Stroke strikes about 700000 Americans each year, but the vast majority of people survive. Close to 5 million stroke survivors are managing their health today. Searches related to stroke A stroke occurs when the blood supply to your brain is interrupted or reduced. This deprives your brain of oxygen and nutrients, which can cause your brain cells to die. A stroke may be caused by a blocked artery (ischemic stroke) or the leaking or bursting of a blood vessel (hemorrhagic stroke).Nov 9, 2016 Symptoms and causes - Stroke - Mayo Clinic www.mayoclinic.org/diseases-conditions/stroke/symptoms-causes/dxc-20117265

Here are seven ways to start reining in your risks today, before a stroke has the chance to strike. Lower blood pressure. ... Lose weight. ... Exercise more. ... Drink — in moderation. ... Treat atrial fibrillation. ... Treat diabetes. ... Quit smoking. 10 Tips to Prevent Heart Disease And Stroke By Gordon A. Ewy, MD, director emeritus of the University of Arizona Sarver Heart Center 1. Take responsibility for your health. Cardiovascular disease is the major cause of death in America, accounting for 34 percent of deaths, many suddenly and almost all of them premature. This is down from 40 percent just four decades ago, mainly due to treatment of common risk factors. If you have diabetes, your risk increases dramatically. The best prevention against heart disease and stroke is to understand the risks and treatment options. The greatest risk is ignorance or misinformation. The first step is to take responsibility for your health. 2. Know your risks. The most influential risk factor for cardiovascular disease is age – the older you are, the greater your risk. The second is your genetic make-up. Although everyone is excited by the scientific progress in genomics research, conclusive gene tests are still in their infancy. But, as I tell our medical students, “A good family history is a poor man’s gene test.” We have long known that if your parents, grandparents, or other relatives were afflicted with or died of heart disease, diabetes or stroke, your risk is much greater. 3. Don’t smoke or expose yourself to second-hand smoke. The evidence is overwhelming that cigarette smoking and second-hand exposure to smoke increases the risks of heart disease, lung disease, peripheral vascular disease and stroke. 4. Maintain a healthy blood pressure. High blood pressure, called hypertension, is known as “the silent killer” as it goes without symptoms in most individuals. High blood pressure causes wear and tear of the delicate inner lining of your blood vessels. The higher your blood pressure (BP) the greater your risk. The risk begins to increase from a pressure of 115/70 mmHg and doubles for each 10 mmHg increase in systolic (the larger number) and 5 mmHg increase in the diastolic (the smaller number). Heredity and increasing age raise the risks. Measuring blood pressures at home reflects more accurately your risk than having the blood pressure taken at a physician’s office. It is worth the investment to get a cuffmeter. It is best not to rely only on the readings at your doctor’s office as some individuals suffer from “white coat” hypertension – their BP is up only when they are at the doctor’s office. Others have “masked” hypertension – higher when not in the doctor’s office. Prognosis is best related to home BP. But for home blood pressure readings, you should not use finger or wrist units – only regular upper arm units. 5. Monitor your cholesterol (blood lipids). Abnormal or high blood lipids (fats) are a major contributor to cardiovascular disease. Your blood lipids include the LDL (bad cholesterol; remember as “Lousy cholesterol”), HDL (good cholesterol; remember as “Healthy cholesterol”) and triglycerides. The lower your LDL and the higher your HDL, the better your prognosis. The amount of cholesterol in your blood is determined mainly by three factors: the amount produced by the liver (this is largely genetic), the amount absorbed from the intestinal tract (some from what you eat, but a lot more from cholesterol produced by the liver and excreted into the digestive tract) and, finally, age – your cholesterol increases with age. If you are at risk, medication is almost always necessary to lower the LDL or to raise your HDL. The ideal ratio of total cholesterol divided by HDL cholesterol is 3.0. If higher, you might need diet as therapy. The problem with diet is that, in general, it can only decrease total blood cholesterol by about 10 percent. If you have a strong family history or elevated Lp(a) (a rare abnormal cholesterol that increases the risk), drug therapy is usually needed. 6. Limit your calories. Fad diets do not work. If any of them did, we all would be on THAT one, wouldn’t we? The obesity rate in Americans is alarming, contributing to a near epidemic of diabetes, which is a cardiovascular disease. If you have diabetes, your risk is the same as someone who already had a heart attack. Obesity is caused by consuming more calories than your body burns. Abdominal obesity is the major risk. Portion sizes and the amount of sugars in the American diet have dramatically increased over the past few decades. At the same time, the daily amount of exercise has been decreasing. It is good advice to “drink slim” (water, tea, coffee). Use portion control before you start eating and push away from the table before you are “full.” 7. Make exercise a daily habit. The lack of exercise is contributing to the obesity epidemic in Americans. Studies indicate that walking two miles a day is optimal for overall health, and those two miles of walking do not have to be done all at once. Exercise does more than burn calories; it also activates genes that are beneficial to health in other ways. Plus, exercise is one of the best treatments for depression and anxiety. However, exercise alone cannot control or reduce your weight – you must also modify your diet. 8. Pick your pills wisely. There is a great interest in alternative medicine and understandably so, because patients want to be empowered to take responsibility for their own health. However, many take alternative medicines because of the way they are marketed. The mere fact that a substance is “natural” does not prove its health benefit. After all, nobody in their right mind would take arsenic simply because it is “natural.” It is important to know that research data are often lacking for alternative medications, supplements and vitamins, none of which are regulated by the U.S. Food and Drug Administration (FDA). Do we ever prescribe alternative medicines? On occasion we do! The major risk with many alternative medications is that the patient thinks they are doing something to improve health, when in fact they are not. Although some vitamins have been shown to possibly help some conditions, to date none have been shown to decrease the risk of cardiovascular disease. There are some rare exceptions, such as fish oils and niacin (vitamin B). It is also important to note that high doses of some vitamins may interfere or counteract the beneficial effects of some prescription drugs. 9. Reduce stress. Stress contributes to cardiovascular disease and, if severe, can cause a heart attack or sudden death. There are plenty of options that help reduce stress, such as regular exercise, adequate sleep, striving for a good marriage, laughing, volunteering or attending religious services. Watching TV generally does not relieve, but can aggravate stress. Also, try to avoid situations and people who make you anxious or angry. 10. Stay informed: Science changes constantly. The only constant is change. This is especially true in medicine as new techniques and new insights develop constantly. Do not believe every piece of “scientific information” you find in the media or advertisements. An overwhelming number of research studies that make it into scientific publications are poorly designed or yield data that are not representative, e.g., due to a lack of a sufficient number of participants. Keep in mind that many studies are financed or sponsored by individuals or companies with a vested interest in gaining favorable results. The situation can be especially confusing when scientific studies yield different or even contradicting results, and this happens quite often. For more health information, please visit our Heart Health page. For physician appointment information, please call 520-MyHeart (694-3278). http://heart.arizona.edu/heart-health/prevent-heart-attacks/10-tips Harvard Heart Letter 11 ways to prevent stroke It's never too late to strike out against a potentially devastating brain attack. Like close cousins, heart disease and stroke share a common lineage. Both emerge from a mix of nature (genes), nurture (upbringing and environment), and personal choice (smoking, exercise, etc). For most of us, personal choice largely determines whether a stroke lies ahead. Guidelines on the prevention of stroke suggest that a healthy lifestyle can cut the risk of having one by 80%. No drug, device, or other intervention can come close to doing that. The term "stroke" conjures up a frightening bolt out of the blue. It certainly feels that way when it happens. But the sudden onset belies a stroke's decades-long development due to slow but steady damage to blood vessels, the growth of artery-clogging plaque, or the development of atrial fibrillation. This long gestation means it is often possible to avoid a stroke by fighting arterial corrosion. Two types of stroke A stroke occurs when blood stops flowing to part of the brain. Cut off from their supply of oxygen, brain cells begin dying within minutes. Sometimes the damage is fatal — stroke is the fourth leading cause of death in the United States, accounting for almost 135,000 deaths each year. Most of the time, stroke isn't a killer. The American Heart Association estimates that there are more than six million stroke survivors in the United States. Although some have no physical or mental reminders of the attack, many have long-lasting speech loss, paralysis, or other problems. In fact, stroke is a leading cause of disability — nearly one in three survivors is permanently disabled, and many more need long-term care. Ischemic strokes occur when a blood clot or other debris blocks a blood vessel in the brain or one leading to it. These account for more than 80% of strokes. The rest are hemorrhagic strokes. These occur when a blood vessel in the brain bursts. The bleeding (hemorrhaging) deprives downstream brain cells of oxygenated blood and can also damage cells by increasing pressure inside the brain. Though ischemic and hemorrhagic strokes require different treatments once they appear, efforts to prevent them are very similar. Different types of stroke illustration of brain showing hemorrhagic and ischemic stroke There are two main types of stroke. Ischemic strokes are more common and occur when a blood clot blocks an artery in the brain. In some cases, the clot develops in the vessel itself (thrombotic stroke). In other cases, the clot forms in the heart or in an artery that carries blood to the brain; the clot breaks off and travels to the brain, where it lodges in a small artery (embolic stroke). Hemorrhagic strokes occur when an artery in the brain ruptures, releasing blood into the brain tissue. Three types of risk You can change some, but not all, of the factors that increase your odds of having a stroke (see "Risk factors for stroke"). Nonmodifiable risk factors include your age, gender, genes, birth weight, and race or ethnicity. A 60-year-old African American man who weighed less than 5.5 pounds at birth and whose father had a stroke is far more likely to have a stroke in the next 10 years than a 45-year-old Asian woman who weighed 8 pounds at birth and who has no family history of stroke. Even though you can't change these factors, they set your risk baseline. The higher it is, the more important it is to control the things you can change. Modifiable risk factors are things that affect stroke risk over which you have some control. These range from high blood pressure and diabetes to smoking and a salty diet. Many emerging risk factors are under investigation. These include migraine, obstructive sleep apnea (breath holding during sleep followed by explosive snoring), gum disease, blood markers such as lipoprotein(a), and infection. Risk factors for stroke Factors you can't change Age Gender Race/ethnicity Factors you can change High blood pressure Lack of exercise Smoking Diabetes High cholesterol Atrial fibrillation Sickle cell disease Use of oral contraceptives Obesity Presence of other cardiovascular disease Alcohol abuse Drug abuse Harder to change or emerging evidence Obstructive sleep apnea Migraine Certain infections Gum disease Blood markers like factor V Leiden, lipoprotein(a), others 11 strikes against stroke You can fight stroke on many fronts. A single thrust is good; a many-pronged attack is even better. Here are 11 things you can do to stay stroke-free: Know and control your blood pressure. Don't smoke; stop if you do. Lose weight if needed. Become more active. Identify and manage atrial fibrillation. Be aggressive about treating a transient ischemic attack (TIA, or mini-stroke). Treat circulatory problems like peripheral artery disease, sickle cell disease, or severe anemia. Know and control your blood sugar and cholesterol. If you drink alcohol, do so in moderation. Adopt a healthy diet low in sodium and rich in potassium. Know the warning signs of stroke (see "Stroke warning signs") and respond immediately. Stroke warning signs If you notice one or more of the signs below in yourself or someone else, or you're really worried that you or someone you are with is having a stroke, call 911 or your local emergency number right away: sudden numbness or weakness of the face, arm, or leg, especially on one side of the body sudden confusion or trouble speaking or understanding sudden trouble seeing in one or both eyes sudden problem with walking, loss of balance, or coordination sudden, severe headache with no known cause. Starting early is best. Acquiring healthy habits in childhood, the early teens, or young adulthood sets the stage for a healthy adulthood and old age. But if you are tardy in joining the prevention party, it isn't too late. Even small steps now can improve your health. Originally published: March 2011 http://www.health.harvard.edu/heart-health/11-ways-to-prevent-stroke