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Life after stroke / What affects recovery, the biggest risks

2024-06-17 08:35:00, Shëndeti CNA
Life after stroke / What affects recovery, the biggest risks
Illustrative photo

Life after a stroke involves risks and the recovery process is considered necessary. Preliminary studies presented at this year's American Stroke Association International Conference on the Science and Treatment of Cerebrovascular Disease and Brain Health highlighted potential complications, aggravating factors and ways to prevent risks in the first year after a stroke. blow.

Double risk of heart attack

People who had a stroke were twice as likely to have a heart attack within the first year.

"Our findings may help physicians assess and manage cardiovascular risk after such events," commented researchers from Broën University's Warren Alpert School of Medicine, who analyzed health data from more than 800,000 adults aged 63 years on average.

It used to be only speculation, but we now know that carotid or vertebral artery dissection that does not lead to stroke does not increase the risk of stroke; it is reasonable for clinicians to focus on stroke prevention primarily in this subgroup of patients," the researchers said.

Place of residence affects rehabilitation

Stroke survivors living in areas with high unemployment, low income, low education, and poor living conditions are twice as likely to have a poor recovery one year after cardiovascular stroke compared to those living in better conditions.

"Although people from different socioeconomic backgrounds who have had a stroke typically show similar functioning after hospitalization, outcomes can vary dramatically a year later," commented Leah Kleinberg, BA, of the Falcone Laboratory in the Department of of Neurology at the Yale School of Medicine.

Researchers analyzed data from 2,164 people who had suffered an ischemic stroke and found that poor recovery and inability to care for themselves was 44% more likely to occur in areas of moderate material and social deprivation and 107% more likely more likely in more deprived areas.

More physical activity

Living in neighborhoods with more centers and places for recreation and physical activity is associated with increased physical activity during the first year after a stroke, a study of 333 people by a team at Ohio State University found. Findings showed that the right environment can increase physical activity by up to 57%.

Triple the risk of dementia

A study of 180,940 stroke survivors in Canada found a nearly threefold risk of dementia in the first year after stroke. At five years, the risk for the neurological disorder was 1.5 times greater than in people without a history of stroke.

After accounting for dementia risk factors such as hypertension, type 1 or 2 diabetes, and high cholesterol, the odds of having a neurological disorder at any time increased by 80% and by 150% if they had suffered an intracerebral bleed.

"Our findings highlight the importance of monitoring stroke survivors for cognitive impairment, selecting appropriate therapies to treat vascular risk factors and prevent recurrent strokes, and encouraging patients to make lifestyle changes such as ceasing of smoking and increased physical activity, which have multiple benefits and can reduce the risk of dementia," commented Raed Joundi./ CNA





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