What Is a Stroke?    What Causes a Stroke?    Who Is at Risk for a Stroke?

Signs & Symptoms of Stroke    How Is a Stroke Diagnosed?    How Is a Stroke Treated?

Types of Stroke    Stroke Prevention    Life After a Stroke    Clinical Trials

Lower Stroke Risk

Lower Stroke Risk & Mini Stroke Treatment Health Guide



a good time to start preventing a stroke... A stroke is a medical emergency. Strokes and Mini-Strokes happen when blood flow to your brain stops. Within minutes, brain cells begin to die. There are two kinds of stroke. The more common kind, called ischemic stroke, is caused by a blood clot that blocks or plugs a blood vessel in the brain. The other kind, called hemorrhagic stroke, is caused by a blood vessel that breaks and bleeds into the brain. "Mini-strokes" or transient ischemic attacks (TIAs), occur when the blood supply to the brain is briefly interrupted.

Symptoms of stroke are

If you have any of these symptoms, you must get to a hospital quickly to start treatment. Acute stroke therapies try to stop a stroke while it is happening by quickly dissolving the blood clot or by stopping the bleeding. Post-stroke rehabilitation helps individuals overcome disabilities that result from stroke damage. Drug therapy with blood thinners is the most common treatment for stroke.

Cholesterol Lowering in Elderly Reduces Heart Disease and Strokes

Older Americans have the Nation's highest rate of coronary heart disease (CHD) and can benefit greatly from lowering elevated cholesterol, according to a new report from the National Cholesterol Education Program (NCEP). The report notes that cholesterol lowering also has been shown to reduce the risk of strokes.

NCEP is coordinated by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health.

The report, which appears in an issue of the Archives of Internal Medicine, makes it clear the NCEP's stand on the controversial issue of cholesterol lowering in those age 65 and older.

"Some investigators have questioned the value of testing cholesterol and treating high levels in the elderly," said NHLBI Director Dr. Claude Lenfant. "But an overview of the research shows that cholesterol lowering can improve both the quality and length of life for many older Americans."

"Because most older Americans have cholesterol buildup in their arteries, an elevated cholesterol causes more cases of CHD in the elderly than in any other age group," said Dr. Scott Grundy, Director of the Center for Human Nutrition at The University of Texas Southwestern Medical Center at Dallas and lead author of the NCEP report. "It is clear that cholesterol counts in the elderly."



Dr. James Cleeman, NCEP Coordinator and a coauthor of the report said, "The new report reviews the evidence from epidemiological studies and clinical trials, and concludes that controlling cholesterol produces significant benefits in the elderly. For those with CHD, it can prolong life and dramatically reduce their risk of having a heart attack. For healthy seniors, it will reduce their high risk of developing CHD."

NCEP recommends that older Americans keep their cholesterol in check by following an eating pattern lower in saturated fat, total fat, and cholesterol, being physically active, and maintaining a healthy weight.

High cholesterol is a major risk factor for CHD. It leads to hardening of the arteries, or atherosclerosis, in which cholesterol deposits build up in vessel walls, including the coronary arteries that feed the heart. According to the report, more than two-thirds of over age-65 have either obvious CHD or "silent" atherosclerosis. With atherosclerosis, there may be no obvious disease symptoms but plaque likely formed in the veins and in arteries.

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Older Americans have more CHD than any other age group and suffer more coronary events, such as heart attacks and angina. Most first CHD events strike after age 65, according to the report. The report indicates in the past decade, treatment for elevated cholesterol has expanded and includes a wider-range of cholesterol-lowering meds, especially statins, which produce the largest reduction in cholesterol levels. The report adds that cholesterol-lowering treatment works for both women and men. Recommendations include the following:



Other Names for a Stroke

A transient ischemic attack sometimes is called a TIA or mini-stroke. A TIA has the same symptoms as a stroke, and it increases your risk of having a stroke.

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