Navigation Links
After a Stroke, High Risk for a Recurrence
Date:2/15/2010

Aggressive care and follow-up are key to preventing further problems, experts say,,

MONDAY, Feb. 15 (HealthDay News) -- Among people who suffer a stroke, one in 12 are likely to have another stroke soon after the initial attack and one in four will die within a year, according to a new study by researchers from the Medical University of South Carolina.

The state-wide statistics highlight the importance of recognizing that anyone who has had a stroke is at a high risk for having another one and also has an increased likelihood of having other problems, such as a heart attack, experts say

"Our findings suggest that South Carolina and possibly other parts of the United States may have a long way to go in terms of preventing and reducing the risk factors for recurrent strokes," said Dr. Wuwei Feng, a neurology resident at the university and the study's lead researcher.

For the study, published in the Feb. 16 issue of Neurology, Feng's team collected data on almost 10,400 people in South Carolina who'd had a stroke.

They found that 25 percent of those who had a stroke died within a year, and eight percent had another stroke within a year of their first stroke.

After one year, the risk for another stroke or death continued to rise, the researchers found, with about 18 percent having had another stroke within four years. In that time, about six percent had a heart attack and 41 percent had died from any cause, including 27 percent whose deaths were attributed to a stroke or heart attack.

The risks were higher among blacks than among whites, the study noted. The risks also increased with age and the number of other medical problems that people had.

"Stroke is a devastating disease," Feng said. "Once you have it, you are at a high risk to have another one, as well as heart attack or death."

Dr. Majaz Moonis, director of stroke services at the University of Massachusetts, said that "this is one more study that essentially points to what many others have already."

Moonis believes the key to preventing second strokes is aggressive care and follow-up. "It is important to continue to point out the health-care disparities and the need for more aggressive care," he said.

"In our stroke prevention clinic -- where we regularly follow patients with ischemic stroke on a six-month basis with imaging, labs and vascular studies and treat them with very aggressive measures for stroke prevention -- the annual rate of recurrent stroke is 1.5 percent, far lower than the community," Moonis said.

Another stroke expert, Dr. Larry B. Goldstein, director of the Duke University Stroke Center, noted that his own study of stroke patients throughout the United States showed that the highest rate for recurrent stroke was in the Southeast, which has been called the "stroke belt."

Of course, having a first stroke puts you at a 10-fold increased risk of having another, he said, and "in the country overall, about 20 percent of strokes are recurrent strokes."

Goldstein also said that, in many cases, not enough effort is directed at preventing a second stroke. Using blood thinners, for example, can reduce the risk for a second stroke by about 48 percent, he said.

"Adequate treatment of high blood pressure reduces the risk by about 40 percent," Goldstein said. "The use of antiplatelet drugs reduces the risk by about 16 to 20 percent. The use of a statin reduces the risk by about 16 percent."

In addition, lifestyle changes such as a following a healthier diet, exercising more and quitting smoking will also reduce the risk of a second stroke, he said.

"There are a ton of things we try to do to reduce the risk of recurrent stroke," Goldstein said.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more on stroke.



SOURCES: Wuwei Feng, M.D., resident in neurology, department of neuroscience, Medical University of South Carolina, Charleston, S.C.; Larry B. Goldstein, M.D., professor and director, Duke Stroke Center, Duke University, Durham, N.C.; Majaz Moonis, M.D., director, stroke services, University of Massachusetts Medical School, Worcester, Mass.; Feb. 16, 2010, Neurology


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Bill Clinton Back Home After Heart Procedure
2. Ex-President Clinton Said To Be Fine After Heart Procedure
3. One Month after Major Quake, Ongoing Crises for Haitian Children
4. Estrogen-only HRT may increase risk of asthma after menopause
5. Chesley Files Lawsuits on Behalf of Ohio Residents Who Lost Sense of Smell After Taking Zicam
6. Tylenol May Protect Kidneys After Severe Muscle Damage
7. Immediate risk of suicide and cardiovascular death after a prostate cancer diagnosis
8. Antidepressants After Stroke May Boost Mental Ability
9. HIV researchers solve key puzzle after 20 years of trying
10. And the Winner is… After Online Vote, Austin Cosmetic Dentist Crowns the Most Interesting Dental Patient in the World
11. After 31 Years, the New San Jose Caldera Highway is Now Fully Operational in Costa Rica
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... Birmingham, Lake Orion, Clarkston, Michigan (PRWEB) , ... ... ... their direction with respect to fertility once they have been diagnosed with endometriosis. ... for tolerable intercourse but they also require a comprehensive approach that can help ...
(Date:6/25/2016)... Aliso Viejo, California (PRWEB) , ... June 25, 2016 , ... ... preset to fit their specific project," said Christina Austin - CEO of Pixel Film ... all fully customizable and all within Final Cut Pro X . Simply select ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... On Friday, ... presented a Bronze Wellness at Work award to iHire in recognition of their exemplary ... part of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI ...
(Date:6/24/2016)... ... ... June 19, 2016 is World Sickle Cell Observance Day. In an effort to ... treatments, Serenity Recovery Center of Marne, Michigan, has issued a pain management ... (SCD) is a disorder of the red blood cells, which can cause episodes of ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas ... , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016 Capricor ... ), a biotechnology company focused on the discovery, ... that patient enrollment in its ongoing randomized HOPE-Duchenne ... exceeded 50% of its 24-patient target. Capricor expects ... third quarter of 2016, and to report top ...
(Date:6/23/2016)... 2016  Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in ... America . ... ... ... ...
(Date:6/23/2016)... FRANKLIN, Tenn. , June 23, 2016 ... for automating, integrating and transforming the patient ... launch of several innovative new products and ... depth of its revenue cycle offerings. These ... establish more efficient workflows, remain compliant in ...
Breaking Medicine Technology: