2014/05/e0a1e_workout_default

Blood pressure control, lifestyle changes key to preventing subsequent strokes

Stroke survivors should control their blood pressure, cholesterol and weight and do moderate physical activity regularly to avoid having another stroke, according to an American Heart Association/American Stroke Association scientific statement.

They should also receive other evidence-based therapy specific to their individual health, which may include aspirin therapy or a surgical procedure to keep neck arteries open.

The statement, “Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack (TIA),”is published in the American Heart Association journal Stroke.

“A vast amount of new research is revealing new and improved ways to protect patients with an ischemic stroke or transient ischemic attack from having recurrent events and further brain damage,” said Walter Kernan, M.D., lead author and chair of the guideline writing group and professor of medicine at Yale University School of Medicine in New Haven, Conn.

Treating high blood pressure is possibly most important for secondary prevention of ischemic stroke, according to the statement. About 70 percent of people who have had a recent ischemic also have high blood pressure.

The statement notes that intensive cholesterol-lowering therapy is also important for survivors whose stroke was caused by hardened arteries. However, the association no longer recommends niacin or fibrate drugs to raise good cholesterol, due to sparse data establishing their effectiveness at reducing secondary stroke risk.

It’s also good for stroke/TIA survivors capable of engaging in physical activity to have three to four sessions per week of moderate-vigorous intensity aerobic physical exercise such as walking briskly or riding a bike, according to the statement.

Since the last update in 2011, the association added sections on nutrition, sleep apnea, aortic arch atherosclerosis and pre-diabetes.

New recommendations include:

  • Screening stroke and TIA survivors for diabetes and obesity
  • Possible screening for sleep apnea
  • Possible nutritional assessment
  • 30-day monitoring for irregular heart beat (atrial fibrillation) for those who had a stroke of unknown cause
  • Anticoagulants in specific situations
  • Following a Mediterranean-type diet that emphasizes vegetables, fruits, whole grains and includes low-fat dairy, poultry, fish, legumes and nuts and limits sweets and red meat

Clinical trials haven’t proven the benefits of a Mediterranean diet after ischemic stroke or TIA, so statement recommendations are based on compelling but lower levels of research.

Each year in the United States, more than 690,000 adults have an ischemic stroke, which originate from blood clots that block blood flow in the brain or in a vessel leading to the brain.

Another 240,000 Americans will experience a TIA. Although TIA leaves no immediate impairment, survivors are at high risk for a future stroke.

On average, the annual risk for a future ischemic stroke after an initial ischemic stroke or TIA is about 3 percent to 4 percent.

“The key to staying healthy

… Continue reading here.
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Comments

    • Gold HanBin
    • May 1, 2014
    Reply

    I did it 😀
    That’s so fun and easy, cuz yesturday I tried Jillian micheals work out, I
    was dying, this one is so easy ! I’m sweating and all my body hurts
    (Jillian’s work out) but I feel good :D

    View Comment
    • Foster Crystal Rey
    • May 1, 2014
    Reply

    How many calories does this burn… context : I’m 144lbs, female, 17,
    height: 5″3.5

    View Comment
    • bamsalinas
    • May 1, 2014
    Reply

    I did it! 😀
    I made it through the entire video! i was about to give up after 10mins but
    decided to stick to the pragram, so happy! 

    View Comment
    • Dalal Dawson
    • May 1, 2014
    Reply

    I was so excited while i was tranning with you , it feels so good 

    View Comment
    • tarah jean
    • May 1, 2014
    Reply

    u did a good job training with us, KEEP IT UP!!!

    View Comment
    • Franklin Clinton
    • May 1, 2014
    Reply

    lets get less fat en more stronger *note to self*

    View Comment
    • kmalobe1
    • May 2, 2014
    Reply

    Hello im 27 years old, i heigh 5.3” or 5.4” feet, or 1.59 cm. i weight 56
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    my boobs. i have to do this workout every day for moreless how many days?
    or how much time? i need to loose waist too, i feel fluffy

    View Comment
    • Benedicta Sarian
    • May 2, 2014
    Reply

    I did it. I thought i can’t do it, I’m sweating a lot! Thank you 🙂 

    View Comment
    • Milton Chowdhury
    • May 2, 2014
    Reply

    Omg, thats awesome! Have you heard about ExprezSliminizer? It offers great
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    View Comment
    • Katy D
    • May 2, 2014
    Reply

    Wow I love it 🙂 that’s a real good workout

    View Comment
    • Salo Tsikvadze
    • May 2, 2014
    Reply

    #workout 

    View Comment
    • kimy
    • May 2, 2014
    Reply

    She is so energetic and positive that it is contagious when you do the
    exercise! Love it!

    View Comment
    • MartinTheBroker
    • May 2, 2014
    Reply

    She is so ill cutie lady go girl

    View Comment
    • kristina kaganovich
    • May 2, 2014
    Reply

    I really hope this will help me , a i’m 13 y/o and want to loose some Weght
    :))))

    View Comment
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    • May 2, 2014
    Reply

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    • Nicci Barraclough
    • May 2, 2014
    Reply

    Check out my workout you will loose weight instantly 

    View Comment
    • Aukseliukas4
    • May 2, 2014
    Reply

    Amazing! I’m gonna do this everyday until I will be able to do this
    non-stop! I feel great!

    View Comment
    • Heelloo Heey
    • May 2, 2014
    Reply

    Are you guys kidding me? This is so good that I’ve done it 4 times in a
    row.

    View Comment
    • Jayashree Km
    • May 2, 2014
    Reply

    Its helpin me a lot…super workouts!!

    View Comment
    • tessa pohjanen
    • May 2, 2014
    Reply

    love it!

    View Comment
    • David Mendoza
    • May 2, 2014
    Reply

    This is my kind of workout! hahah >.< 

    View Comment
    • Zandra Thomas
    • May 2, 2014
    Reply

    this is my girl :)

    View Comment

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