.com
and
Jarrow Max DHA at Amazon.com.
-
Chocolate: A sweet method for stroke prevention in men? - Science Daily,
8/29/12 - "While other studies have looked at how
chocolate may help cardiovascular health, this is the first of its kind study to
find that chocolate ... Those eating the highest amount of chocolate had a
17-percent lower risk of stroke, or 12 fewer strokes per 100,000 person-years
compared to those who ate no chocolate ... In a larger analysis of five studies
that included 4,260 stroke cases, the risk of stroke for individuals in the
highest category of chocolate consumption was 19 percent lower compared to
non-chocolate consumers. For every increase in chocolate consumption of 50 grams
per week, or about a quarter cup of chocolate chips, the risk of stroke
decreased by about 14 percent ... The beneficial effect of chocolate consumption
on stroke may be related to the flavonoids in chocolate" - See
Garden of Life, Radical Fruits Antioxidant Complex at Amazon.com.
I'm still betting it covers the flavonoids without the calories or the headache
I get from chocolate.
-
Low Vitamin D in
Diet Linked to Increased Stroke - Medscape, 6/20/12 -
"Study participants included 7385 Japanese-American men
who enrolled in the Honolulu Heart Program, a long-running, prospective,
population-based observational study, between 1965 and 1968. They were 45 and 68
years old at the baseline examination and were followed through 1999 for stroke
... Age-adjusted rates of stroke were significantly higher in the lowest dietary
vitamin D quartile (0 - 1.12 µg/day) compared with the highest quartile (4.13 -
211.60 µg/day)" - See
vitamin D at Amazon.com.
-
Low Dietary
Vitamin D Predicts 34-Year Incident Stroke: The Honolulu Heart Program -
Stroke. 2012 May 24 - "The Honolulu Heart Program is a
prospective population-based cohort study of 8006 Japanese-American men in
Hawaii who were 45 to 68 years old at the baseline examination in 1965 to 1968
... 34 years of follow-up ... Age-adjusted rates of incident stroke were
significantly higher in the lowest dietary vitamin D quartile compared with the
highest (all stroke: 6.38 versus 5.14 per 1000 person-years follow-up, P=0.030;
thromboembolic stroke: 4.36 versus 3.30, P=0.033). Using Cox regression,
adjusting for age, total kilocalories, body mass index, hypertension, diabetes
mellitus, pack-years smoking, physical activity index, serum cholesterol, and
alcohol intake, those in the lowest quartile had a significantly increased risk
of incident stroke (all stroke hazard ratio, 1.22; 95% CI, 1.01-1.47; P=0.038;
thromboembolic stroke hazard ratio, 1.27; 95% CI, 1.01-1.59; P=0.044) with the
highest as the reference. We found no significant associations between dietary
vitamin D and hemorrhagic stroke" - See
vitamin D at Amazon.com.
-
Dietary
fibre intake and ischaemic heart disease mortality: the European Prospective
Investigation into Cancer and Nutrition-Heart study - Eur J Clin Nutr. 2012
May 23 - "average follow-up of 11.5 years ... The
calibrated intake of dietary fibre was inversely related with IHD mortality;
each 10 g/day was associated with a 15% lower risk (relative risk (RR) 0.85; 95%
confidence interval (CI): 0.73-0.99, P=0.031). There was no difference in the
associations of the individual food sources of dietary fibre with the risk of
IHD mortality; RR for each 5 g/day higher cereal fibre intake was 0.91 (CI:
0.82-1.01), RR for each 2.5 g/day fruit fibre intake was 0.94 (CI: 0.88-1.01)
and RR for each 2.5 g/day vegetable fibre intake was 0.90 (95% CI: 0.76-1.07).
Conclusion: A higher consumption of dietary fibre is associated with a lower
risk of fatal IHD with no clear difference in the association with IHD for fibre
from cereals, fruits or vegetables"
-
Citicoline
Enhances Neuroregenerative Processes After Experimental Stroke in Rats -
Stroke. 2012 May 10 - "Animals treated with citicoline
showed a significantly better neurological outcome at Days 10, 21, and 28 after
ischemia, which could not be attributed to differences in infarct volumes or
glial scar formation. However, neurogenesis in the dentate gyrus, subventricular
zone, and peri-infarct area was significantly increased by citicoline.
Furthermore, enhanced neurological outcome after citicoline treatment was
associated with a shift toward excitation in the perilesional cortex" -
See
citicholine at Amazon.com.
-
Flavonoid compound found in foods and supplements may prevent the formation of
blood clots, study suggests - Science Daily, 5/8/12 -
"It's not always fully appreciated that the majority of
Americans will die as the result of a blood clot in either their heart or their
brain ... The study focused on protein disulfide isomerase (PDI) which is found
in all cells. Investigators in BIDMC's Division of Hemostasis and Thrombosis had
previously shown that PDI is rapidly secreted from both platelets and
endothelial cells during thrombosis, when a clot forms in a blood vessel, and
that inhibition of PDI could block thrombosis in a mouse model ... Among the
more than 5,000 compounds that were screened, quercetin-3-rutinoside (rutin)
emerged as the most potent agent ... Surprisingly, studies of the rutin molecule
demonstrated that the same part of the molecule that provides rutin with its
ability to inhibit PDI also prevents the compound from entering cells ... "That
finding explained how this compound can be both a potent inhibitor of PDI and a
safe food supplement," ... Rutin proved to be the most potently anti-thrombotic
compound that we ever tested in this model ... This discovery suggests that a
single agent can treat and prevent both types of clots" - See
rutin products at iHerb.
-
Levothyroxine Treatment of Subclinical Hypothyroidism, Fatal and Nonfatal
Cardiovascular Events, and Mortality - Arch Intern Med. 2012 Apr 23 -
"Subclinical hypothyroidism (SCH) has been associated
with ischemic heart disease (IHD) ... We used the United Kingdom General
Practitioner Research Database to identify individuals with new SCH (serum
thyrotropin levels of 5.01-10.0 mIU/L and normal free thyroxine levels) recorded
during 2001 with outcomes analyzed until March 2009 ... Treatment of SCH with
levothyroxine was associated with fewer IHD events in younger individuals, but
this was not evident in older people" - See
thyroid hormones at International Anti-aging Systems.
-
Low-Fat Dairy May Help Lower Stroke Risk - WebMD, 4/19/12 -
"The study researchers, who tracked the diets of nearly
75,000 men and women over 10 years, found that those who ate the most low-fat
dairy foods and beverages were 12% less likely to have a stroke than those who
ate the least ... The most plausible explanation is that low-fat dairy food
lowers blood pressure ... consuming full-fat dairy products such as whole milk
was not associated with risk of stroke ... those who ate a daily average of four
servings of low-fat cheeses, yogurts, and milk significantly lowered their risk
of stroke compared to those who did not include any low-fat dairy in their diet"
-
Prospective
observational study of isoflavone and the risk of stroke recurrence: potential
clinical implications beyond vascular function -J Nutr Health Aging.
2012;16(4):383-8 - "Stroke recurrence and major adverse
cardiovascular events (MACE) were documented. Brachial flow-mediated dilatation
(FMD) was measured using high-resolution ultrasound. Isoflavone intake was
estimated using a validated food frequency questionnaire. Results: Median
isoflavone intake was 6.9 (range: 2.1 - 14.5) mg/day. Isoflavone intake was
independently associated with increased FMD (Pearson R=0.23, p=0.012). At 30
months, there were 10 stroke recurrence and 12 MACE. Kaplan-Meier analysis
showed that patients with isoflavone intake higher than median value had
significantly longer median stroke recurrence-free survival time (19.0 [range:
10.4 - 27.6] mth versus 5.0 [range: 4.1 - 5.9] mth, p=0.021) and MACE-free
survival time (19.0 [range: 10.4 - 27.6] mth versus 4.0 [range: 2.4 - 5.6] mth,
p=0.013). Using multivariate cox regression, higher isoflavone intake was an
independent predictor for lower risk of stroke recurrence (hazards ratio 0.18
[95%CI: 0.03 - 0.95], risk reduction 82%, p=0.043) and MACE (hazards ratio 0.16
[95%CI: 0.03 - 0.84], risk reduction 84%, p=0.030)" - See
soy isoflavones at Amazon.com.
-
Eating
citrus fruit may lower women's stroke risk - Science Daily, 2/23/12 -
"Women who ate high amounts of the compound had a 19
percent lower risk of ischemic stroke than women who consumed the least amount"
-
Associations
of dietary magnesium intake with mortality from cardiovascular disease: The JACC
study - Atherosclerosis. 2012 Jan 28 - "Dietary
magnesium intake was assessed by a validated food frequency questionnaire
administered between 1988 and 1990 ... median 14.7-year follow-up ... Dietary
magnesium intake was inversely associated with mortality from hemorrhagic stroke
in men and with mortality from total and ischemic strokes, coronary heart
disease, heart failure and total cardiovascular disease in women. The
multivariable hazard ratio (95% CI) for the highest vs. the lowest quintiles of
magnesium intake after adjustment for cardiovascular risk factor and sodium
intake was 0.49 (0.26-0.95), P for trend=0.074 for hemorrhagic stroke in men,
0.68 (0.48-0.96), P for trend=0.010 for total stroke, 0.47 (0.29-0.77), P for
trend<0.001 for ischemic stroke, 0.50 (0.30-0.84), P for trend=0.005 for
coronary heart disease, 0.50 (0.28-0.87), P for trend=0.002 for heart failure
and 0.64 (0.51-0.80), P for trend<0.001 for total cardiovascular disease in
women" - See Jarrow
Formulas, Magnesium Optimizer Citrate, 100 Easy-Solv Tablets at iHerb.
-
Dietary
Protein Sources and the Risk of Stroke in Men and Women - Stroke. 2011 Dec
29 - "During 26 and 22 years of follow-up in women and
men, respectively, we documented 2633 and 1397 strokes, respectively. In
multivariable analyses, higher intake of red meat was associated with an
elevated risk of stroke, whereas a higher intake of poultry was associated with
a lower risk. In models estimating the effects of exchanging different protein
sources, compared with 1 serving/day of red meat, 1 serving/day of poultry was
associated with a 27% (95% CI, 12%-39%) lower risk of stroke, nuts with a 17%
(95% CI. 4%-27%) lower risk, fish with a 17% (95% CI, 0%-30%) lower risk,
low-fat dairy with an 11% (95% CI, 5%-17%) lower risk, and whole-fat dairy with
a 10% (95% CI, 4%-16%) lower risk. We did not see significant associations with
exchanging legumes or eggs for red meat"
-
Dietary
magnesium intake and risk of stroke: a meta-analysis of prospective studies
- Am J Clin Nutr. 2011 Dec 28 - "Seven prospective
studies, with 6477 cases of stroke and 241,378 participants were eligible for
inclusion in the meta-analysis. We observed a modest but statistically
significant inverse association between magnesium intake and risk of stroke. An
intake increment of 100 mg Mg/d was associated with an 8% reduction in risk of
total stroke (combined RR: 0.92; 95% CI: 0.88, 0.97), without heterogeneity
among studies (P = 0.66, I(2) = 0%). Magnesium intake was inversely associated
with risk of ischemic stroke (RR: 0.91; 95% CI: 0.87, 0.96) but not
intracerebral hemorrhage (RR: 0.96; 95% CI: 0.84, 1.10) or subarachnoid
hemorrhage (RR: 1.01; 95% CI: 0.90, 1.14)" - See magnesium supplements at Amazon.com.
-
Vegetables, fruits, grains reduce stroke risk in women - Science Daily,
12/1/11 - "They used a standard database to determine
participants' total antioxidant capacity (TAC), which measures the free radical
reducing capacity of all antioxidants in the diet and considers synergistic
effects between substances ... For women with no history of cardiovascular
disease who had the highest TAC, fruits and vegetables contributed about 50
percent of TAC ... Other contributors were whole grains (18 percent), tea (16
percent) and chocolate (5 percent) ... Women without cardiovascular disease with
the highest levels of dietary TAC had a statistically significant 17 percent
lower risk of total stroke compared to those in the lowest quintile ... Women
with history of cardiovascular disease in the highest three quartiles of dietary
TAC had a statistically significant 46 percent to 57 percent lower risk of
hemorrhagic stroke compared with those in the lowest quartile"
-
Fish
Consumption and Ischemic stroke in Southern Sweden - Nutr J. 2011 Oct
11;10(1):109 - "Stroke risk decreased with fat fish
intake ([greater than or equal to] 1/week versus <1/month) in both men and
women; adjusted pooled Odds Ratio (OR) 0.69, 95% Confidence Interval (CI):
0.54-0.89. However, stroke risk for women increased with intake of lean fish;
adjusted OR 1.63 (95% CI: 1.17-2.28), whereas there was no association with
men's lean fish intake; adjusted OR 0.97(95% CI: 0.73-1.27). Fish intake was
self-reported retrospectively, yielding uncertain exposure assessment and
potential recall bias. The findings regarding lean fish would be explained by
recall bias if an individual's inclination to report lean fish consumption
depended on both disease status and sex. The fact that the association between
fat fish intake and stroke was similar in men and women does not support such a
differential in recall ... The results suggest fat fish intake to decrease
ischemic stroke risk and lean fish intake to increase women's stroke risk. The
inconsistent relationship between fish intake and stroke risk reported in
previous studies is further stressed by the results of this study"
-
Oxytocin
Mediates Social Neuroprotection After Cerebral Ischemia - Stroke. 2011 Sep
29 - "In the present study, adult male mice were
socially isolated (housed individually) or socially paired (housed with an
ovariectomized female); social pairing increased hypothalamic OT gene
expression. To determine whether a causal relationship exists between increased
OT and improved stroke outcome, mice were treated with exogenous OT or OT
receptor antagonist beginning 1 week before induction of experimental stroke via
middle cerebral artery occlusion ... Relative to social isolation, social
housing attenuated infarct size, neuroinflammation, and oxidative stress
following experimental stroke; the neuroprotective effect of social housing was
eliminated by receptor antagonist treatment. In contrast, administration of OT
to socially isolated mice reproduced the neuroprotection conferred by social
housing. We further report evidence for a direct suppressive action of OT on
cultured microglia, which is a key instigator in the development of
neuroinflammation after cerebral ischemia" - See
Oxytocin 6x5iu tablets at International Antiaging Systems.
-
Marine, but not plant, omega-3s may boost heart health for women: Study -
Nutra USA, 9/7/11 - "High intakes of long chain omega-3
eicosapentaenoic acid (EPA, C20:5 n-3) and docosahexaenoic acid (DHA, C22:6 n-3)
was associated with a 38% reduction in the risk of ischemic heart disease (IHD)
in women, but not men ... Much attention has been paid to the conversion of ALA
to the longer chain EPA, with many stating that this conversion is very small.
Indeed, between 8 and 20 per cent of ALA is reportedly converted to EPA in
humans, and between 0.5 and 9 per cent of ALA is converted to DHA ... high
intakes of long chain omega-3s ranging from 0.45 to 11.2 grams per day were
associated with a 38% reduction in IHD risk for women only" - [Abstract]
- See
Mega Twin EPA at Amazon.com
and
Jarrow Max DHA at Amazon.com.
-
Dietary
{alpha}-linolenic acid, linoleic acid, and n-3 long-chain PUFA and risk of
ischemic heart disease - Am J Clin Nutr. 2011 Aug 24 -
"α-linolenic acid (ALA, 18:3n-3) ... Four hundred
seventy-one cases of IHD were observed during a median follow-up period of 23.3
y. Higher intake of ALA was not significantly associated with decreased risk of
IHD among women or men. Although the HR of IHD was stepwise decreased with
increasing ALA intake in men [0.84 (95% CI: 0.62, 1.14) in the medium compared
with the lowest tertile (reference) and 0.83 (95% CI: 0.56, 1.24) in the highest
compared with the lowest tertile], this change was far from significant
(P-trend: 0.39). No evidence of effect modification by n-3 LC-PUFA or LA was
observed. High n-3 LC-PUFA intake, in comparison with low intake, was inversely
associated with risk of IHD; this trend was significant in women (P = 0.04; HR:
0.62; 95% CI: 0.40, 0.97) but not in men (P = 0.15; HR: 0.74; 95% CI: 0.51,
1.06). No associations were observed between intake of LA and risk of IHD"
- Note: α-linolenic acid (ALA, 18:3n-3) is the form of omega-3 found in things
like vegetable and flax seeds, linoleic acid (LA, 18:2 n-6) is what's in most
vegetable oils like corn and soy. - See
Mega Twin EPA at Amazon.com
and
Jarrow Max DHA at Amazon.com.
-
Omega-3s
reduce stroke severity, study suggests - Science Daily, 8/24/11 -
"the extent of brain damage following a stroke was
reduced by 25% in mice that consumed DHA type omega-3s daily ... the effects of
stroke were less severe in mice that had been fed a diet rich in DHA for three
months than in mice fed a control diet. In mice from the DHA group, they saw a
reduction in the concentrations of molecules that stimulate tissue inflammation
and, conversely, a larger quantity of molecules that prevent the activation of
cell death ... This is the first convincing demonstration of the powerful
anti-inflammatory effect of DHA in the brain ... This protective effect results
from the substitution of molecules in the neuronal membrane: DHA partially
replaces arachidonic acid, an omega-6 fatty acid known for its inflammatory
properties ... this anti-inflammatory effect is likely transferable to humans"
- See
Jarrow Max DHA at Amazon.com.
-
Accumulation
of Dietary Docosahexaenoic Acid in the Brain Attenuates Acute Immune Response
and Development of Postischemic Neuronal Damage - Stroke. 2011 Aug 18 -
"We show that a 3-month DHA treatment prevented
microglial activation after ischemic injury, reduced the ischemic lesion size,
and increased levels of the antiapoptotic molecule Bcl-2 in the brain.
Additional analysis revealed a significant decrease in the levels of COX2 and
IL-1β, but not in other proinflammatory cytokines. Importantly, long-term DHA
supplementation significantly changed the n-3:n-6 polyunsaturated fatty acid
ratio in the brain ... Collectively, these data indicate that diet-induced
accumulation of DHA in the brain protects against postischemic inflammation and
injury. Because DHA is widely available at low cost and has an excellent safety
profile, our data suggest that increased DHA intake may provide protection
against acute immune response/brain damage in ischemic stroke" - See
Jarrow Max DHA at Amazon.com.
-
Less
salt, less strokes, says new research - Science Daily, 8/11/11 -
"a reduction of 3 grams of salt intake per day would
prevent up to 8,000 stroke deaths and up to 12,000 coronary heart disease deaths
per year in the UK ... A similar reduction in the USA would result in up to
120,000 fewer cases of coronary heart disease, up to 66,000 strokes and up to
99,000 heart attacks annually. It would also save up to $24 billion annually in
health care costs"
-
Potassium, Calcium, and Magnesium Intakes and Stroke Risk (printer-friendly)
- Medscape, 8/2/11 - "In conclusion, findings from this
prospective cohort study of women suggest that potassium and magnesium intakes
are inversely associated with risk of cerebral infarction among women with
hypertension. We observed no protective effect of calcium intake on stroke risk"
-
'Gifted'
natural vitamin E tocotrienol protects brain against stroke in 3 ways -
Science Daily, 7/5/11 - "This is one of the first
studies to provide evidence that a safe nutrient - a vitamin - can alter
microRNA biology to produce a favorable disease outcome ... Here, a natural
nutritional product is simultaneously acting on multiple targets to help prevent
stroke-induced brain damage. That is a gifted molecule" - See
Jarrow FamilE (contains all eight members of the vitamin E family, includes
Tocomin) at Amazon.com.
-
Preventive use of one form of natural vitamin E may reduce stroke damage -
Science Daily, 7/5/11 - "Vitamin E occurs naturally in
eight different forms, and this work led by Ohio State University scientists is
focused on the tocotrienol form, also known as TCT. The commonly known form of
vitamin E belongs to a variety called tocopherols. TCT is not abundant in the
American diet but is available as a nutritional supplement. It is a common
component of a typical Southeast Asian diet ... In the study, 24 hours after a
stroke, lesions indicating brain tissue damage were about 80 percent smaller in
dogs that received supplementation than were the lesions in dogs that received
no intervention. Imaging tests showed that the treated animals' brains had
better blood flow at the stroke site as compared to untreated dogs' brains, a
difference attributed to tiny collateral blood vessels' ability to improve
circulation in the brain when blood flow stopped in more substantial vessels ...
In the study, 20 dogs were randomly assigned to one of two groups: those
receiving a placebo pill, and those receiving 200 milligrams of mixed
tocotrienols ... Additional examination of the affected brain tissue showed that
the TCT supplementation appeared to support arteriogenesis, a process by which
collateral arteries remodel themselves into larger vessels so they can bypass
the site of blockage" - See
Jarrow FamilE (contains all eight members of the vitamin E family, includes
Tocomin) at Amazon.com.
-
Olive Oil Linked to Reduced Stroke Risk - WebMD. 6/15/11 -
"seniors who regularly used this healthy monounsaturated
fat had a 41% lower risk of stroke compared to their counterparts who never used
olive oil ... So what exactly is it about olive oil that may lower stroke risk?
There are several theories, she says. It may be that people choose olive oil
over saturated, artery-clogging fats. “Moreover, previous research found that
the polyphenols from virgin olive oil account specifically for its ability to
lower oxidized low-density lipoprotein (LDL)” or bad cholesterol. High
cholesterol levels are a known risk factor for stroke ... Olive oil is a healthy
fat and it can reduce cholesterol and inflammation, and has been shown to help
reduce the incidence of heart disease" - Click
here for my olive oil mayonnaise recipe. See
olive leaf extract at Amazon.com.
-
Link
between phosphate intake and heart disease demonstrated in new study -
Science Daily, 6/7/11 - "cholesterol deposits in the
wall of arteries are increased following a higher phosphate diet. This leads to
narrowing of the arteries, which is the cause of most heart attacks and strokes
... Food high in phosphate includes biscuits, cakes, sweets, dairy products and
meats such as offal and veal" - Note: They left out soda which is high
in phosphate.
-
Coffee
drinking linked to reduced stroke risk in women - Science Daily, 3/10/11 -
"Drinking more than a cup of coffee a day was associated
with a 22 percent to 25 percent lower risk of stroke, compared with those who
drank less ... The food frequency questionnaire made no distinction between
regular and decaffeinated coffee but decaffeinated coffee consumption in the
Swedish population is low ... Potential ways that coffee drinking might reduce
the risk of stroke include weakening subclinical inflammation, reducing
oxidative stress and improving insulin sensitivity"
-
Boost
Potassium Intake to Cut Stroke by 20% - Medscape, 2/28/11 -
"Potassium
intake may be increased by well-described dietary changes, mainly an increase in
fruit and vegetable consumption, as recommended by all guidelines to prevent
vascular diseases ... those that are very rich in potassium--including bananas,
tomatoes, oranges, apricots, and most legumes--is probably best ... The
researchers identified 11 studies on the association between habitual dietary
potassium intake and incidence of vascular events over the past 30 years ... In
the pooled analysis, a 1.64-g (42 mmol)/day higher potassium intake--which
Strazzullo says is equivalent to around three pieces of fruit high in
potassium--was associated with a 21% lower risk of stroke (risk ratio 0.79;
p=0.0007), with a trend toward lower risk of CHD and total CVD that attained
statistical significance after the exclusion of a single cohort (RR 0.93; p=0.03
and RR 0.74; p=0.0037)" - See
potassium citrate at Amazon.com.
-
Fruit and
vegetable intake and mortality from ischaemic heart disease: results from the
European Prospective Investigation into Cancer and Nutrition (EPIC)-Heart study
- Eur Heart J. 2011 Jan 18 - "average of 8.4 years ...
Participants consuming at least eight portions (80 g each) of fruits and
vegetables a day had a 22% lower risk of fatal IHD [relative risk (RR) = 0.78,
95% confidence interval (CI): 0.65-0.95] compared with those consuming fewer
than three portions a day. After calibration of fruit and vegetable intake to
account for differences in dietary assessment between the participating centres,
a one portion (80 g) increment in fruit and vegetable intake was associated with
a 4% lower risk of fatal IHD (RR = 0.96, 95% CI: 0.92-1.00, P for trend =
0.033). Conclusion Results from this large observational study suggest that a
higher intake of fruits and vegetables is associated with a reduced risk of IHD
mortality. Whether this association is causal and, if so, the biological
mechanism(s) by which fruits and vegetables operate to lower IHD risks remains
unclear"
-
Immunomodulatory effect of Hawthorn extract in an experimental stroke model
- J Neuroinflammation. 2010 Dec 30;7(1):97 - "middle
cerebral artery occlusion-(MCAO) induced stroke ... In summary, Hawthorn extract
helped alleviate pro-inflammatory immune responses associated with I/R-induced
injury, boosted IL-10 levels, and increased Foxp3-positive Tregs in the brain,
which may have aided in suppression of activated inflammatory cells. Such
treatment also minimizes apoptotic cell death by influencing STAT-3
phosphorylation and Bcl-xL expression in the brain. Taken together, the
immunomodulatory effect of Hawthorn extract may play a critical role in the
neuroprotection observed in this MCAO-induced stroke model" - See
hawthorn products at Amazon.com.
-
Three
Whole-Grain Portions Daily May Lower Cardiovascular Risk - Medscape, 1/4/11
- "Daily consumption of 3 portions of whole-grain foods
(WGF) is linked to lower cardiovascular disease (CVD) risk in healthy,
middle-aged people mainly by lowering blood pressure (BP) ... assigned to
continue the refined diet (control) or to switch to a whole-wheat diet or to a
whole-wheat plus oat diet, for 12 weeks ... Compared with the control group, the
WGF groups had a significant reduction in systolic BP (6 mm Hg) and a
significant reduction (3 mm Hg) in pulse pressure ... The observed decrease in
systolic blood pressure could decrease the incidence of coronary artery disease
and stroke by ≥ 15% and 25%, respectively"
-
Fish
consumption and risk of stroke in Swedish women - Am J Clin Nutr. 2010 Dec
29 - "Fish consumption was significantly inversely
associated with risk of total stroke but not cerebral infarction or hemorrhagic
stroke. Compared with women in the lowest quintile of fish consumption (<1.0
servings of fish/wk), the multivariable RR of total stroke for women in the
highest quintile (>3.0 servings of fish/wk) was 0.84 (95% CI: 0.71, 0.98; P for
trend = 0.049). Consumption of lean fish but not of other fish types was
inversely associated with risk of stroke. The multivariable RR of total stroke
was 0.67 (95% CI: 0.49, 0.93; P for trend = 0.07) for ≥3 servings of lean
fish/wk compared with that for no consumption"
-
Docosahexaenoic acid: brain accretion and roles in neuroprotection after brain
hypoxia and ischemia - Curr Opin Clin Nutr Metab Care. 2010 Dec 21 -
"DHA is a major n-3 fatty acid in the mammalian central
nervous system and enhances synaptic activities in neuronal cells ... DHA
attenuates brain necrosis after hypoxic ischemic injury, principally by
modulating membrane biophysical properties and maintaining integrity in
functions between presynaptic and postsynaptic areas, resulting in better
stabilizing intracellular ion balance in hypoxic-ischemic insult. Additionally,
DHA alleviates brain apoptosis, by inducing antiapoptotic activities such as
decreasing responses to reactive oxygen species, upregulating antiapoptotic
protein expression, downregulating apoptotic protein expression, and maintaining
mitochondrial integrity and function" - See
Jarrow Max DHA at Amazon.com.
-
Citicoline
in Vascular Cognitive Impairment and Vascular Dementia After Stroke -
Stroke. 2010 Dec 16 - "Stroke doubles the risk of
dementia and is a major contributor to vascular cognitive impairment and
vascular dementia ... Citicoline has demonstrated neuroprotective effects in
acute stroke and has been shown to improve cognition in patients with chronic
cerebrovascular disease and in some patients with Alzheimer disease. A recent
trial lasting 6 months in patients with first-ever ischemic stroke showed that
citicoline prevented cognitive decline after stroke with significant improvement
of temporal orientation, attention, and executive function. Experimentally,
citicoline exhibits neuroprotective effects and enhances neural repair.
Citicoline appears to be a safe and promising alternative to improve stroke
recovery and could be indicated in patients with vascular cognitive impairment,
vascular dementia, and Alzheimer disease with significant cerebrovascular
disease" - See
citicholine at Amazon.com.
-
Whey
supplements lower blood pressure: Low-cost protein gets big results in people
with elevated blood pressure - Science Daily, 12/8/10 -
"Beverages supplemented by whey-based protein can
significantly reduce elevated blood pressure, reducing the risk of stroke and
heart disease ... daily doses of commonly available whey brought a more than
six-point reduction in the average blood pressure of men and women with elevated
systolic and diastolic blood pressures ... blood-pressure reductions like those
seen by Fluegel can reduce cardiovascular disease and bring a 35 to 40 percent
reduction in fatal strokes"
- See
whey protein at Amazon.com.
-
Fish oil
component given up to 5 hours after stroke limits brain damage, study finds
- Science Daily, 11/8/10 - "DHA has potent
anti-inflammatory effects. Since inflammation is at the root of many chronic
diseases, DHA treatment has been widely demonstrated to have beneficial effects
in patients with coronary heart disease, asthma, rheumatoid arthritis,
osteoporosis, sepsis, cancer, dry eye disease, and age-related macular
degeneration ... To determine how DHA might be effective in stroke treatment and
recovery, the LSUHSC research team administered either DHA or saline
intravenously at 3, 4, 5, and 6 hours after the onset of stroke. MRIs showed
that neurological deficits were reduced by the administration of DHA. DHA
treatment reduced swelling and facilitated neurobehavioral recovery. The volume
of the area of destroyed tissue was reduced by an average of 40% when DHA was
administered at 3 hours, 66% at 4 hours, and 59% at 5 hours. Further analysis
showed it triggered production of Neuroprotectin D1 (NPD1), a naturally
occurring neuroprotective molecule in the brain derived from DHA ... only did
DHA treatment salvage brain tissue that would have died, its repair mechanisms
rendered some areas indistinguishable from normal tissue by 7 days" - See
Jarrow Max DHA at Amazon.com.
-
Frequent chocolate consumption could reduce CHD risk, US study - Nutra USA,
9/21/10 - "dark chocolate intake was associated with a
39 per cent lower risk of myocardial infarction and stroke combined ... In the
fully adjusted model, consumption of chocolate more than five times a week was
associated with 57 per cent lower prevalent CHD compared with subjects who did
not consume chocolate ... Exclusion of subjects with prevalent diabetes and
those who were on a weight loss diet made the association stronger ... the
inability to distinguish the different types of chocolate might have led to an
underestimation of the true association between cocoa/chocolate polyphenol
consumption and CHD in the study"
-
Omega-3
Polyunsaturated Fatty Acid Supplementation Confers Long-Term Neuroprotection
Against Neonatal Hypoxic-Ischemic Brain Injury Through Anti-Inflammatory Actions
- Stroke. 2010 Aug 12 - "neonatal hypoxia/ischemia (H/I)
... : Female rats were treated with or without an omega-3 polyunsaturated fatty
acids-enriched diet from the second day of pregnancy until 14 days after
parturition ... Omega-3 polyunsaturated fatty acid supplementation significantly
reduced brain damage and improved long-term neurological outcomes up to 5 weeks
after neonatal H/I injury. Omega-3 polyunsaturated fatty acids exerted an
anti-inflammatory effect in microglia both in an in vivo model of H/I and in in
vitro microglial cultures subjected to inflammatory stimuli by inhibiting
NF-kappaB activation and subsequent release of inflammatory mediators.
CONCLUSIONS: Our results suggest that omega-3 polyunsaturated fatty acids confer
potent neuroprotection against neonatal H/I brain injury through, at least
partially, suppressing a microglial-mediated inflammatory response" - See
Mega Twin EPA at Amazon.com
and
Jarrow Max DHA at Amazon.com.
-
How
dark chocolate may guard against brain injury from stroke - Science
Daily, 5/5/10
-
How red
wine may shield brain from stroke damage: researchers discover pathway in
mice for resveratrol's apparent protective effect - Science Daily,
4/21/10 -
"Two hours after feeding mice a single modest dose
of resveratrol, a compound found in the skins and seeds of red grapes, the
scientists induced an ischemic stroke by essentially cutting off blood
supply to the animals' brains. They found that the animals that had
preventively ingested the resveratrol suffered significantly less brain
damage than the ones that had not been given the compound ... his study
suggests that resveratrol increases levels of an enzyme (heme oxygenase)
already known to shield nerve cells in the brain from damage. When the
stroke hits, the brain is ready to protect itself because of elevated enzyme
levels. In mice that lacked the enzyme, the study found, resveratrol had no
significant protective effect and their brain cells died after a stroke"
- See
resveratrol products at Amazon.com.
-
Vitamin
B3 shows early promise in treatment of stroke - Science Daily, 2/24/10 -
"An early study suggests that vitamin B3 or niacin,
a common water-soluble vitamin, may help improve neurological function after
stroke ... Niacin is known to be the most effective medicine in current
clinical use for increasing high-density lipoprotein cholesterol (HDL-C),
which helps those fatty deposits ... Niacin essentially re-wires the brain
which has very exciting potential for use in humans" - See
niacin at Amazon.com.
-
Flavonols may slash stroke risk in women: Study - Nutra USA, 2/9/10 -
"the researchers noted that a high intake of
flavonols, predominantly from tea in the Dutch population and from tea,
onions, apples, and broccoli in US studies, was associated with a 20 per
cent reduction in stroke risk" - [Abstract]
-
Dietary
Flavonol Intake May Lower Stroke Risk in Men and Women - J Nutr. 2010 Jan 20
- "A high intake of flavonols compared with a low intake
was inversely associated with nonfatal and fatal stroke with a pooled relative
risk of 0.80"
-
How
one form of natural vitamin E protects brain after stroke - Science
Daily, 1/11/10 - "Our research suggests that the
different forms of natural vitamin E have distinct functions. The relatively
poorly studied tocotrienol form of natural vitamin E targets specific
pathways to protect against neural cell death and rescues the brain after
stroke injury ... Vitamin E occurs naturally in eight different forms. The
best-known form of vitamin E belongs to a variety called tocopherols. The
form of vitamin E in this study, tocotrienol or TCT, is not abundant in the
American diet but is available as a nutritional supplement. It is a common
component of a typical Southeast Asian diet" - See
Jarrow FamilE (contains all eight members of the vitamin E family, includes
Tocomin) at Amazon.com.
-
Low Vitamin D Has a Role in Heart Risk - WebMD, 1/7/10 -
"Darker-skinned people produce less vitamin D from
the sun than those with lighter skin, and studies show that blacks are far
more likely to have lower levels of the vitamin than whites ... Several
recent studies also suggest that low levels of vitamin D are associated with
an increased risk for heart attack and stroke ... Compared to everyone else
in the study, the quarter with the lowest vitamin D levels had a 40% higher
risk of dying from heart attacks, strokes, and other heart-related events
... Blacks were 38% more likely to die of cardiovascular causes than
non-Hispanic whites, and the researchers concluded that most of this excess
was related to their lower vitamin D levels" - See
vitamin D at Amazon.com.
-
Inadequate levels of vitamin D may significantly increase risk of stroke,
heart disease and death - Science Daily, 11/16/09 -
"a new study by researchers at the Heart Institute
at Intermountain Medical Center in Salt Lake City suggests that Vitamin D
contributes to a strong and healthy heart as well -- and that inadequate
levels of the vitamin may significantly increase a person's risk of stroke,
heart disease, and death, even among people who've never had heart disease
... patients with very low levels of Vitamin D were 77 percent more likely
to die, 45 percent more likely to develop coronary artery disease, and 78
percent were more likely to have a stroke than patients with normal levels.
Patients with very low levels of Vitamin D were also twice as likely to
develop heart failure than those with normal Vitamin D levels ... Recently,
studies have also linked Vitamin D to the regulation of many other bodily
functions including blood pressure, glucose control, and inflammation, all
of which are important risk factors related to heart disease" - See
vitamin D at Amazon.com.
-
Curcumin May Prevent Clogged Arteries - WebMD, 7/20/09 -
"The current study suggests curcumin may thwart the
development of atherosclerosis, or clogged arteries, a key risk factor for
heart attacks and strokes ... Researchers in France fed 20 mice a diet
supplemented with curcumin or a comparison diet not supplemented with
curcumin. After 16 weeks, mice fed on the curcumin-based diet had a 26%
reduction in fatty deposits in their arteries compared to mice on the
comparison diet ... In addition, curcumin appeared to alter the genetic
signaling involved in plaque buildup at the molecular level" - See
curcumin products at Amazon.com.
- Low
HDL-cholesterol is associated with the risk of stroke in elderly diabetic
individuals: Changes in the risk for atherosclerotic diseases at various
ages - Diabetes Care. 2009 Jun 9 - "IHD and CVD
occurred in 1.59% and 1.43% of participants over 2-year period. The relation
of lower HDL-cholesterol and/or higher LDL-cholesterol to occurrence of IHD
in subjects<65 y.o. was significant. Lower HDL-cholesterol was also
significantly related to CVD in subjects >=65y.o. and especially those>=75
y.o. (n=1016; odds ratio, 0.511*; 95%CI, 0.239- 0.918, *P<0.05). Stepwise
multiple regression analysis with onset of CVD as a dependent variable
showed same result. Conclusion: Lower HDL-cholesterol is an important risk
factor for not only IHD but also CVD, especially in the diabetic elderly"
- See
niacin at Amazon.com
(niacin increases HDL).
-
Low magnesium levels may increase stroke risk - Nutra USA, 4/22/09 -
"Blood levels of magnesium were negatively
associated with the risk of stroke, they said, with levels of 1.6, 1.7, and
1.8 mEq/L linked to a 22, 30, and 25 per cent reduction in stroke,
respectively, compared to 1.5 mEq/L "
-
Green,
Black Tea Can Reduce Stroke Risk, Research Suggests - Science Daily,
3/4/09 - "By drinking three cups of tea a day, the
risk of a stroke was reduced by 21 percent. It didn't matter if it was green
or black tea ... the effect appears to be linear ... researchers have
speculated that the antioxidant
epigallocatechin gallate
(EGCG) or the amino acid
theanine
may be what helps. Antioxidants are believed to help prevent coronary artery
disease ... we do know that theanine is nearly 100-percent absorbed .... It
gets across the blood-brain barrier and it looks a lot like a molecule
that's very similar to
glutamate, and
glutamate release is associated with stroke" - See
green tea extract at Amazon.com
and theanine at Amazon.com.
-
B Vitamins May Cut Stroke Risk - WebMD, 2/20/09 -
"people who took the vitamins were 25% less likely
to suffer a stroke over the study period than those who took placebo"
-
Coffee Cuts Stroke Risk in Women - WebMD, 2/16/09 -
"women who drank four or more cups of coffee a day
had a 20% reduced risk of stroke compared to women who had less than one cup
per month. Drinking two to three cups per day reduced risk by 19%. Drinking
a cup five to seven times a week reduced risk by 12%"
-
Vitamin D Deficiency Increases Risk of Cardiovascular Disease - Doctor's
Guide, 12/10/08 - "a review article published in the
December 9 issue of the Journal of the American College of Cardiology ...
patients with vitamin D levels below 15 ng/mL were twice as likely to
experience a heart attack, stroke, or other CV event within the next 5 years
compared with those with higher levels" - See
vitamin D at Amazon.com.
-
Too Little Vitamin D Puts Heart at Risk - WebMD, 12/1/08 -
"people with low vitamin D levels were twice as
likely to have a heart attack, stroke, or other heart-related event during
follow-up, compared with those with higher vitamin D levels ... Sunscreen
with a sun protection factor (SPF) of 15 blocks approximately 99% of vitamin
D synthesis by the skin ... The safe upper limit of vitamin D consumption is
10,000 IU per day ... Vitamin D supplements are available in two different
forms: Vitamin D2 and Vitamin D3. Although both appear effective in raising
vitamin D blood levels, Vitamin D3 supplements appear to result in a
longer-lasting boost" - See
vitamin D at Amazon.com.
-
Ginkgo Extract May Reduce Stroke Damage - Medscape, 10/10/08 -
"They found that mice pretreated with EGb761 had
smaller brain infarcts and less neurologic dysfunction than their untreated
counterparts ... Treatment with EGb761 after the stroke (4.5 hours
post-reperfusion) was also associated with a significant reduction in
infarct size" - See
Ginkgo biloba at Amazon.com.
-
Isoflavone Dietary Supplement Improves Functioning Of Arteries In Stroke
Patients - Science Daily, 9/23/08 - "A dietary
supplement containing isoflavone – a chemical found in soybeans, chickpeas,
legumes and clovers – can improve artery function in stroke patients ... 12
weeks of isoflavone supplement, at a dose of 80 mg a day, significantly
improved brachial FMD and, therefore, vascular endothelial dysfunction in
patients who had suffered an ischaemic stroke (a stroke caused by blood
clots or other obstructions)"
-
Indian Spice In Turmeric Reduces Size Of Hemorrhagic Stroke - Science
Daily, 9/22/08 - "This active ingredient of the
Indian curry spice, turmeric, not only lowers your chances of getting cancer
and Alzheimer's disease, but may reduce the size of a hemorrhagic stroke ...
significantly decreases the size of a blood clot" - See
curcumin products at Amazon.com.
-
Fish May Boost Memory, Prevent Stroke - WebMD, 8/4/08 -
"Researchers reporting in tomorrow’s issue of
Neurology have found that older adults whose diets include three or more
weekly helpings of baked or broiled tuna and other fish high in omega-3
fatty acids are less likely to develop "silent" brain lesions that can lead
to cognitive decline and vascular stroke" - See
Mega Twin EPA at Amazon.com.
-
Low Vitamin D Levels Independent Predictor of Fatal Stroke - Medscape,
7/24/08 - "Low levels of vitamin D appear to be an
independent predictor of fatal stroke — a finding that suggests
supplementation may be a promising approach for stroke prevention" -
See
vitamin D at Amazon.com.
-
Low Vitamin D Levels Predict Stroke in Patients Referred to Coronary
Angiography
- Stroke. 2008 Jul 17 - "Low levels of 25(OH)D and
1,25(OH)2D are independently predictive for fatal strokes, suggesting that
vitamin D supplementation is a promising approach in the prevention of
strokes" - See
vitamin D at Amazon.com.
-
Dietary Fiber May Predict Stroke Severity and Outcome - Medscape,
2/29/08 - "Higher dietary-fiber intake may result in
less severe stroke and improve stroke outcomes"
-
Fruit, Vegetable Eaters Have Fewer Strokes - WebMD, 1/9/08 -
"Specifically, vitamin C levels may prove to be a
good predictive indicator of stroke risk, independent of known risk factors
such as age, smoking history, blood pressure, and cholesterol, they write"
-
Plasma vitamin C concentrations predict risk of incident stroke over 10 y in
20 649 participants of the European Prospective Investigation into Cancer
Norfolk prospective population study - Am J Clin Nutr. 2008
Jan;87(1):64-9 - "persons in the top quartiles of
baseline plasma vitamin C concentrations had a 42% lower risk (relative
risk: 0.58; 95% CI: 0.43, 0.78) than did those in the bottom quartile"
-
Vitamin C linked to lower stroke risk: study - WebMD, 1/7/08 -
"The highest average blood levels of vitamin C
(greater than 66 micromoles per litre) were associated with a 42 per cent
lower risk of stroke, compared to the lowest average blood levels (less than
41 micromoles per litre)" - See
vitamin C products at Amazon.com.
-
Folic Acid and Stroke--Finally Some Good News - Medscape, 1/3/08 -
"the results of this trial were notable for a 25%
relative reduction in the risk for stroke among participants receiving
folate and B vitamins vs placebo"
-
Not
Enough 'Good' Cholesterol Makes It Harder To Recover From Stroke -
Science Daily, 11/26/07 - "People with low levels of
HDL, high levels of homocysteine, and diabetes are twice as likely as those
without such problems to have poorer cognitive function and greater
disability after stroke"
-
Intensive Nutritional Supplementation After Stroke Improves Patient Outcomes
- Doctor's Guide, 10/11/07
-
Carnosine Is Neuroprotective Against Permanent Focal Cerebral Ischemia in
Mice - Stroke. 2007 Oct 4 - "Carnosine is
neuroprotective in focal cerebral ischemia and appears to influence
deleterious pathological processes that are activated after the onset of
ischemia" - See
l-carnosine products at iHerb.
-
B Vitamin Plasma Levels and the Risk of Ischemic Stroke and Transient
Ischemic Attack in a German Cohort - Stroke. 2007 Sep 20 -
"Our data suggest that low vitamin B12 plasma
levels, particularly in combination with low folate levels, increase the
risk of cerebral ischemia. This effect may be mediated at least partly
through elevations of homocysteine levels"
-
Efficacy of folic acid supplementation in stroke prevention: a meta-analysis
- Lancet. 2007 Jun 2;369(9576):1876-82 -
"Folic acid supplementation significantly reduced
the risk of stroke by 18%"
-
Folic acid 'reduces stroke risks' - BBC News, 5/31/07 -
"They found the vitamin reduced the relative risk of
stroke by an average of 18% ... An even greater risk reduction - 30% - was
seen when the treatment lasted more than 36 months"
- See
iHerb folic acid products.
-
Folic Acid May Lower Stroke Risk - WebMD, 5/31/07
-
New Stroke Guidelines Underscore Importance of Aspirin for Women - Doctor's
Guide, 5/17/06 - "aspirin was associated with a 17%
reduction in the overall risk of stroke (P = 0.04) and a 24% reduction in the
risk of ischemic stroke ... The guidelines do not recommend the use of aspirin
for prevention of a first stroke in men"
-
Mittens May Aid
Stroke Recovery - WebMD, 2/21/06
-
Fruits, Veggies
Cut Stroke Risk - WebMD, 1/26/06 -
"People who reported eating more than five daily
servings of fruits and vegetables had the lowest stroke risk. They were 26%
less likely to have a stroke over 13 years than those who ate fruits and
vegetables fewer than three times daily"
-
Level of Activity Key to Cutting Stroke Risk - WebMD, 8/4/05 -
"Being moderately to highly active during leisure
time can slash stroke risk ... This means vigorous activity (like running,
swimming, or heavy gardening) for more than three hours a week"
-
Antioxidant-rich Diets Reduce Brain Damage From Stroke In Rats - Science
Daily, 7/1/05 - "rats fed diets preventatively
enriched with blueberries, spinach or an algae known as spirulina
experienced less brain cell loss and improved recovery of movement following
a stroke"
- Recovering from a
Stroke? - Dr. Weil, 4/14/05
-
A
New Paradigm for Stroke Prevention
- Life Extension Magazine, 4/05
- Fruits,
Vegetables May Cut Stroke Risk - WebMD, 6/3/04
- Best Way to Avoid a Stroke?
- Dr. Weil, 2/26/04 -
"Can tocotrienol and/or isoflavone supplements help
reverse plaque buildup in the carotid artery? ... Your physician may have
prescribed one of the statin drugs to lower cholesterol. You should adhere
to a low-fat diet emphasizing lots of fruits and vegetables, particularly
purple fruits, berries and red wine (if you drink alcohol) ... I would also
include omega-3 fatty acids"
- Higher Fruit,
Vegetable Intake Associated With Lower Stroke Risk - Medscape, 9/18/03 -
"Investigators observed a protective effect for
infarction and a clearer one for hemorrhage associated with daily
fruit and vegetable consumption; risk reduction for intracerebral
hemorrhage was 32% in men and 30% in women"
- More Physical
Therapy Aids Stroke Rehab - WebMD, 8/14/03
- Chinese Herb
[Gastrodine (also called gastrodin)/Gastrodia elata] May Treat Vascular
Dementia - WebMD, 6/11/03 -
"Patients who took gastrodine three times a day for
12 weeks did better on tests of mental function and behavior than patients
who took Duxil"
-
Aspirin As Effective As Ticlopidine In African American Antiplatelet Stroke
Prevention Study - Doctor's Guide, 6/11/03
- Aspirin May Be Better
Than Ticlopidine for Recurrent Stroke Prevention... - Medscape, 6/10/03
-
"Ticlopidine
(Ticlid; Roche) does not appear to be superior to
aspirin in preventing recurrent strokes in African-American patients"
-
Low Vitamin B6 but Not Homocyst(e)ine Is Associated With Increased Risk of
Stroke and Transient Ischemic Attack in the Era of Folic Acid Grain
Fortification - Stroke 2003 May 8 - "Low
B6 but not
tHcy
was strongly associated with cerebrovascular disease in this
postfortification, folate-replete sample"
- Exercise Can
Help Dissolve Blood Clots - WebMD, 5/8/03
- Ginseng May
Improve Memory After Stroke - WebMD, 2/14/03
- Moderate
Drinking Decreases Stroke Risk - WebMD, 2/6/03
-
Study in 43,000 men touts benefits of even a little fish - USA Today,
12/24/02 -
"Men who ate about 3 to 5 ounces of fish one to
three times a month were 43% less likely to have a stroke during 12 years of
follow-up ... Omega-3 fatty acids, found in
most fish, have been shown to lower levels of blood fats linked to
cardiovascular disease and to help keep blood from clotting"
- Folic Acid for
Your Heart - WebMD, 11/22/02 -
"By increasing folic acid
intake and thus decreasing homocysteine,
the researchers say the risk of heart
disease would drop by 16%, blood
clots in the legs by 25%, and stroke by 24%" - See
iHerb folic acid products.
-
Argument Strengthens For Folic Acid To Reduce Homocysteine Level -
Doctor's Guide, 11/26/02 -
"A decrease in serum
homocysteine of 3 micromol/l, which can be achieved by a daily intake of
about 0.8 mg folic acid, should reduce the
risk of ischaemic
heart disease by 16 percent,
deep vein thrombosis by 25 percent, and stroke by 24 percent" -
See
iHerb folic acid products.
- Strokes: New Routes to
Recovery? - Dr. Weil, 10/3/02
- Antioxidant
Reduces Stroke Damage - WebMD, 10/1/02 -
"A new study shows the
antioxidant, known as AEOL 10150, neutralized hazardous free radicals
and prevented cell death in a mouse model of stroke. Researchers say the
antioxidant is designed to mimic a natural antioxidant, but it works against
a wider range of free radicals and also lasts longer in the body" -
That last sentence is why I take as large a variety of anti-oxidants as
possible though out the day. I had a good article on my home page that
explained why different anti-oxidants were required by various free radicals
but the link went dead.
-
Low Dietary Or Serum Potassium Risk Factor For Stroke - Doctor's Guide,
8/27/02 -
"Diuretic
users had an increased risk for stroke which was associated with lower serum
potassium (relative risk 2.5;P<0.0001). People who did not use diuretics
had an increased risk for stroke if they had low dietary potassium intake
(relative risk 1.5;P<0.005)"
- Fatty Acid
Lowers Stroke Risk - WebMD, 8/1/02 -
"a fatty acid found
in corn, sunflower, and safflower oils and soybeans may help prevent strokes
... the fatty acid known as linoleic acid may reduce the risk of strokes,
especially those caused by blood clots ... for every 5% increase in the
level of linoleic acid, there was a 28% reduction in the risk of either type
of stroke, a 34% drop in the risk of clot-related strokes, and 19% decline
in hemorrhagic strokes"
- Dietary
Folate May Reduce Stroke Risk - Medscape, 7/5/02
- Natural
Chemical May Treat Strokes - WebMD, 6/21/02 -
"Testing in humans could begin early next year for
inosine, which appears to help the brain "rewire" itself after injury
... In newly reported studies involving rats, inosine was shown to promote
the growth of nerve cells in areas of the brain that remained undamaged
following stroke. This new nerve growth, in turn, took over some of the
functions of the stroke-damaged parts of the brain. The findings are
reported in the June 25 issue of the Proceedings of the National Academy of
Sciences" - See
inosine at Amazon.com.
- Low Vitamin C
Increases Stroke Risk - WebMD, 6/7/02
-
Foods Rich In Folate May Reduce Risk Of Stroke - Intelihealth, 5/3/02
- Folate Fights
Stroke and Heart Disease - WebMD, 5/2/02 -
"people who consumed at least 300 mcg of
folate every day had a 20% lower risk of stroke and a 13% lower risk of
cardiovascular disease than those consuming less than 136 mcg of folate
per day ... Folate is also thought to offset risk of cardiovascular disease,
by reducing levels of homocysteine in the
blood. Homocysteine is linked with higher risk of atherosclerosis because it
damages arteries, but vitamins B-6 and B-12,
as well as folic acid, have been found to prevent that damage from
occurring"
-
Healthful Habits Key In Curbing Stroke Among Elderly - Doctor's Guide,
2/12/02
-
Choline Precursors Lower Stroke Death and Disability Rates, Meta-analysis
Indicates - Doctor's Guide, 2/11/02 -
"Choline precursors are a group of molecules that
get converted to phospholipids in the brain. Phospholipids perform many
functions, including serving as crucial nerve cell membrane components and
acting as neurotransmitters. Choline precursors include drugs like lecithin
and citicoline ... Death and disability rate was 54.6 (611/1119) percent for
patients treated with choline precursors compared to 66.4 (561/844) percent
for those on placebo ... choline precursors might improve ischemic brain
damage in two ways, by neuroprotection or by enhancement of neurorepair
processes" - Note: Phosphatidylserine (PS)
supplements contain mixture of phospholipids. The best supplier of PS is
Degussa Bioactives, which used to be Lucas-Meyer but they broke up into two
companies. See their
phospholipids page. Taking PS supplements has the added benefit of
lowering cortisol.
-
Healthful Habits Key In Curbing Stroke Among Elderly - Doctor's Guide,
2/12/02 -
"In women, risk of cerebral occlusion decreased
significantly with increasing duration and recency of estrogen use ...
Hypertension, diabetes, heart attack, and smoking were significant stroke
risk factors in both women and men ... Exercise reduced stroke risk in
general, and antioxidant vitamin supplements decreased risk of cerebral
occlusion ...major emphasis should be directed in this population toward the
reduction of modifiable predictors: hypertension, smoking, physical
inactivity, and poor diet"
- Strokes Linked to
Chiropractic Treatment - WebMD, 2/8/02
- 'D' Good News for
Stroke Patients - WebMD, 7/9/01 -
"These patients often have dramatic responses to
vitamin D therapy ... Patients who are so weak that they are in a wheelchair
will gain significant muscle strength and walk in a few months."
- Modified Diet As Useful As
Many Other Drugs For Reducing Stroke Risk - Doctor's Guide, 2/19/01
Other News:
-
Long-term exposure to low levels of air pollution increases risk of heart and
lung disease - Science Daily, 2/22/21 - "Researchers
examined hospitalization records for more than 63 million Medicare enrollees in
the contiguous Unites States from 2000 to 2016 to assess how long-term exposure
to air pollution impacts hospital admissions for specific cardiovascular and
respiratory issues. The study measured three components of air pollution: fine
particulate matter (PM2.5), nitrogen dioxide (NO2) and ozone (O3). Using
hundreds of predictors, including meteorological values, satellite measurements
and land use to estimate daily levels of pollutants, researchers calculated the
study participants' exposure to the pollutants based upon their residential zip
code ... Data also showed there were surges in hospital admissions for all of
the health outcomes studied with each additional unit of increase in particulate
matter. Specifically, stroke rates increased by 2,536 for each additional ug/m3
(micrograms per cubic meter of air) increase in fine particulate matter each
year ... There was an increased risk of stroke and atrial fibrillation
associated with long-term exposure to nitrogen dioxide"
-
More Evidence Backs LDL
Below 70 to Reduce Recurrent Stroke - Medscape, 2/21/20 -
"Treating LDL to a mean of 66 mg/dL vs 96 mg/dL was
associated with a 26% relative risk reduction for the composite endpoint of
ischemic stroke, myocardial infarction, new symptoms requiring urgent coronary
or carotid revascularization, and vascular death in an adjusted analysis."
-
Here’s
How Strokes Happen When You’re as Young as Luke Perry - NYT, 3/5/19 -
"The lining of an artery tears and separates from the
vessel wall. A blood clot forms at the site of the tear and travels to the
brain, eventually blocking the flow of blood to brain tissue ... This can happen
after a sudden movement of the neck, including neck manipulation by a
chiropractor or when playing sports. In some cases, Dr. Wechsler said, it has
happened to people riding roller coasters ... A patent foramen ovale, or “a hole
in the heart.” When a baby takes its first breath, a passageway between the left
side and right side of the heart is supposed to close. In about 25 percent of
people, it remains open. In some of these people, the hole can raise the odds of
stroke ... Blood clots ... A heart defect or rhythm disturbance ... Clots also
can form because a person has a heart rhythm disturbance such as atrial
fibrillation ... Artery narrowing ... An aneurysm or an arteriovenous
malformation"
-
What Is Optimum BP in
Stroke Thrombectomy? - Medscape, 6/25/18 -
"Researchers found the optimum systolic pressure to be 135 mm Hg; increasing
values above this level were associated with increased risk for symptomatic
intracranial hemorrhage and a lower chance of successful reperfusion"
-
IRIS: New Analysis Finds
Best Candidates for Pioglitazone After Stroke - Medscape, 9/26/17 -
"in patients with recent ischemic stroke or TIA and
insulin resistance, pioglitazone reduced recurrent stroke or MI by about one
fourth compared with placebo"
-
Optimal Systolic Blood
Pressure Levels for Primary Prevention of Stroke in General Hypertensive Adults:
Findings From the CSPPT (China Stroke Primary Prevention Trial) -
Hypertension. 2017 Feb 27 - "In conclusion, among adults
with hypertension and without a history of stroke or myocardial infarction,
diabetes mellitus, or renal function decline, a lower SBP goal of 120 to 130 mm
Hg, as compared with a target SBP of 130 to 140 mm Hg or <120 mm Hg, resulted in
the lowest risk of first stroke"
-
Pioglitazone for
Secondary Stroke Prevention: A Systematic Review and Meta-Analysis - Stroke.
2016 Dec 20 - "Use of pioglitazone in stroke patients
with insulin resistance, prediabetes, and diabetes mellitus was associated with
lower risk of recurrent stroke (hazard ratio 0.68; 95% confidence interval,
0.50-0.92; P=0.01) and future major vascular events (hazard ratio 0.75"
-
Popular heartburn medication may increase ischemic stroke risk - heart.org,
11/15/16 - "PPIs have been associated with unhealthy
vascular function, including heart attacks, kidney disease and dementia ...
Researchers determined if the stroke occurred while patients were using 1 of 4
PPIs: omeprazole (Prilosec), pantoprazole (Protonix), lansoprazole (Prevacid)
and esomeprazole (Nexium) ... At the highest dose for these 4 PPI’s, stroke risk
increased from 30 percent for lansoprazole (Prevacid) to 94 percent for
pantoprazole (Protonix) ... There was no increased risk of stroke associated
with another group of acid-reducing medications known as H2 blockers, which
include famotidine (Pepcid) and ranitidine (Zantac)"
-
Stroke
recovery in mice improved by Ambien, study shows - Medscape, 12/18/15 -
"In almost every case, zolpidem-treated mice recovered
at a faster rate than control mice did. It took about a month, for example, for
mice not given zolpidem to fully recover their stroke-impaired ability to notice
the tape stuck to their paw. Mice given zolpidem recovered that ability within a
few days of treatment"
-
More Support for Causal
Link Between Marijuana and Stroke - Medscape, 2/20/15 -
"81% of cases exhibited a temporal relationship with
cannabis use and the index event; the patient sustained a stroke within 24 hours
of using cannabis ... In 70%, the evaluation was sufficiently comprehensive to
exclude other sources for stroke"
-
In older
men, higher plasma testosterone or dihydrotestosterone are independent
predictors for reduced incidence of stroke but not myocardial infarction - J
Clin Endocrinol Metab. 2014 Sep 30:jc20142664 - "3,690
community-dwelling men aged 70-89 years ... follow-up was 6.6 years ... In
multivariate analysis adjusting for age and other risk factors, neither T, DHT
nor E2 were associated with incident MI (fully-adjusted hazard ratio [HR] for T
in Quartile (Q)4 vs Q1: 0.92, 95% confidence interval [CI]=0.66-1.28; DHT: 0.83,
0.59-1.15; E2: 0.84, 0.62-1.15). Higher T or DHT was associated with lower
incidence of stroke (T: Q4:Q1 fully-adjusted HR=0.56, 95% CI=0.39-0.81, p=0.002;
DHT: 0.57, 0.40-0.81, p=0.002). E2 was not associated with stroke (HR=0.76, 95%
CI=0.54-1.08, p=0.123)"
-
Stroke Risk Increases With
HbA1c Level in Women but Not Men - Medscape, 3/3/14 -
"Among women, those with HbA 1c of 8.0%–8.9% were 19%
more likely to have a stroke than those with normal blood sugar levels; those
with levels of 9.0%–9.9% had a 32% increased risk for stroke; and those with HbA
1c above 10% a 42% higher risk ( P for trend < .001). Men demonstrated a trend
toward increased risk for stroke as HbA 1c increased, but this was not
statistically significant"
-
Statins and
the risks of stroke recurrence and death after ischemic stroke: The Fukuoka
Stroke Registry - Atherosclerosis. 2013 Dec;231(2):211-5 -
"CVEs: stroke recurrence or transient ischemic attack)
and all-cause mortality in a cohort of Japanese patients with first-ever
ischemic stroke ... The 2822 eligible patients registered in the Fukuoka Stroke
Registry with first-ever acute ischemic stroke from June 2007 to February 2011
were classified into statin users (n = 993) and non-users (n = 1829) at
discharge, and followed up until March 2012 ... The cumulative risks of CVE and
death after 4 years were significantly lower in statin users than in non-users
(13.8% versus 19.5%, P = 0.005 for CVE; 11.8% versus 21.7%, P < 0.001 for
death). After adjusting for multiple confounding factors, statin treatment
significantly reduced the risks of CVE (HR, 0.70; 95% CI, 0.53 to 0.92; P =
0.011) and all-cause mortality (HR, 0.67; 95% CI, 0.50 to 0.89; P = 0.006)"
-
Dietary Intake of Saturated
Fatty Acids and Incident Stroke - Medscape, 5/15/13 -
"We sought to test the hypothesis that SFA intake is
associated inversely with risk of stroke and its subtypes and positively with
coronary heart disease among Japanese, whose average SFA intake is lower than
that of Westerners ... We found inverse associations between SFA intake and
total stroke [multivariable hazard ratio (95% confidence interval) for the
highest vs. lowest quintiles = 0.77 (0.65–0.93), trend P = 0.002],
intraparenchymal haemorrhage [0.61 (0.43–0.86), P for trend = 0.005], and
ischaemic stroke [0.84 (0.67–1.06), trend P = 0.08], primarily for deep
intraparenchymal haemorrhage [0.67 (0.45–0.99), P for trend = 0.04] and lacunar
infarction [0.75 (0.53, 1.07), trend P = 0.02]. We also observed a positive
association between SFAs intake and myocardial infarction [1.39 (0.93–2.08),
trend P = 0.046] primarily among men. No associations were observed between SFAs
intake and incidence of subarachnoid haemorrhage or sudden cardiac death"
-
Consider Cannabis as Cause
of Stroke in Younger Patients - Medscape, 1/22/13 -
"because most cannabis smokers are young, patients under 45 years of age
presenting with symptoms of stroke should be asked about cannabis use and have
their urine tested for cannabinoids ... The authors note that 59 case reports of
cannabis-related stroke (mean age, 33 years) have been described. Most cases
were in men, with a male-to-female ratio of 4.9:1 ... although only these few
cases of stroke associated with cannabis use have been documented, this is
probably just the tip of the iceberg ... Nobody is looking for it, and if you
don't look you won't find it. Neurologists are not thinking about cannabis as a
possible cause of stroke so they don't ask patients about it ... cannabis
appears to be associated with multifocal intracerebral stenosis, which can cause
a stroke ... The stenoses are caused by shrinkage of the blood vessels and can
occur in several different areas of the brain. It appears that cannabis may
cause the arteries to constrict"
-
Total
hip replacement surgery increases risk of stroke, study suggests - Science
Daily, 11/9/12
-
Red Meat
Consumption and Risk of Stroke: A Meta-Analysis of Prospective Studies -
Stroke. 2012 Jul 31 - "For each serving per day increase
in fresh red meat, processed meat, and total red meat consumption, the RR (95%
CI) of total stroke were 1.11 (1.03-1.20), 1.13 (1.03-1.24), and 1.11
(1.06-1.16), respectively"
-
Consumption of sugar-sweetened beverages in relation to stroke: a
case-control study - Int J Food Sci Nutr. 2012 Jun 14 -
"No statistically significant association was found
between habitual intakes of SSBs and stroke"
-
Top
risk of stroke for normal-weight adults: Getting under 6 hours of sleep
- Science Daily, 6/11/12 - "Habitually sleeping less
than six hours a night significantly increases the risk of stroke symptoms
among middle-age to older adults who are of normal weight and at low risk
for obstructive sleep apnea (OSA) ... After adjusting for body-mass index
(BMI), they found a strong association with daily sleep periods of less than
six hours and a greater incidence of stroke symptoms for middle-age to older
adults, even beyond other risk factors"
-
Dietary
Sodium and Risk of Stroke in the Northern Manhattan Study - Stroke. 2012
Apr 12 - "The American Heart Association recommends
limiting sodium intake to ≤1500 mg/day for ideal cardiovascular health ...
Participants were from the Northern Manhattan Study (mean age 69+/- 10
years, 64% women, 21% white, 53% Hispanic, 24% black), a population-based
cohort study of stroke incidence. Sodium intake was assessed with a food
frequency questionnaire at baseline and evaluated continuously and
categorically: ≤1500 mg/day (12%), 1501 to 2300 mg/day (24%), 2301 to 3999
mg/day (43%), and ≥4000 mg/day (21%). Over a mean follow-up of 10 years ...
Participants who consumed ≥4000 mg/day sodium had an increased risk of
stroke (hazard ratio, 2.59; 95% CI, 1.27-5.28) versus those who consumed
≤1500 mg/day with a 17% increased risk of stroke for each 500-mg/day
increase"
-
Telomere
length and risk of stroke in Chinese - Stroke. 2012 Mar;43(3):658-63 -
"As compared with the fourth (longest) quartile, the
odd ratios [OR] (and 95% confidence intervals [CI]) for ischemic stroke risk
were as follows: third quartile, 1.37 (1.04-1.82); second quartile, 1.53
(1.17-2.02); and first quartile, 2.12 (1.62-2.77) ... Shorter telomere
length was associated with ischemic stroke and was a strong predictor of
poststroke death"
-
Meat
consumption in relation to mortality from cardiovascular disease among
Japanese men and women - Eur J Clin Nutr. 2012 Feb 15 -
"Moderate meat consumption, up to ~ 100 g/day, was not associated with
increased mortality from ischemic heart disease, stroke or total
cardiovascular disease among either gender"
-
Who
Will Benefit From Stroke Drug? New Score Can Help Decide - Science
Daily, 2/7/12
-
Anemia may more than triple your risk of dying after a stroke - Science
Daily, 2/2/12 - "Without red blood cells to carry
oxygen throughout the body, fatigue, shortness of breath, rapid heartbeat
and other symptoms can occur .. Patients with severe anemia were 3.5 times
more likely to die while still in the hospital and 2.5 times more likely to
die within a year"
-
Blood-pressure-lowering drug after stroke aids recovery, study suggests
- Science Daily, 10/21/11
-
Diet
soda may raise odds of vascular events; Salt linked to stroke risk -
Science Daily, 2/9/11 - "In findings involving 2,564
people in the large, multi-ethnic Northern Manhattan Study (NOMAS),
scientists said people who drank diet soda every day had a 61 percent higher
risk of vascular events than those who reported no soda drinking ... In
separate research using 2,657 participants also in the Manhattan study,
scientists found that high salt intake, independent of the hypertension it
causes, was linked to a dramatically increased risk of ischemic strokes
(when a blood vessel blockage cuts off blood flow to the brain)"
-
Insulin resistance may be associated with stroke risk - Science Daily,
10/11/10 - "Individuals in the top quarter of
insulin resistance had a 45 percent greater risk of any type of vascular
event. However, insulin resistance was not associated with heart attack or
vascular death separately"
-
J-curve
revisited: an analysis of blood pressure and cardiovascular events in the
Treating to New Targets (TNT) trial - Eur Heart J. 2010 Sep 16 -
"The relationship between SBP or DBP and primary
outcome followed a J-curve with increased event rates above and below the
reference BP range, both unadjusted and adjusted (for baseline covariates,
treatment effect, and LDL levels). A time-dependent, non-linear,
multivariate Cox proportional hazard model identified a nadir of 146.3/81.4
mmHg where the event rate was lowest. A similar non-linear relationship with
a higher risk of events at lower pressures was found for most of the
secondary outcomes of all-cause mortality, cardiovascular mortality,
non-fatal MI, or angina. However, for the outcome of stroke, lower was
better for SBP. Conclusion In patients with CAD, a low BP (<110-120/<60-70
mmHg) portends an increased risk of future cardiovascular events (except
stroke)"
-
NSAID use associated with future stroke in healthy population -
theheart.org, 9/8/10 - "NSAID use was associated
with an increased risk of stroke. This increased risk ranged from about 30%
with ibuprofen and naproxen to 86% with diclofenac ... there was also a
dose-relationship found, with the increased risk of stroke reaching 90% (HR
1.90) with doses of ibuprofen over 200 mg and 100% (HR 2.0) with diclofenac
doses over 100 mg. He pointed out that the results were particularly
striking, given that this study was conducted in healthy individuals"
-
Egg
consumption and CHD and stroke mortality: a prospective study of US adults
- Public Health Nutr. 2010 Jul 16:1-10 - "'high' egg
consumption (>/=7 times/week v. <1 time/week) was not associated with
significantly increased CHD mortality (HR = 1.13, 95 % CI 0.61, 2.11 (men);
HR = 0.92, 95 % CI 0.27, 3.11 (women)). There was a statistically
significant inverse association between 'high' egg consumption and stroke
mortality among men (HR = 0.27, 95 % CI 0.10, 0.73), but the estimate was
imprecise because of sparse data. We did not observe a statistically
significant positive association between 'high' egg consumption and CHD or
stroke mortality in analyses restricted to individuals with diabetes, but
these analyses may be limited due to the small number of diabetics.
CONCLUSIONS: We did not find a significant positive association between egg
consumption and increased risk of mortality from CHD or stroke in the US
population. These results corroborate the findings of previous studies"
-
Vacuum cleaner sucks up strokes - Science Daily, 6/8/10
-
Shingles May Raise Risk of Stroke - WebMD, 10/8/09
-
Stroke: Surgery Safer than Angioplasty? - Science Daily, 8/28/09
-
Stroke Doubles Patients' Risk Of Hip Or Thigh Fracture - Science Daily,
8/6/09
-
Cholesterol OK? Statins Still Help Heart - WebMD, 7/1/09 -
"Combined data from 10 trials that included more
than 70,000 patients without cardiovascular disease, but with cardiovascular
risk factors, showed a 12% reduction in deaths among patients who took
statins ... The statin group also had 30% fewer heart attacks and 20% fewer
strokes over four years of follow-up"
-
Blood-pressure-lowering Drugs Should Not Be Limited To People With High
Blood Pressure - Science Daily, 5/19/09 - "Blood
pressure lowering drugs should be offered to anyone old enough to be at risk
of a heart attack or stroke (or who is otherwise known to be at risk),
regardless of their blood pressure ... using any one of the main classes of
blood pressure lowering drugs at standard dose reduced fatal and non-fatal
heart attacks by about a quarter and stroke by about a third. Heart failure
was also reduced by about a quarter. The reductions in disease were similar
in people with and without clinical cardiovascular disease and regardless of
blood pressure before treatment ... three drugs together, each at low dose
to minimize side effects, could increase the preventive effect, reducing
heart attacks by about 45% and stroke by about 60%"
-
Poor
Sleep Quality Leads To Poorer Prognosis After Stroke - Science Daily,
4/28/09
-
Statins May Lower Stroke Risk - Science Daily, 4/15/09 -
"strokes were 18% less likely among patients taking
statins than among those who didn't get statins ... For every drop of 39
mg/dL in LDL "bad" cholesterol, stroke risk dropped by 21%"
-
Statins Lower Stroke Severity, Improve Recovery - Science Daily, 2/27/09
- "patients who were taking statins before a stroke
experienced better outcomes and recovery than patients who weren't on the
drug — even when their cholesterol levels were ideal"
-
Rosuvastatin Nearly Cuts in Half Risk of Stroke - Doctor's Guide,
2/20/09 - "A refined analysis of a major clinical
trial indicates that treating patients with the cholesterol-lowering agent
rosuvastatin dramatically reduces the incidence of stroke among patients
with high levels of C-reactive protein when compared with patients taking
placebo ... Patients in the study were randomised to rosuvastatin 20 mg
daily or placebo"
-
More May Benefit From Cholesterol Drugs - WebMD, 1/13/09 -
"Eight out of 10 middle-aged and older Americans may
benefit from treatment with cholesterol-lowering statin drugs ... All the
participants had elevated levels of high-sensitivity C-reactive protein
(hsCRP) ... Over an average of two years of treatment, participants who took
the statin Crestor had half as many heart attacks, strokes, and deaths from
cardiovascular causes as participants randomly assigned to receive a
placebo"
-
Dual
Treatment For Stroke Leads To Improved Recovery Rates, Reduced Mortality
- Science Daily, 11/16/08
-
Statins Lower Risk of Recurrent Stroke in Both Elderly, Younger Patients
- Doctor's Guide, 9/10/08 - "Within each group,
about half of the people received atorvastatin and about half received a
placebo. The participants were then followed for an average of 4.5 years ...
Low-density lipoprotein (LDL) cholesterol was lowered by an average of 61
points during the study for the elderly group, and by 59 points for the
younger group. Those in the younger group reduced their risk for another
stroke by 26% and the elderly group reduced their risk by 10%"
-
Belly Fat Linked to Stroke Risk - WebMD, 8/14/08 -
"The BMI, however, was not independently associated
with an increased risk of stroke ... The risk association for waist
measurements was far more powerful. People with bigger waist circumferences
(greater than 40 inches for men and 35 inches for women) had four times the
stroke risk when compared with people with typical waistlines"
-
Even
Low Levels Of Air Pollution May Pose Stroke Risk - Science Daily,
5/29/08 - "Although the magnitude of elevated risk
of stroke/TIA due to PM2.5 exposure was relatively small, the vast majority
of the public is exposed to ambient air pollution at the levels observed in
this community or greater every day, suggesting a potentially large public
health impact" - SUVs!!!
-
DASH Diet Improves Women's Heart Health - WebMD, 4/14/08 -
"The women who had the highest DASH scores had the
lowest risk for heart disease and stroke. Closely following a DASH diet
resulted in a 24% reduction in heart disease risk and 18% lower risk of
stroke when compared to those with the lowest DASH scores"
-
Brain Damage Occurs Within Minutes From The Onset Of A Stroke, Study Reveals
- Science Daily, 2/18/08
-
Statins for All Adults with Diabetes? - WebMD, 1/10/08 -
"One-third fewer people with type 1 or type 2
diabetes would suffer heart attacks or strokes if they took
cholesterol-lowering statin drugs"
-
High
Triglycerides, Other Cholesterol Raise Risk Of Stroke - Science Daily,
1/4/08
-
Blood Pressure Drug Telmisartan Shows Powerful Activity Against Stroke,
Study Suggests - Science Daily, 12/17/07 - "83
percent of rats given no medication showed signs of stroke, as did 56
percent of rats given ramipril alone. However, no strokes were noted in the
telmisartan-only or the telmisartan/ramipril combo groups ... Telmisartan's
ability to easily pass through the blood-brain barrier (something ramipril
cannot do) is likely behind the neuroprotective effect noted in the study"
- Note: See my
First Line Suggestions for Hypertension where telmisartan and ramipril
are my suggestions.
-
Lipitor Linked to Bleeding After Stroke - WebMD, 12/12/07
-
Atorvastatin Helps Protect Kidneys in SPARCL Patients - Doctor's Guide,
11/12/07 - "Treatment of stroke patients with
atorvastatin can preserve kidney function in patients with or without
chronic kidney disease, metabolic syndrome or type 2 diabetes"
-
Need
For Speed: Two New Studies On Stroke - Science Daily, 11/8/07 -
"only 44 percent of patients experiencing full-blown
clot-based strokes got to the hospital even within six hours of the start of
their symptoms -- and 36 percent didn't get there until more than 12 hours
had passed"
-
'Silent' Strokes Common in Older People - WebMD, 10/31/07
-
High Levels of Uric Acid May Cause Cerebral Strokes, Affecting Cognitive
Function - Doctor's Guide, 10/17/07 - "Even
minimal elevations in serum UA are associated with structural and functional
brain changes, specifically involving the development of ischaemic injury"
-
A Meta-Analysis of 94,492 Patients With Hypertension Treated With Beta
Blockers to Determine the Risk of New-Onset Diabetes Mellitus - Am J
Cardiol. 2007 Oct 15;100(8):1254-1262 -
"Beta-blocker therapy resulted in a 22% increased risk for new-onset DM ...
beta blockers resulted in a 15% increased risk for stroke"
-
Double Cardiovascular Benefit For People With Chronic Kidney Disease -
Science Daily, 10/5/07
-
Antibiotic May Help Treat Stroke - WebMD, 10/2/07
-
Mini-strokes Linked To Uric Acid Levels - Science Daily, 10/1/07 -
"high-normal uric acid (UA) levels may cause barely
detectable mini strokes that potentially contribute to mental decline in
aging adults"
-
New
Treatment For Stroke Works Up To A Day After Symptoms Start - Science
Daily, 10/1/07
-
Pioglitazone Exerts Protective Effects Against Stroke in Stroke-Prone
Spontaneously Hypertensive Rats, Independently of Blood Pressure -
Stroke. 2007 Sep 20 - "Our work provides the first
evidence that pioglitazone significantly protects against
hypertension-induced cerebrovascular injury and stroke by improving vascular
endothelial dysfunction, inhibiting brain inflammation, and reducing
oxidative stress. These beneficial effects of pioglitazone were independent
of blood pressure or blood sugar values. Thus, pioglitazone appears to be a
potential therapeutic agent for stroke in type 2 diabetes with hypertension"
-
Prevention of stroke in patients with hypertension - Am J Cardiol. 2007
Aug 6;100(3A):17J-24J - "In contrast to
angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers
(ARBs) provide consistent benefits in stroke protection beyond blood
pressure lowering. The ARB telmisartan has a particularly interesting
profile for stroke management. Selective angiotensin II type 1 receptor
blockade and 24-hour blood pressure control with telmisartan provide the
potential for improved stroke prevention"
-
Low triiodothyronine: a strong predictor of outcome in acute stroke patients
- Eur J Clin Invest. 2007 Aug;37(8):651-7 - "The
1-year mortality was 27.34% for low T3 and 19.37% for normal T3 cases (P =
0.006). A smaller percentage of patients with low T3 values were independent
at 1 year compared to those with normal T3 values [54.2% vs. 68.7%, chi(2) =
12.09, P < 0.001, odds ratio (OR) = 0.53"
-
Elevated Serum Estradiol Ups Stroke Risks - Physician's Weekly, 5/7/07 -
"High levels of serum estradiol may increase the
risk of stroke in elderly men"
-
Parkinson's Disease Drugs May Ease Stroke-related Disability - Doctor's
Guide, 4/4/07
-
Tirofiban Safe and Reduces Six-Month Mortality After Ischemic Stroke -
Doctor's Guide, 5/24/06
-
Drug May Aid Aspirin After Ministroke - WebMD, 5/18/06
-
Atorvastatin Effective for Stroke Prevention - Doctor's Guide, 5/18/06 -
"the atorvastatin arm (265 events) showed a
significant 16% risk reduction over placebo (311 events)"
-
Closing Holes in Heart Important Treatment for Young Stroke Patients, Study
Says - Doctor's Guide, 5/17/06
-
Aspirin + Cholesterol Drugs + Blood Pressure Drugs = Less Severe Strokes
- Science Daily, 5/11/06
-
New Guidelines Offer Power to Prevent Stroke - Doctor's Guide, 5/5/06
-
New Guidelines
for Stroke Prevention - WebMD. 5/4/06
-
Aspirin + Cholesterol Drugs + Blood Pressure Drugs = Less Severe Strokes
- Doctor's Guide, 4/25/06
-
Drug Trio May Cut Stroke Severity - WebMD, 4/24/06
-
Anti-Platelet Use Reduces Stroke Severity and Improves Outcomes in Patients
With No History of Ischemic Events - Doctor's Guide, 2/20/06
-
Lower Doses of Clot-Busting Drug Safer for Stroke Patients - Doctor's
Guide, 2/20/06
-
Drug-Ultrasound Combination Increases Reopening of Blocked Arteries After
Stroke - Doctor's Guide, 2/16/06
-
Penn Study Identifies Patients Most at-Risk for Secondary Strokes -
Doctor's Guide, 1/27/06
-
Blood-Thinning Drugs Raise Alarm in Stroke Victims - ABC News, 1/6/06
- Did blood thinners worsen
Sharon's stroke? - MSNBC, 1/5/06
-
Mini-Strokes Warn of More Serious Problems - Intelihealth, 12/19/05
-
Statins Reduce Risk of Stroke and Death after Carotid Artery Surgery -
Doctor's Guide, 11/10/05
-
Right-Brain Stroke Could Be Underdiagnosed - Doctor's Guide, 7/29/05
-
Cholesterol Drugs May Help After Bleeding Stroke - WebMD, 7/28/05
-
New Blood Test Predicts Stroke Risk - WebMD, 6/20/05
-
The Role of Statins in Preventing Stroke - Medscape, 6/7/05 -
"statins reduce stroke through cumulative
improvements in a number of different components of atherosclerosis
including effects on the endothelium, thrombosis, plaque stability, and
through anti-inflammatory effects"
-
Cholesterol Drugs Help Stroke Recovery - WebMD, 4/12/05 -
"Unless there are medical reasons not to take the
drugs, all patients who suffer a stroke should be put on statins ... people
started on statin drugs within a week of a stroke were one-and-a-half to
more than twice as likely to recover and go home within 45 days as those who
were not given the drugs"
-
Stroke Warning Signs May Start Days Earlier - WebMD, 3/7/05
- Anger, Guilt May
Trigger Stroke - WebMD, 12/13/04
- Preventing Stroke
Without Major Surgery - WebMD, 12/1/04
-
Ultrasound-Aided Therapy Better Than Stroke Drug Alone - Doctor's Guide,
11/18/04
- Magnetic
Stimulation May Speed Stroke Rehab - WebMD, 11/5/04
- Specialized
Arm Exercises for Stroke Recovery - WebMD, 10/19/04
-
Testosterone May Help In Recovery From Strokes, Suggests Preliminary
Findings In Study - Science Daily, 10/13/04
- Fast Walking
Helps Stroke Recovery - WebMD, 10/7/04
-
Study Finds High Incidence Of Unnecessary Anti-stroke Surgeries -
Science Daily, 9/14/04
-
Study Identifies Medical and Neurological Complications That Increase Risk
of Dying in Hospital After Stroke - Doctor's Guide, 9/13/04
- Clot-Busting
Stroke Drug's Benefit Reaffirmed - WebMD, 9/2/04
-
FDA Clears First Device for Removing Blood Clots in Stroke Patients -
Doctor's Guide, 8/16/04
-
Statins Effective for Treating Acute Ischemic Stroke - Doctor's Guide,
5/18/04
-
Early Carotid Endarterectomy Recommended for Patients With TIA or Minor
Stroke - Doctor's Guide, 5/18/04
-
Hospitalised Stroke Patients Should Be Screened for Sleep Apnea -
Doctor's Guide, 4/27/04
-
New Knowledge, Drug Strategies and Treatments Are Improving Post-stroke
Outcomes - Doctor's Guide, 4/26/04
- Epileptic
Seizure: Red Flag for Stroke - WebMD, 4/9/04
-
Advances in Ischemic Stroke Interventions - Physician's Weekly, 3/8/04
- 'Statin'
Cholesterol Drugs Lower Stroke Risk - WebMD, 3/4/04 -
"Statin therapy should now be considered routinely
for all patients at high risk of stroke, irrespective of their initial
cholesterol concentrations or the presence of heart disease"
-
ASA-Clopidogrel Combination Enhances Antiplatelet Response in
Cerebrovascular Disease - Doctor's Guide, 2/10/04
-
Statins May Protect against Cognitive Impairment after Stroke - Doctor's
Guide, 2/10/04
-
New Thrombolytic, Desmoteplase, May Be Effective Up to 9 Hours After Stroke
Onset - Doctor's Guide, 2/10/04
-
Obstructive Sleep Apnea May Precede Stroke - Doctor's Guide, 2/9/04
-
Statins May Improve Neurologic Outcomes After Ischemic Stroke - Doctor's
Guide, 2/9/04
-
Homocysteine Independent Risk Factor for Stroke - Doctor's Guide, 2/9/04
-
Ultrasound Improves Outcomes Among Stroke Patients Given Tissue Plasminogen
Activator - Doctor's Guide, 2/9/04
-
Magnetic Resonance Imaging/Transesophageal Echocardiogram Combo Best
Diagnostic Tool For Sub-Acute Stroke Patients - Doctor's Guide, 2/9/04
-
Metabolic Syndrome Nearly Doubles Stroke Risk - Doctor's Guide, 2/9/04
-
Primary Angioplasty Reduces Stroke Risk When Medical Therapy Fails -
Doctor's Guide, 2/6/04
- Stroke Risks
May Hint at Alzheimer's, Too - WebMD, 1/15/04
-
Combination Antiplatelet Drugs Help Prevent Ischaemic Stroke - Doctor's
Guide, 1/12/04
-
Ximelagatran Potential Alternative to Warfarin in Prevention of Stroke in
Patients with Atrial Fibrillation - Doctor's Guide, 12/16/03
-
Elevated Serum Calcium Linked to Increased Carotid-Artery Plaque Thickness
- Doctor's Guide, 11/4/03 -
"People with elevations of serum calcium also have
thicker carotid-artery plaques, and therefore may be at greater risk of a
stroke ... This finding is important, because the risk of myocardial
infarction…increases 5-fold within 5 years for every 0.16 mm of carotid-wall
thickness"
- Air Pollution
Linked to Stroke - WebMD, 10/13/03
-
Dietary Fat and Cholesterol Intake Apparently Not Related to Stroke in
Healthy Men - Doctor's Guide, 10/8/03
-
Milder Strokes with Common Blood Thinners - Physician's Weekly, 10/6/03
- High-Fat Diet
Doesn't Cause Stroke - WebMD, 10/2/03
- Antidepressants
Help Stroke Recovery - WebMD, 10/1/03
-
Post-Stroke Treatment With Antidepressants Appears To Reduce Death Rate
- Doctor's Guide, 9/30/03
-
Anticoagulation Therapy Reduces Stroke Frequency, Severity, and Mortality in
Patients with Atrial Fibrillation - Doctor's Guide, 9/11/03
- Aspirin,
Coumadin Make Strokes Milder - WebMD, 9/10/03
-
Early Intervention with Atacand (Candesartan) Improves Outcome for Patients
with Acute Ischaemic Stroke - Doctor's Guide, 7/28/03
-
Over-the-Counter Drugs May Cause Strokes - WebMD, 7/11/03
-
PROGRESS Trial Supports Use of Perindopril-Based Therapy for Preventing
Secondary Stroke - Doctor's Guide, 7/4/03
- Drug [stimulant
amphetamines] Heightens Sense of Touch - WebMD, 7/3/03
- C-Reactive
Protein: Marker for Stroke? - WebMD, 6/23/03
- Stroke Risk May
Start in the Womb - WebMD, 6/19/03
-
Remission Of Depression Linked With Sustained Improvement In Cognitive
Function Following Stroke - Doctor's Guide, 6/17/03
-
Improving Stroke Outcomes: Get With The Guidelines – Stroke -
Physician's Weekly, 6/9/03
-
Elevated C-Reactive Protein Level Possible Risk Factor for Thromboembolic
Stroke - Doctor's Guide, 5/27/03
-
Abciximab May Work On Secondary Clots In Stroke - Doctor's Guide,
5/27/03
-
Lowering Homocysteine Levels May Reduce Stroke Risk in Patients with
Peripheral Artery Disease - Doctor's Guide, 5/26/03
-
Large Artery Disease Linked to Early Recurrent Stroke - Doctor's Guide,
5/26/03
-
Delayed Recanalisation Worsens Chances of Symptomatic Intracranial
Haemorrhage in Stroke Patients - Doctor's Guide, 5/26/03
-
Independent Review Suggests Recombinant Tissue Plasminogen Activator
Improves Stroke Outcome - Doctor's Guide, 5/25/03
-
Dipyridamole Helps Prevent Secondary Stroke – But Reason Remains a Mystery
- Doctor's Guide, 5/25/03
-
Anticoagulation Treatment for Arterial Fibrillation/Stroke Patients
Under-Prescribed in Elderly and Cognitively Impaired - Doctor's Guide,
5/23/03
-
Abciximab Beneficial for Acute Ischaemic Stroke Patients - Doctor's
Guide, 5/23/03
-
Subarachnoid Hemorrhage In Young And Middle-Aged Adults Largely Preventable
- Doctor's Guide, 5/23/03
-
Previous Treatment with Statins Improves Outcome in Non-Lacunar Ischaemic
Stroke - Doctor's Guide, 5/22/03 - "Taking
statins for any reason seemed to improve the outcome of NLIS as a whole,
but especially in patients who had suffered atherothrombotic infarction"
-
Lack of Gag Reflex in Acute Stroke Patients May Predict Need for Gastrostomy
Tube - Doctor's Guide, 5/22/03
-
Could Urinary Catheters Increase Mortality in Stroke Patients? -
Doctor's Guide, 5/22/03
-
Use of Mannitol Questioned in Acute Stroke Treatment - Doctor's Guide,
5/22/03
-
Preventive Treatment Should Be Continued Indefinitely after Transient
Ischaemic Attack - Doctor's Guide, 5/22/03
- Bleeding
Strokes Called Subarachnoid Hemorrhage May Be Preventable - WebMD,
5/21/03
-
Depression Linked To High Stroke Mortality - Intelihealth, 5/21/03
- Few Concerned
Despite High Stroke Risk - WebMD, 5/16/03
- Neck Cracking
Raises Stroke Risk - WebMD, 5/12/03
-
Overuse Of Stroke Prevention Surgery Drops, But 1 In 10 Still Inappropriate
- Doctor's Guide, 5/9/03
-
Diffusion-Weighted Magnetic Resonance Imaging Accurately Detects Stroke
- Doctor's Guide, 5/7/03
-
Caffeine Plus Ethanol Safely Provides Stroke Patients Neuroprotection -
Doctor's Guide, 4/25/03
-
Family History Raises Odds Of Stroke At Young Age - Doctor's Guide,
4/25/03
-
Botulinum Toxin Type A May Be Useful In Post-Stroke Leg Rehabilitation -
Doctor's Guide, 4/22/03
- Experimental
Stroke Treatment May Protect Brain - WebMD, 4/10/03
-
As Body Temperature Drops, Penumbral Volume Increases - Doctor's Guide,
4/8/03
-
Taking Statins After Acute Ischemic Stroke Improves Outcome - Doctor's
Guide, 4/8/03
-
Community-Based Experience with Tissue Plasminogen Activator for Stroke
Improves Outcome - Doctor's Guide, 4/7/03
-
More Effort Needed to Reduce Time Delay in Thrombolysis in Stroke Patients
- Doctor's Guide, 4/4/03
-
Elderly Can Achieve Good Outcome With Intra-Arterial Thrombolysis -
Doctor's Guide, 4/4/03
-
American Stroke Association Updates Urgent Stroke Care Guidelines -
Doctor's Guide, 4/4/03
-
Emboli Retrieval System Effective for Opening Intracranial Arteries in
Ischemic Stroke - Doctor's Guide, 4/4/03
-
Blood Pressure Boost Can Help Ischemic Stroke Patients - Clinical
Psychiatry News, 4/03
-
Triflusal No Better Than Aspirin In Preventing Vascular Events After Stroke
- Doctor's Guide, 3/27/03
- 'Silent' Stroke
Doubles Risk of Dementia - WebMD, 3/26/03
-
New Developments in the Treatment of Intracerebral Hemorrhage - Doctor's
Guide, 3/21/03
-
Minimally Invasive Procedure Shrinks Blood Clots In The Brain - Doctor's
Guide, 3/21/03
- Subtle Stroke
Symptoms Often Ignored - WebMD, 3/20/03
- For High Blood
Pressure Patients, Mornings Raise Stroke Risk - WebMD, 3/3/03 -
"many of the elderly have morning surges in blood
pressure that can drastically increase their risk of stroke"
- Ischemic Stroke
Effects Lessened by Natural Substance [interleukin-10] - WebMD, 2/10/03
-
Rate of Strokes in Black Population Four-fold Higher Than Among Whites -
Doctor's Guide, 2/19/03
-
Delayed Post-Stroke Dementia Likely Related to Vascular Causes -
Doctor's Guide, 2/19/03
-
Novel Stent Procedure May Offer Benefits Over Carotid Endarterectomy -
Doctor's Guide, 2/18/03
-
Airway Devices Help Stroke Patients Breathe Easier - Doctor's Guide,
2/18/03
-
Risk of Stroke Increased Greatly when Hypertension Not Treated -
Doctor's Guide, 2/18/03
-
Neurologist Care Improves Outcomes After Stroke - Doctor's Guide,
2/18/03
-
Blood Glucose, Recanalization, Intra-Cranial Bleeding, All Risk Factors For
Poor Outcome Following Ischaemic Stroke - Doctor's Guide, 2/18/03
-
Abciximab Provides Good Functional Outcomes, Safety Profile In Patients With
Acute Ischaemic Stroke - Doctor's Guide, 2/18/03
-
Blood Pressure Reduction in First 24 Hours Might Lead to Worse Outcome for
Stroke Patients - Doctor's Guide, 2/18/03
-
Intravenous Transplantation of Human Neural Stem Cells Restores Stroke
Deficits - Doctor's Guide, 2/17/03
-
Magnetic Resonance Imaging Aids Selection For Systemic Thrombolysis Three to
Six Hours After Onset of Symptoms - Doctor's Guide, 2/17/03
-
Hormone Therapy Raises Stroke Risk - Doctor's Guide, 2/17/03
-
Even "Benign" Strokes May Need Aggressive Therapy - Doctor's Guide,
2/14/03
- Sepsis Drug
Prevents Stroke Damage - WebMD, 2/3/03
-
Treatment Helps Stroke Victims Regain Movement - TheSanDiegoChannel.com,
1/31/03
-
Lower the Head after Acute Ischaemic Stroke - Doctor's Guide, 1/30/03
-
Recurrent Strokes May Be Averted If Predictors For Morbidity, Mortality Are
Identified And Treated - Doctor's Guide, 1/22/03
- Young Diabetics
Have High Stroke Risk - WebMD, 1/16/03
- Intense
Heart-Smart Program Pays Off - WebMD, 1/14/03 -
"The healthy benefits of a
low-fat diet, regular
exercise, and cholesterol-lowering
statin drugs may be much greater in combination than alone in helping
people with heart disease prevent future
heart attack, stroke, and even death. New research shows following a
strict program that combines all three approaches can lower a person's
chances of suffering a major heart-related problem from one in three to one
in 15"
- Stroke Risk
Factors a Mystery to Most - WebMD, 1/14/03
- BP Drug Cozaar
Also Prevents Stroke - WebMD, 1/7/03 -
"Cozaar
reduced the risk of stroke by about 25% compared with
atenolol"
- FDA Advisors
Recommend Losartan for Stroke Prevention - Medscape, 1/7/03
- Tooth Loss
Linked to Stroke Risk - WebMD, 12/12/02 -
"tooth loss may increase
the risk of stroke by as much as 74% compared
with those who have a healthy mouthful of teeth ... The findings add more
evidence to support the growing link between gum (periodontal) disease,
which is caused by bacterial infections, and the risk of stroke and heart
disease" - Possible solution?:
-
Low-dose Periostat (Doxycycline) Shows Benefits in Patients with Heart
Failure - Doctor's Guide, 11/20/02 -
"At six-month follow-up, sub-antimicrobial dose
doxycyline significantly reduced CRP
levels by 45.8 percent compared to baseline values (p<0.05). The drug
was also associated with a 33.5 percent reduction in interleukin-6 and a
50 percent reduction in metalloproteinase ... The findings are exciting,
since research is now showing that CRP is both a key marker of
inflammation leading to future acute coronary events, but also that CRP
itself may contribute to the initiation and progression of
atherosclerosis"
- 'New Horizon' for
Stroke Treatment - Medscape, 11/26/02
- Raloxifene Halves
Cerebrovascular Risk in Postmenopausal Women - Medscape, 11/20/02 -
"raloxifene
(Evista) reduces the risk of stroke or transient ischemic attack (TIA)
in postmenopausal women by 48% over four years"
-
Inflammation May Increase Stroke Risk In Men With Hypertension -
Doctor's Guide, 11/1/02 - "The study found that men with systolic
blood pressure (the top number in a blood
pressure reading) at or above 140 millimeters of mercury (mm Hg) and
elevated levels of inflammation-sensitive plasma proteins (ISP) were four
times as likely to have a stroke as were men who had normal blood pressure
and normal ISP levels. Moreover, the inflammatory proteins predicted stroke
risk for 10 or more years." - See my
inflammation page for ways to reduce it.
- Women's Stroke
Symptoms Often Different - WebMD, 10/25/02
-
Subarachnoid Aneurysm Therapy Revamp Signalled By Major Trial - Doctor's
Guide, 10/24/02
- Drugs [tissue
plasminogen activator, citicoline, Tat-NR2B9c] Stop Stroke Damage -
WebMD, 10/24/02
-
Atorvastatin Shown to Decrease Heart Disease and Stroke in Patients with
Hypertension And Low Cholesterol - Doctor's Guide, 10/11/02
-
Stroke Risks Linked With Initiation Of Hormone Therapy - Doctor's Guide,
10/11/02 -
"The risk of ischaemic and haemorrhagic stroke
doubles in the first six months of initiating hormone therapy in
post-menopausal women"
-
Strategies Outlined For Primary, Secondary Prevention of Stroke -
Doctor's Guide, 9/18/02 -
"The most recent evidence suggests that there are
four primary prevention strategies for stroke: adequate
blood pressure reduction, treatment of
hyperlipidemia,
antithrombotic therapy in atrial fibrillation patients and antiplatelet
therapy in myocardial infarction patients"
-
LIFE Substudy Shows Losartan Superior to Atenolol at Reducing Stroke Risk
- Doctor's Guide, 9/16/02
-
Intramuscular Botulinum Toxin A Curbs Wrist, Finger Spasticity -
Doctor's Guide, 8/8/02
- Botox Eases
Stroke Disability - WebMD, 8/7/02
- Cholesterol
Raises Women's Stroke Risk - WebMD, 7/11/02 -
"it's the first time they've been able to show that
high cholesterol levels are a major risk factor for stroke death among
women"
-
Stroke Patients With High Blood Sugar At Higher Risk Of Death - Doctor's
Guide, 7/10/02
- Ulcer-Causing
Bacteria Linked to Stroke - WebMD, 7/8/02 -
"H. pylori causes ulcers
in the stomach ... those who had suffered a stroke from a blocked large
artery had significantly higher levels of the more potent strains of the
bacteria ... The study also found that levels of a substance known as
C-reactive protein (CRP) that indicates
inflammation within the body were also higher in the stroke groups. But
patients with the potent strains of H. pylori had the highest CRP levels ...
treating patients with H. pylori infection may be an easy way to reduce the
risk of stroke"
-
Cozaar (Losartan) Lowered Risk Of Total Mortality In Patients With Diabetes
By 39% Versus Atenolol - Doctor's Guide, 6/27/02 -
"treatment with
losartan resulted in a 24 per
cent reduction in the primary composite endpoint of cardiovascular death,
stroke and heart attack
compared to the beta-blocker
atenolol (p=0.03). Blood pressure and pulse
pressure reductions were similar with both therapies. In addition, losartan
significantly reduced the risk of cardiovascular death by 37 per cent
(p=0.03) and total mortality by 39 per cent ... A 39 per cent reduction in
total mortality with losartan is an important observation given that the
observed reduction is versus an established antihypertensive, atenolol ...
It is widely accepted that elevated systolic blood pressure is an even
stronger risk factor for cardiovascular events than diastolic blood
pressure"
-
Reducing Hypertension In The Elderly Leads To A Significant Reduction In The
Incidence Of Stroke - Doctor's Guide, 6/27/02
- Sertraline May Prevent
Depression and Improve Cognitive Function within One Year of Stroke -
Doctor's Guide, 6/27/02
-
Stroke Specialists Call For Measure Of Physical And Mental Impairments -
Doctor's Guide, 6/5/02
-
Patients Who First Note Stroke Symptoms Upon Awakening Most Often Have
Lacunar Strokes - Doctor's Guide, 6/3/02
-
Meta-analysis of Research on Dipyridamole for Prevention of Stroke and
Vascular Events in Patients With Vascular Disease - Doctor's Guide,
6/3/02
-
Milnacipran Effective In Post-Stroke Depression - Doctor's Guide,
5/29/02
- MRI Is Valuable in
Predicting Stroke - Medscape, 5/3/02
-
MR Studies Are Valuable In Predicting Stroke - Doctor's Guide, 4/29/02
-
Low Potassium Levels Soon After a Stroke Linked to Poor Outcome -
Doctor's Guide, 4/18/02
-
Lack of Patient Awareness of Acute Stroke Symptoms/Treatment Options
Contributes to Underutilization of Thrombolytic Therapy - Doctor's
Guide, 4/18/02
- Weather Affects
Stroke Risk - WebMD, 4/17/02
- Low Testosterone
and the Brain - WebMD, 4/17/02 -
"New research suggests the male hormone may help men
reduce their risk of stroke as well as improve symptoms of
Parkinson's disease ... When the five patients studied received
testosterone replacement therapy, researchers found symptoms such as
fatigue, depression,
anxiety, and sexual function improved
greatly"
- A Big Waist =
Bigger Risk of Stroke - WebMD, 4/16/02
- Anger Danger in
Stroke Patients - WebMD, 4/11/02
-
Elderly Patients Have High Stroke Risk Within Six Months of Heart Attack
- Doctor's Guide, 4/3/02
-
Significant Stroke Prevention Noted With Ramipril - Doctor's Guide,
3/21/02 - ACE inhibitors
-
Non-Phamacologic Technique Helps Prevent Stroke in Atrial Fibrillation
Patients - Doctor's Guide, 3/18/02
-
Abdominal Obesity Identified as Independent Risk Factor for Stroke -
Doctor's Guide, 2/14/02
-
Family Life and Financial Stability Affect Male Risk of Death From Stroke
- Doctor's Guide, 2/12/02
- Robot Helps
Stroke Survivors Relearn Movement - WebMD, 2/12/02
-
Ramipril Reduces Stroke Risk, HOPE Trial Follow-up Reports - Doctor's
Guide, 2/11/02
- Sudden Movements
Can Bring on Stroke - WebMD, 2/11/02
-
Study: Jolts May Cause Strokes - Intelihealth, 2/10/02
-
Study: Stroke Victims Need Drugs Fast - Intelihealth, 2/10/02
- Flu Shot Helps
Prevent Stroke - WebMD, 1/31/02
-
Study: Calcium may help determine risk of stroke - USA Today, 1/31/02
- Special Stroke
Test May Help More People - WebMD, 1/24/02
- After Stroke,
Start Physical Therapy Early - WebMD, 1/17/02
-
Depression And Anxiety Increase Risk Of Fatal Stroke - Intelihealth,
1/4/02
- Stroke Patients Show
Significant Risk Reduction When Given Atacand (Candesartan Cilexetil) -
Doctor's Guide, 11/29/01
-
C-Reactive Protein Levels Indicative of Ischemic Risk in Some Men -
Doctor's Guide, 11/12/01
- Blood Pressure
Combo [ACE inhibitor & diuretic] Lowers Risk of Stroke - WebMD, 9/27/01
- Amphetamine/Speech Therapy
Combination May Relieve Stroke-Related Speech Problems - Doctor's Guide,
9/7/01
- Moderate Alcohol
Consumption May Protect Against Silent Stroke/White Matter Disease -
Doctor's Guide, 9/7/01 -
""Overall, we found that non-drinkers have the most
strokes and white matter
disease," ... "Light-to-moderate drinkers have fewer strokes and the least
amount of white matter disease, but somewhat greater atrophy. Moderately
heavy drinkers have the fewest strokes but more white matter disease and the
most atrophy." ... much of alcohol's protective effect against strokes is
thought to stem from its ability to raise levels of high-density lipoprotein
cholesterol (HDL), the so-called good cholesterol
carrier. In addition, alcohol is known to be a mild
blood thinner, so it could offer protection from silent strokes caused
by tiny blood clots in the brain ... Brain atrophy and drinking were linked
in a dose-dependent manner, suggesting that even low levels of
alcohol use may contribute to brain shrinkage"
-
Alcohol's effect on the brain a 'mixed' bag - USA Today, 9/6/01 -
"Moderate drinking may reduce the risk of certain
types of stroke and scarring in the core of elderly people's brains, a study
found. But alcohol may also promote shrinkage of the brain — a condition
seen in Alzheimer's patients"
- Exanta (Ximelagatran)
Safe/Tolerable for Stroke Prevention in Atrial Fibrillation - Doctor's
Guide, 9/4/01
-
New Approach To Therapy Could Offer Breakthrough To Millions Of Stroke
Victims - Intelihealth, 8/28/01
- Stroke Hurts
the Family, Too - WebMD, 7/11/01
- Acetaminophen:
For Fevers, Pains, ... and Stroke? - WebMD, 7/6/01
- Stroke Warning Signs Not
Well Recognized In United States Stroke Belt - Doctor's Guide, 6/19/01
- Triflusal Preferable To
Aspirin For Secondary Prevention Of Ischemic Stroke - Doctor's Guide,
6/19/01
- Drug Study May
Change What Doctors Think About High Blood Pressure, Avoiding Stroke -
WebMD, 6/18/01 -
"Lowering high blood pressure is one of the best
ways to prevent stroke and heart disease. Now it turns out that the
combination of two blood pressure medications -- perindopril (Aceon) and
indapamide -- can prevent stroke even if blood pressure is normal"
-
Blood Pressure Drugs Cut Stroke Risk - Intelihealth, 6/17/01 -
"giving stroke patients blood pressure pills and
diuretics could halve the chance of their suffering another stroke"
- New Treatment Prevents
Strokes By Eliminating Blood Clots From Heart - Doctor's Guide, 3/26/01
-
"The treatment, known as PLAATO™ (Percutaneous Left
Atrial Appendage Transcatheter Occlusion), prevents strokes by eliminating a
source of blood clots from the heart ... The procedure involves threading a
small tube, or catheter, into the heart and depositing a permanent occlusion
device into the left atrial appendage, a thumb-like pouch where blood clots
are prone to form"
-
Study Backs Heart Attack Drug - Intelihealth, 3/19/01 -
"The heart drug
Plavix reduces
the risk of new heart attacks, strokes and death by 20 percent a year in
people being treated for mild heart attacks and bad chest pain"
-
Doctors Make New Strides In Attacking Brain Clots - Intelihealth, 3/9/01
- Direct-to-Brain
Drug Works More Than Six Hours Poststroke - WebMD, 3/5/01 -
"Dye injected through the tube allowed Barr to
pinpoint the clot on an X-ray. Barr then ran an even smaller tube -- barely
thicker than a thread -- up into the man's brain until it reached the clot.
Then he put a small amount of a clot-dissolving drug into the tube and let
it drip directly onto the clot ... "His artery was opened in one hour, and
he had a nearly complete recovery at three months""
- How to Stop a
Stroke From Striking, Alcohol, Overexertion Could Trigger Strokes -
WebMD, 2/26/01
-
Umbilical Cords Could Repair Brains - Intelihealth, 2/19/01
- Umbilical
Blood Cells Heal Stroke Damage in Rats - WebMD, 2/18/01
- Strokes More
Common in Snorers, Heavy Sleepers - WebMD, 2/16/01
- Forget About Estrogen As
Protection Against Stroke, Researchers Say - Doctor's Guide, 2/16/01
-
Brain damage real from 'silent stroke' - CNN, 2/16/01
-
Amino acid may trigger strokes - USA Today, 2/15/01
-
Homocysteine May Trigger Strokes - Intelihealth, 2/15/01 -
"One way to lower homocysteine is to increase doses
of the B vitamins - folic acid and vitamins B-6 and B-12 . . . .doctors
estimate that one-quarter of the U.S. population has clearly elevated
levels."
-
Doctor fights stroke with innovative tactics - CNN, 2/15/01
-
Study: Low Fat Linked To Stroke Risk - Intelihealth, 2/13/01
- Cancer Drug
May Prevent Stroke-Related Brain Injury, New Approach May Reduce Death and
Permanent Disability - WebMD, 2/1/01
- Intensive
Training May Boost Recovery From Stroke and Other Brain Injuries -
WebMD, 12/6/00
- Blood-Pressure
Drug Approved to Prevent Stroke, Heart Attack - WebMD, 10/6/00
- Low Stroke Rates
Associated With Vitamin C Level In Bloodstream - Doctor's Guide, 10/6/00
- Depression May
Up Stroke Risk, But It Can Be Treated - WebMD, 7/21/00
- FDA Approves Aggrenox For
Patients With Previous Strokes - Doctor's Guide, 11/23/99
- Thick Blood May Increase
Stroke Risk - Doctor's Guide, 8/17/99
- Extremely
low cholesterol may lead to strokes, study finds - CNN, 2/5/99
- Stroke Survivors Can Fare
Well Into Older Age - Doctor's Guide, 4/2/98
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