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I realize it depends on many factors, and there probably are no perfect studies, I'm just looking for general guidance based on your personal experience.
3) Suppose a person has some unexpired Cipro, which apparently works against many types of bacterial infections. After engaging in unprotected oral sex with several different high-risk partners (say, 10) in short period of time while on vacation, would it make sense to use the Cipro as a preventative measure?
Has your husband's protime and INR been tested? This is a simple finger stick blood test which measures coagulation speed. Normal INR is 1.0, atrial fib sufferers should have an INR of between 2.0 and 3.0. I would suggest strongly that your cardiologist be made aware of your concerns. At the same time, I also suggest that you request a protime and INR test.
Hello,
I can understand your concern for your husband but Delirium occurs in almost 1 out of every 8 patients with stroke. Unfortunately To date, there have been no studies that have evaluated either the prevention or the management of delirium post-stroke. I agree with the doctors as the time taken for recovery may be in months or even years. But preventing malnutrition and removal of the cause of stroke helps in quick recovery.
I am now very concerned about having a stroke, especially in light of the studies that have linked classical migraines and increased stroke risk. I fear I have compounded the risk by taking tamoxifen. My question is, from a neurological point of view, would it be wise for me to discontinue taking tamoxifen. I have had localized breast cancer and I am quite sure I know what my oncologists would recommend, but at 42,or at any age, I really don't want to be at any increased risk for stroke.
According to studies done, antiplatelet therapy with aspirin reduced the risk of secondary stroke and MI significantly. And studies have also shown lower doses of aspirin are as effective as higher doses. Doses of 75 to 150 mg/day produced the same risk reduction, compared with placebo, as doses of 150 to 325 mg/day. Lower doses also reduce the risk of bleeding tendencies. As your father has been stable, his treating doctor may consider dosage reduction, please discuss this with him.
Definite diagnosis of Cerebral palsy warrants s full neurological exam and diagnostic tests such as blood tests and imaging studies like CT scan or MRI of the head, EEG and vision and hearing tests. This link may help: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001734/
The following organizations are also good resources for information on cerebral palsy:
1. National Institute of Neurological Disorders and Stroke - www.ninds.nih.gov/disorders/cerebral_palsy/cerebral_palsy.htm
2.
Lowering cholesterol for secondary prevention, that is preventing second heart attacks in persons who already had had one, was next demonstrated in the eighties and primary prevention of heart attack and stroke (In persons who had never had a prior event) demonstrated in the nineties. The most recently published studies have demonstrated that lipid lowering therapy decreases cardiac events even in those persons with normal cholesterol.
After reading the studies use one to back up your suggestion for an alternative treatment. Stroke can be caused by both clots and bleeds. Plavix is generally prescribed following a stroke from a clot. Often clots are caused by simple dehydration and inactivity. If you go off the Plavix keep well hydrated at all times with electrolytes.
What’s the role of CRP in predicting recurrent cardiovascular and stroke events?
A growing number of studies have examined whether hs-CRP can predict recurrent cardiovascular disease, stroke and death in different settings. High levels of hs-CRP consistently predict recurrent coronary events in patients with unstable angina and acute myocardial infarction (heart attack). Higher hs-CRP levels also are associated with lower survival rates in these patients.
Talk to your doc about starting aspirin 325mg per day (regular adult size) for stroke prevention if you're not already on it.
This is just a start. SIt down with your physician and talk about your concerns. COnsider a referral to a neurologist. Good luck.
In a large cohort of patients with PFO +/- atrial septal aneurysm and previous cryptogenic stroke followed over 4 years, there was no difference in the stroke rate between patients with PFO and without PFO unless there was an ASA associated with the PFO. This finding increased the risk of stroke over 4-fold. Other observational studies support the risk of recurrent events associated with an atrial septal aneurysm. That said, the data for primary prevention is debated.
Many of my cardiology patients ask about the value of taking daily aspirin to prevent heart attack and stroke Recent research has shed new light on this. Indeed, mounting evidence reported in a number of leading medical journals now suggests that if you’re healthy and not at significant risk for a heart attack, you should not be taking aspirin preventively. That’s because the studies show that aspirin doesn’t reduce the risk of dying from a heart attack or stroke in healthy people.
Bayer wanted to be able to include recommendations that aspirin be used as primary prevention (in people who've never had heart attack or stroke) in the literature it gives to doctors. FDA denied that request after investigating the available evidence.
"In selected people at high risk for heart attacks, aspirin is of value to take," says Richard Stein, MD, spokesperson for the American Heart Association and a professor of medicine and cardiology at NYU School of Medicine.
Though some say carotid bruit is a sign of higher stroke risk, there are studies which conclude that carotid bruit is not a useful clinical marker of increased stroke risk especially in asymptomatic patients like you. Bruits are just a sign of generalized atherosclerosis. That is why it is advised that lifestyle changes such as smoking cessation, stress management, exercise and eat healthy foods to help you prevent or slow the progression of atherosclerosis.
http://www.aafp.
said Dr. J. David Spence.
Spence, who was not involved in the study, directs the Stroke Prevention & Atherosclerosis Research Centre at Western University in London, Ontario, Canada.
For the healthy people in this study, Spence said, the TMAO rise from choline might not be worrisome. But, he added, it might be a concern for people at increased risk of heart disease or stroke.
Spence suggested those individuals limit egg yolks, beef and other foods high in choline.
Hazen had similar advice.
The current study comprises a cohort of 160 patients (100 of them men) with an average age of 45 (range 18 to 55) who had a stroke or TIA. Most patients (94%) had an ischemic stroke; only 6% had a TIA.
For a control group, the ethics committee allowed the researchers to use a matched cohort of 160 patients who had not had a stroke and who had had urine tests for various reasons.
The problem with the controls, Barber said, was that researchers knew only their age, sex, and ethnicity.
what are the risks associated with them
It is really used in general terms -- you have a moderate amount of plaque in your aorta. There are increased risks of coronary disease and stroke associated with atherosclerotic disease. I do not know the numbers to quote.
3. Can statins and diet reduce it?
Statins and diets can reduce the risk of events. Atorvastatin (Lipator) was shown to slightly decrease coronary plaque thickness by intra vascular ultra sound.
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