Showing posts with label stroke. Show all posts
Showing posts with label stroke. Show all posts
Tuesday, August 23, 2011
Still Continuing problem with Diabetes
Tuesday, August 23, 2011 | 
Posted by
art_tatto_design_extremeHealth & Fitness Tips: Diabetes is a Chronic Disease characterized by elevated levels of blood sugar.
Complications of uncontrolled diabetes:
- Hardening of the arteries (atherosclerosis).
- Damage to the kidneys, nerves and eyes.
- Erectile dysfunction.
- High Cholesterol.
- High Blood Pressure.
- Infections of the urinary tract or skin.
- Stroke.
- Peripheral vascular disease.
However, good blood glucose control can help prevent these complications.
Still Continuing problem with Diabetes
Health & Fitness Tips: Diabetes is a Chronic Disease characterized by elevated levels of blood sugar.
Complications of uncontrolled diabetes:
- Hardening of the arteries (atherosclerosis).
- Damage to the kidneys, nerves and eyes.
- Erectile dysfunction.
- High Cholesterol.
- High Blood Pressure.
- Infections of the urinary tract or skin.
- Stroke.
- Peripheral vascular disease.
However, good blood glucose control can help prevent these complications.
Still Continuing problem with Diabetes
Health & Fitness Tips: Diabetes is a Chronic Disease characterized by elevated levels of blood sugar.
Complications of uncontrolled diabetes:
- Hardening of the arteries (atherosclerosis).
- Damage to the kidneys, nerves and eyes.
- Erectile dysfunction.
- High Cholesterol.
- High Blood Pressure.
- Infections of the urinary tract or skin.
- Stroke.
- Peripheral vascular disease.
However, good blood glucose control can help prevent these complications.
Tuesday, December 7, 2010
How to prefer Heart-Healthy Foods
A heart healthy diet can assist to keep blood vessels clear of plaque, and help reduce the risk of heart attack and stroke.
Following some guidelines for a heart-healthy diet:
Following some guidelines for a heart-healthy diet:
- Eating plenty of vegetables and fruits.
- Making at least half of your daily grain spending whole grains. These may include whole-grain barley, brown rice, whole-grain corn and oatmeal.
- Eating low-fat dairy foods, like as yogurt, cheese and milk.
- Getting lots of nuts and dry beans, lean meat, fish and poultry without the skin.
- Favoring polyunsaturated and monounsaturated fats via vegetable oils, fish and nuts.
- Avoid saturated and transfats, salt, cholesterol and extra sugars.
Top 20 Facts for living longer
prevention guidelines of heart disease
How to prefer Heart-Healthy Foods
A heart healthy diet can assist to keep blood vessels clear of plaque, and help reduce the risk of heart attack and stroke.
Following some guidelines for a heart-healthy diet:
Following some guidelines for a heart-healthy diet:
- Eating plenty of vegetables and fruits.
- Making at least half of your daily grain spending whole grains. These may include whole-grain barley, brown rice, whole-grain corn and oatmeal.
- Eating low-fat dairy foods, like as yogurt, cheese and milk.
- Getting lots of nuts and dry beans, lean meat, fish and poultry without the skin.
- Favoring polyunsaturated and monounsaturated fats via vegetable oils, fish and nuts.
- Avoid saturated and transfats, salt, cholesterol and extra sugars.
Top 20 Facts for living longer
prevention guidelines of heart disease
Friday, September 10, 2010
Frequent Stroke Risk Higher for Some Hispanics
Study finds,Mexican-Americans with atrial fibrillation twice as likely to suffer a second stroke compared to whites.
Mexican-American stroke survivors with a heart rhythm disorder called atrial fibrillation are more than twice as likely to suffer a second stroke compared to white patients, a new study finds.
It also found that even though these strokes are more likely to be severe among Mexican-Americans, they don't have a greater risk of death after a second stroke.
In people with atrial fibrillation, the heart's upper chambers (atria) beat irregularly and don't pump blood effectively. This can cause blood to pool within the atria, which can lead to the formation of blood clots that can break off and travel to the brain, causing a stroke.
This study included 88 Mexican-Americans and 148 white stroke survivors with atrial fibrillation. Compared to the white patients, the Mexican-American stroke survivors were younger, less likely to have completed 12 years of education, more likely to have diabetes, and less likely to have a primary care physician.
Over a median follow-up of 427.5 days, 19 Mexican-Americans and 14 whites had at least one recurrent stroke. All but one of those cases involved an ischemic stroke, which is caused by blocked blood flow to the brain. One Mexican-American patient suffered a hemorrhagic stroke, which is bleeding in the brain.
"Based on some of our prior research, we were not necessarily surprised by the higher recurrence rate in Mexican-Americans with atrial fibrillation, but the greater severity of recurrent strokes in Mexican-Americans was surprising," co-author Dr. Darin B. Zahuranec, an assistant professor of neurology at the University of Michigan Cardiovascular Research Center in Ann Arbor, said in an American Heart Association news release.
One reason for the difference in stroke rates could be that Mexican-Americans may not have managed the blood-thinning drug warfarin -- often used to prevent stroke -- in the most optimal way, Zahuranec said. He and his colleagues did not evaluate outpatient use of warfarin, which might have contributed to the increased risk of stroke in Mexican-Americans.
Frequent Stroke Risk Higher for Some Hispanics
Study finds,Mexican-Americans with atrial fibrillation twice as likely to suffer a second stroke compared to whites.
Mexican-American stroke survivors with a heart rhythm disorder called atrial fibrillation are more than twice as likely to suffer a second stroke compared to white patients, a new study finds.
It also found that even though these strokes are more likely to be severe among Mexican-Americans, they don't have a greater risk of death after a second stroke.
In people with atrial fibrillation, the heart's upper chambers (atria) beat irregularly and don't pump blood effectively. This can cause blood to pool within the atria, which can lead to the formation of blood clots that can break off and travel to the brain, causing a stroke.
This study included 88 Mexican-Americans and 148 white stroke survivors with atrial fibrillation. Compared to the white patients, the Mexican-American stroke survivors were younger, less likely to have completed 12 years of education, more likely to have diabetes, and less likely to have a primary care physician.
Over a median follow-up of 427.5 days, 19 Mexican-Americans and 14 whites had at least one recurrent stroke. All but one of those cases involved an ischemic stroke, which is caused by blocked blood flow to the brain. One Mexican-American patient suffered a hemorrhagic stroke, which is bleeding in the brain.
"Based on some of our prior research, we were not necessarily surprised by the higher recurrence rate in Mexican-Americans with atrial fibrillation, but the greater severity of recurrent strokes in Mexican-Americans was surprising," co-author Dr. Darin B. Zahuranec, an assistant professor of neurology at the University of Michigan Cardiovascular Research Center in Ann Arbor, said in an American Heart Association news release.
One reason for the difference in stroke rates could be that Mexican-Americans may not have managed the blood-thinning drug warfarin -- often used to prevent stroke -- in the most optimal way, Zahuranec said. He and his colleagues did not evaluate outpatient use of warfarin, which might have contributed to the increased risk of stroke in Mexican-Americans.
Monday, August 30, 2010
Indication of Heart Attack, Stroke Risk From Fat-Filled Artery
A quantity of factors put patients with irregular fatty deposits in an artery at high risk for heart attack, stroke and cardiovascular death, a new study shows. Patients in different stages of this condition atherothrombosis are at enlarged risk for heart attack and stroke stemming from cheap blood flow from the artery blockage, but some are at better risk than others. In an analysis of more than 45,000 patients, the researchers found that patients with abnormal fatty deposits in an artery were at highest risk if they had a prior history of heart attack or other emergencies linked to an artery blockage.
Reduction of the arteries in various locations also greatly increased the risk for patients with atherothrombosis, as did diabetes for all the patients even those with only the risk factors for atherothrombosis.
Perceptive that these factors boost the risk can help physicians take preventive action, according to the researchers, who are from the VA Boston Healthcare System, Brigham and Women's Hospital and Harvard Medical School in Boston.
The researchers analyzed data from 45,227 patients enrolled in an worldwide study known as Reduction of Atherothrombosis for Continued Health (REACH) between 2003 and 2004. They collected detailed information from the patients when they enrolled and conducted follow-ups one, two, three and four years later.
They establish that 81.3 percent of the patients had hypertension, 70.4 percent had high cholesterol levels in the blood, and 15.9 percent had polyvascular disease. In adding, 48.4 percent of the patients had "ischemic events" prior heart attacks, unstable angina or other problems related to the artery blockage, with 28.1 percent of those patients having had such an event within the previous year.
During the follow-up period, 2,315 patients suffered cardiovascular death, 1,228 had a heart attack, 1,898 had a stroke, and 40 had a heart attack and a stroke on the similar day.
The researchers establish that patients with atherothrombosis with a previous history of heart attacks and other events related to a blood vessel blockage had the highest rate of following cardiac emergencies linked to blood flow problems. Patients with stable heart, cerebrovascular or peripheral route disease had a lower risk, while the risk was lowest amongst those with risk factors for atherothrombosis but without established disease.
The results show that "there is a entire spectrum of [emergencies relating to artery blockage and blood flow] in patients with risk factors or with recognized cardiovascular disease easily ascertainable clinical characteristics are the famous factors associated with a high risk of future ischemic events," they fulfilled.
Reduction of the arteries in various locations also greatly increased the risk for patients with atherothrombosis, as did diabetes for all the patients even those with only the risk factors for atherothrombosis.
Perceptive that these factors boost the risk can help physicians take preventive action, according to the researchers, who are from the VA Boston Healthcare System, Brigham and Women's Hospital and Harvard Medical School in Boston.
The researchers analyzed data from 45,227 patients enrolled in an worldwide study known as Reduction of Atherothrombosis for Continued Health (REACH) between 2003 and 2004. They collected detailed information from the patients when they enrolled and conducted follow-ups one, two, three and four years later.
They establish that 81.3 percent of the patients had hypertension, 70.4 percent had high cholesterol levels in the blood, and 15.9 percent had polyvascular disease. In adding, 48.4 percent of the patients had "ischemic events" prior heart attacks, unstable angina or other problems related to the artery blockage, with 28.1 percent of those patients having had such an event within the previous year.
During the follow-up period, 2,315 patients suffered cardiovascular death, 1,228 had a heart attack, 1,898 had a stroke, and 40 had a heart attack and a stroke on the similar day.
The researchers establish that patients with atherothrombosis with a previous history of heart attacks and other events related to a blood vessel blockage had the highest rate of following cardiac emergencies linked to blood flow problems. Patients with stable heart, cerebrovascular or peripheral route disease had a lower risk, while the risk was lowest amongst those with risk factors for atherothrombosis but without established disease.
The results show that "there is a entire spectrum of [emergencies relating to artery blockage and blood flow] in patients with risk factors or with recognized cardiovascular disease easily ascertainable clinical characteristics are the famous factors associated with a high risk of future ischemic events," they fulfilled.
Indication of Heart Attack, Stroke Risk From Fat-Filled Artery
A quantity of factors put patients with irregular fatty deposits in an artery at high risk for heart attack, stroke and cardiovascular death, a new study shows. Patients in different stages of this condition atherothrombosis are at enlarged risk for heart attack and stroke stemming from cheap blood flow from the artery blockage, but some are at better risk than others. In an analysis of more than 45,000 patients, the researchers found that patients with abnormal fatty deposits in an artery were at highest risk if they had a prior history of heart attack or other emergencies linked to an artery blockage.
Reduction of the arteries in various locations also greatly increased the risk for patients with atherothrombosis, as did diabetes for all the patients even those with only the risk factors for atherothrombosis.
Perceptive that these factors boost the risk can help physicians take preventive action, according to the researchers, who are from the VA Boston Healthcare System, Brigham and Women's Hospital and Harvard Medical School in Boston.
The researchers analyzed data from 45,227 patients enrolled in an worldwide study known as Reduction of Atherothrombosis for Continued Health (REACH) between 2003 and 2004. They collected detailed information from the patients when they enrolled and conducted follow-ups one, two, three and four years later.
They establish that 81.3 percent of the patients had hypertension, 70.4 percent had high cholesterol levels in the blood, and 15.9 percent had polyvascular disease. In adding, 48.4 percent of the patients had "ischemic events" prior heart attacks, unstable angina or other problems related to the artery blockage, with 28.1 percent of those patients having had such an event within the previous year.
During the follow-up period, 2,315 patients suffered cardiovascular death, 1,228 had a heart attack, 1,898 had a stroke, and 40 had a heart attack and a stroke on the similar day.
The researchers establish that patients with atherothrombosis with a previous history of heart attacks and other events related to a blood vessel blockage had the highest rate of following cardiac emergencies linked to blood flow problems. Patients with stable heart, cerebrovascular or peripheral route disease had a lower risk, while the risk was lowest amongst those with risk factors for atherothrombosis but without established disease.
The results show that "there is a entire spectrum of [emergencies relating to artery blockage and blood flow] in patients with risk factors or with recognized cardiovascular disease easily ascertainable clinical characteristics are the famous factors associated with a high risk of future ischemic events," they fulfilled.
Reduction of the arteries in various locations also greatly increased the risk for patients with atherothrombosis, as did diabetes for all the patients even those with only the risk factors for atherothrombosis.
Perceptive that these factors boost the risk can help physicians take preventive action, according to the researchers, who are from the VA Boston Healthcare System, Brigham and Women's Hospital and Harvard Medical School in Boston.
The researchers analyzed data from 45,227 patients enrolled in an worldwide study known as Reduction of Atherothrombosis for Continued Health (REACH) between 2003 and 2004. They collected detailed information from the patients when they enrolled and conducted follow-ups one, two, three and four years later.
They establish that 81.3 percent of the patients had hypertension, 70.4 percent had high cholesterol levels in the blood, and 15.9 percent had polyvascular disease. In adding, 48.4 percent of the patients had "ischemic events" prior heart attacks, unstable angina or other problems related to the artery blockage, with 28.1 percent of those patients having had such an event within the previous year.
During the follow-up period, 2,315 patients suffered cardiovascular death, 1,228 had a heart attack, 1,898 had a stroke, and 40 had a heart attack and a stroke on the similar day.
The researchers establish that patients with atherothrombosis with a previous history of heart attacks and other events related to a blood vessel blockage had the highest rate of following cardiac emergencies linked to blood flow problems. Patients with stable heart, cerebrovascular or peripheral route disease had a lower risk, while the risk was lowest amongst those with risk factors for atherothrombosis but without established disease.
The results show that "there is a entire spectrum of [emergencies relating to artery blockage and blood flow] in patients with risk factors or with recognized cardiovascular disease easily ascertainable clinical characteristics are the famous factors associated with a high risk of future ischemic events," they fulfilled.
Sunday, March 30, 2008
Cholesterol Testing Not Enough for Some
Test for Protein Called ApoB Better Measure of Heart Attack, Stroke Risk
By Salynn Boyles
WebMD Medical News
Reviewed by Elizabeth Klodas, MD
March 27, 2008 -- People at high risk for heart attacks and strokes may need even more aggressive cholesterol control than is currently recommended, experts now say.
In a joint statement released Thursday by the American Diabetes Association (ADA) and the American College of Cardiology (ACC), the experts concluded that measuring LDL, or bad, cholesterol may no longer be the best measure of heart health in these patients.
The panel found that once LDL cholesterol is lowered to recommended levels in high-risk patients, testing for the protein ApoB may more accurately identify those still at risk for cardiovascular events.
If ApoB levels are high, patients may need more aggressive lifestyle interventions or larger doses of lipid-lowering statin drugs, even if LDL cholesterol levels are within normal range, the panel concluded.
"LDL measurement is still very important," ADA Vice President of Clinical Affairs Sue Kirkman, MD, tells WebMD. "But for high-risk people who are on statin therapy it may not be enough to get LDL down below 100 or even 70."
LDL and ApoB
Achieving an LDL of below 100 milligrams/deciliter is now widely recommended for patients with two or more risk factors for heart disease and for those with diabetes but no other major heart disease risk factors.
Guidelines call for a target LDL at or below 70 for patients with established heart disease or diabetes with additional risk factors for heart disease.
These risk factors include high blood pressure, tobacco use, and family history of heart disease.
While aggressive cholesterol treatment has contributed to reductions in heart attacks and strokes, these events are still common among high-risk patients who reach the target goals, Kirkman says. This could occur if other cholesterol particles that contribute to risk are still elevated.
ApoB is a molecule that is present in all the cholesterol particles that significantly contribute to the development of atherosclerosis (also known as plaque or hardening of the arteries). The hope is that measuring ApoB will help patients and their doctors better gauge actual risk because ApoB will be a more accurate measure of the total number of all artery-clogging particles (not just LDL). There is growing evidence that ApoB levels are a better indicator of heart risk than total cholesterol or LDL.
For this reason, the joint panel recommends a target ApoB level of less than 90 for high-risk patients without established heart disease and less than 80 for the highest-risk patients with heart disease or with diabetes and other cardiovascular risk factors.
Statins and Lifestyle
The report could lead to more aggressive treatment of high-risk patients with lipid-lowering statins, but the panel concluded that more research is needed to confirm the benefits of this approach.
The group also called for public health initiatives aimed at promoting lifestyle changes that reduce cardiovascular risk.
Kirkman says patients and their doctors often focus on drug treatments, forgetting that lifestyle changes can also have a big impact on risk.
"It is important to remember that lifestyle is a big part of this," Kirkman says. "Getting patients to improve their diets, stop smoking, and exercise are all critical. It isn't all about drugs."
By Salynn Boyles
WebMD Medical News
Reviewed by Elizabeth Klodas, MD
March 27, 2008 -- People at high risk for heart attacks and strokes may need even more aggressive cholesterol control than is currently recommended, experts now say.
In a joint statement released Thursday by the American Diabetes Association (ADA) and the American College of Cardiology (ACC), the experts concluded that measuring LDL, or bad, cholesterol may no longer be the best measure of heart health in these patients.
The panel found that once LDL cholesterol is lowered to recommended levels in high-risk patients, testing for the protein ApoB may more accurately identify those still at risk for cardiovascular events.
If ApoB levels are high, patients may need more aggressive lifestyle interventions or larger doses of lipid-lowering statin drugs, even if LDL cholesterol levels are within normal range, the panel concluded.
"LDL measurement is still very important," ADA Vice President of Clinical Affairs Sue Kirkman, MD, tells WebMD. "But for high-risk people who are on statin therapy it may not be enough to get LDL down below 100 or even 70."
LDL and ApoB
Achieving an LDL of below 100 milligrams/deciliter is now widely recommended for patients with two or more risk factors for heart disease and for those with diabetes but no other major heart disease risk factors.
Guidelines call for a target LDL at or below 70 for patients with established heart disease or diabetes with additional risk factors for heart disease.
These risk factors include high blood pressure, tobacco use, and family history of heart disease.
While aggressive cholesterol treatment has contributed to reductions in heart attacks and strokes, these events are still common among high-risk patients who reach the target goals, Kirkman says. This could occur if other cholesterol particles that contribute to risk are still elevated.
ApoB is a molecule that is present in all the cholesterol particles that significantly contribute to the development of atherosclerosis (also known as plaque or hardening of the arteries). The hope is that measuring ApoB will help patients and their doctors better gauge actual risk because ApoB will be a more accurate measure of the total number of all artery-clogging particles (not just LDL). There is growing evidence that ApoB levels are a better indicator of heart risk than total cholesterol or LDL.
For this reason, the joint panel recommends a target ApoB level of less than 90 for high-risk patients without established heart disease and less than 80 for the highest-risk patients with heart disease or with diabetes and other cardiovascular risk factors.
Statins and Lifestyle
The report could lead to more aggressive treatment of high-risk patients with lipid-lowering statins, but the panel concluded that more research is needed to confirm the benefits of this approach.
The group also called for public health initiatives aimed at promoting lifestyle changes that reduce cardiovascular risk.
Kirkman says patients and their doctors often focus on drug treatments, forgetting that lifestyle changes can also have a big impact on risk.
"It is important to remember that lifestyle is a big part of this," Kirkman says. "Getting patients to improve their diets, stop smoking, and exercise are all critical. It isn't all about drugs."
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