Subscribe to MedHelp's free newsletter for Community Support, Experience, and Guidance.
Primary prevention is a lot less effective than secondary prevention (as judged by the number needed to treat to prevent one stroke per year).Recent guidelines detail the evidence for primary prevention in stroke. Because stroke may indicate underlying atherosclerosis, it is important to determine the patient's risk for other cardiovascular diseases such as coronary heart disease. Conversely, aspirin prevents against first stroke in patients who have suffered a myocardial infarction.
Is the Aspirin really helpful for the prevention of stroke? What can you advise me to take in order to prevent the fate of the other members of my family.
Whereas the ADA used to recommend low-dose aspirin for every diabetic patient over the age of 40, their new guidelines suggest aspirin as a prevention strategy only in those with diabetes whose cardiovascular risk is above average. This includes men over age 50 or women over age 60 with at least one additional major risk factor. In other words, according to the ADA, younger diabetic patients without associated cardiovascular risk factors appear not to benefit from taking aspirin.
The ACC guideline recommend using aspirin (81 mg or more) in that group of patients, but the same guideline disclose that In patients younger than 60 y with lone Afib the risk of stroke or embolism is low without treatment and the effectiveness of aspirin for primary prevention of stroke relative to the risk of bleeding has not been established.
http://www.medhelp.
The causes of stroke are multiple and could include embolism from the heart or other areas (such as the aorta or other parts of the body), bleeds, atherosclerosis of the blood vessels, vasculitis (or inflammatory processes affecting the blood vessels of the brain), and others. The prevention of stroke typically depends on what are the risk factors a patient has. These may include aspirin, certain blood thinners, or cholesterol-lowering medications.
Now according to revised guidelines by the american heart association for prevention of infective endocarditis, the antibiotic prophylaxis is not routinely recommended for all dental procedures. For patients with underlying cardiac conditions, prophylaxis is reasonable for all dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa. So, if the procedure involves the above manipulations, you may need prophylaxis.
For that population the ACC guidelines recommend aspirin of 81 mg or more to prevent stroke. As the rate of stroke is very low in the "lone" atrial fibrillation population , 81 mg is usual prescribed dose.
In patient without a known bleeding disorder, 81 mg of aspirin may increase the risk of bleeding in case of an injury, but usually the benefits outweigh the risks.
Currently there are advocates trying to get more money for research for stroke prevention and stroke treatment.
Its fast, its easy and its free!
Thank you.
Usually, aspirin therapy is recommended for stroke prevention as long as the benefits outweigh the risks. However, side effects of this should be considered and asked with the treating doctor. Another stroke prevention strategy should be take low-fat diet, limit alcohol, quit smoking, exercise regularly and get your blood pressure monitored every years, especially if high blood pressure history is present in your family. Hope this helps.
Because tPA cannot be used for anyone having a hemorrhagic stroke, it is critical to know what kind of stroke the patient is having.The doctor uses specific guidelines to evaluate whether the patient should receive treatment with this drug and will discuss the risks and benefits of giving it. If given, strict guidelines must be met for the administration of this drug to prevent bad side effects.Ideally, tPA should be given within 60 minutes of the arrival of the patient.
//www.sanqiginseng.com/forum/index.php gave me some idea. I would like to know your opinion about this herb and other alternative therapies.
hello i am med student and i am interested about aspirin and heparin use in prevention of stroke i high risc pregnant patients. Is Aspirin in low doses safe.
Recommended
