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.

Thursday, August 6, 2015

People With Low Executive Function Test Scores May Be at Higher Risk for MI or Stroke

Well if they tested me right after the stroke I'm sure I would have had low executive function, but right now I'm sure I'm pretty high functioning.
http://dgnews.docguide.com/people-low-executive-function-test-scores-may-be-higher-risk-mi?
People with low scores on a test of executive function may be at higher risk of a myocardial infarction (MI) or stroke, according to a study published in the August 5, 2015, online issue of the journal Neurology.
“These results show that heart and brain function are more closely related than appearances would suggest,” said Behnam Sabayan, MD, Leiden University Medical Center, Leiden, the Netherlands. “While these results might not have immediate clinical translation, they emphasise that assessment of cognitive function should be part of the evaluation of future cardiovascular risk.”
The study involved 3,926 people with an average age of 75 years and without a history of MIs or strokes. All of the people involved had either a history of heart disease or an increased risk of heart disease from high blood pressure, diabetes or smoking. The people were also free of dementia.
Four tests were used to evaluate the participants’ high-level thinking skills at the beginning of the study. The participants were then placed in groups of “low,” “medium,” and “high” based on the results. The participants were then followed for an average of 3 years to see who developed an MI or stroke. During that time, there were 375 MIs and 155 strokes, which is a rate of 31 MIs per 1,000 person-years and 12 strokes per 1,000 person-years.
People in the lowest group of executive function thinking skills were 85% more likely to have a MI than those in the highest group. A total of 176 of the 1,309 people with low scores had MIs, compared with 93 of the 1,308 people with high scores, which translates to a rate of 44 MIs per 1,000 person-years for people with low scores compared with 22 MIs per 1,000 person-years for people with high scores.
For strokes, people with low scores had a 51% higher risk of stroke. There were 69 strokes among those with those with low scores, compared with 48 strokes among those with high scores.
“Performance on tests of thinking and memory are a measure of brain health,” said Dr. Sabayan. “Lower scores on thinking tests indicate worse brain functioning. Worse brain functioning in particular in executive function could reflect disease of the brain vascular supply, which in turn would predict, as it did, a higher likelihood of stroke. And, since blood vessel disease in the brain is closely related to blood vessel disease in the heart, that’s why low test scores also predicted a greater risk of heart attacks. We acknowledge that even though the results were statistically significant, the risks were small.”
SOURCE: American Academy of Neurology

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