Deans' stroke musings: In Framingham cohort, HDL - not LDL

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, October 9, 2012

In Framingham cohort, HDL - not LDL - linked with stroke

Full story at the link. Ask your doctor for analysis. What do statins reduce?
http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/In-Framingham-cohort-HDL---not-LDL---linked-with-s/ArticleNewsFeed/Article/detail/791821?contextCategoryId=40165

New data from the prospective Framingham Heart Study show a possible link between ischemic stroke and HDL levels -- but not between stroke and total cholesterol, LDL, or triglycerides.

The findings, presented yesterday at the American Neurological Association Annual Meeting, showed a heightened risk of ischemic stroke with high-density lipoprotein (HDL) levels of 40 mg/dL or lower.
Dr. Bernadette Boden-Albala, a neurologist who specializes in social epidemiology at The Mount Sinai School of Medicine in New York, said her own research has suggested a link between HDL and ischemic stroke risk in case-control designs, but not prospectively.
"What remains interesting is the importance of HDL as a component of Metabolic Syndrome and that may be part of what is going on in this study as well," Dr. Boden-Albala, who wasn't involved in the new research, told Reuters Health in an email.
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On multivariate analysis, HDL levels at or below 40 mg/dL were associated with a significantly increased risk of incident ischemic stroke (HR, 1.58; p less than0.001), a finding consistent in men and women and each age group.
Low HDL was also linked to atherothrombotic brain infarctions and cardioembolic infarctions, in particular.

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"We should pay attention to HDL levels, more so than to LDL levels, for primary prevention," Dr. Pikula told Reuters Health.
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Dr. Larry Goldstein, director of the Duke Stroke Center in Durham, North Carolina, said the link between cholesterol and stroke remains a "moving target."