Stroke Archive

An analysis shows less than 7% of adults in the US meet the criteria for optimal cardiometabolic health. Taking small steps to help control and improve key risk factors can reduce the odds of a heart attack or stroke.

A 2022 study found that women are more likely than men to have "generalized" stroke symptoms such as weakness and confusion, in addition to classic signs such as speech or movement problems.

A randomized trial published May 14, 2022, in The Lancet found that people with heart disease who ate a Mediterranean diet for seven years had a 26% lower risk of having a heart attack or stroke, compared with people who ate a low-fat diet.

Recent guidelines suggest a blood pressure reading of less than 120/80 mm Hg as normal. But the ideal number for individuals depends on their individual goals and whether they also have a chronic condition, such as heart disease or kidney disease.

A 2022 study found that people who have depression after a heart attack are nearly 50% more likely to suffer a stroke compared with heart attack survivors who don't develop depression.

About one in 11 men ages 65 and older has atrial fibrillation (afib), a heart rhythm disorder that causes an irregular and often faster-than-normal heartbeat. Afib can be persistent and chronic, or it can happen intermittently. People might have no symptoms with either variety, or afib can cause lightheadedness, shortness of breath, chest pain, or extreme fatigue. But the biggest worry is a fivefold increased risk of stroke. The main treatment choices for people are rate control with medication, or rhythm control, done with medication or a procedure such as electrical cardioversion or catheter ablation.

Brain damage can cause the language disorder aphasia. It affects a person's ability to understand or produce speech. Coping with aphasia requires treatment for the underlying cause and speech therapy to learn how to communicate despite language deficits. If the cause of the aphasia improves, so may the aphasia. But many people will continue to live with some level of aphasia, especially if the cause of brain damage is a progressive disease, such as Alzheimer's.

COVID survivors—even those with mild infections—appear to face a higher risk of cardiovascular problems such as heart failure, heart attack, and stroke for up to one year after their initial infection. People who were hospitalized (especially those who ended up in the intensive care unit) may have the highest risk. The virus that causes COVID can injure blood vessels and triggers an immune response that promotes the formation of blood clots in arteries and veins throughout the body and brain.

Aging and a family history can increase the risk for a stroke, but women can lower it by managing factors that are under their control-such as diet, exercise, blood pressure, smoking, and diabetes.

No amount of alcohol, including red wine, is good for the heart, according to a policy brief from the World Heart Federation. Drinking, even in moderation, increases the risk for heart-related conditions such as hypertension, heart failure, stroke, cardiomyopathy (a disease of the heart muscle), aortic aneurysm (a dangerous bulge in the wall of the aorta), and atrial fibrillation (an irregular heart rhythm). People who drink regularly might benefit from reducing their intake.