Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Thursday, February 23, 2017

Bleeding stroke survivors at higher risk of depression, dementia

You better hope your doctor knows what to do to prevent these outcomes. Because nothing here even suggests they have any idea how to treat for this. Conscious laundering at its best.
https://medicalxpress.com/news/2017-02-survivors-higher-depression-dementia.html
People who survive brain bleeds - the most lethal form of stroke - are at significantly higher risk of later developing depression and dementia, according to research presented at the American Stroke Association's International Stroke Conference 2017.
Intracerebral hemorrhage is a stroke caused when a weakened blood vessel ruptures and bleeds into the brain. Previous studies of depression and stroke have focused on (caused by blockages in blood vessels), but little is known about depression among survivors of .
"Our study changes the way we look at depression after a hemorrhagic stroke," said lead author Alessandro Biffi, M.D., Assistant in Neurology at Massachusetts General Hospital in Boston and Director of the Aging and Brain Health Research group. "Depression is not just an isolated phenomenon following a hemorrhagic stroke. It may identify those who are likely to develop dementia, and this is important when these patients are evaluated, particularly in outpatient care settings."
Researchers followed 695 survivors of intracerebral hemorrhage with no pre-stroke history of depression for five years. Participants were 50 percent women, approximately 75 percent white, and most had one or more of the known cardiovascular and cerebrovascular risk factors (hypertension, diabetes, or hyperlipidemia).
Researchers surveyed the over the phone every six months asking about mood, anxiety, and cognitive performance to monitor the onset of depression and dementia. They found that 40 percent of the study participants developed depression during the first 50 months of follow-up after intracerebral hemorrhage, a rate of approximately 7 percent per year, which is higher than that found in the general population of the same age and gender.
The researchers also found that risk factors normally associated with the risk of having another hemorrhagic stroke—lower educational levels, evidence of disease of the white matter of the brain, and carrying a variant of the apolipoprotein E gene—also predicted the risk of developing depression.
Finally, patients who developed depression were also highly likely to develop dementia later in the course of the study. The overlap of depression and dementia was present in 63 percent of study participants; and among them, depression was diagnosed before the onset of dementia in 80 percent of cases, on average 18 months in advance.
"When caring for hemorrhagic stroke patients, healthcare providers tend to focus on preventing another stroke," Biffi said. "We have found that even among patients who do not have a second stroke, the incidence of and subsequently are very high, and healthcare providers need to be on the lookout for it in order to counsel patients and families."



Read more at: https://medicalxpress.com/news/2017-02-survivors-higher-depression-dementia.html#jCp
 People who survive brain bleeds - the most lethal form of stroke - are at significantly higher risk of later developing depression and dementia, according to research presented at the American Stroke Association's International Stroke Conference 2017.

Intracerebral hemorrhage is a stroke caused when a weakened blood vessel ruptures and bleeds into the brain. Previous studies of depression and stroke have focused on ischemic stroke (caused by blockages in blood vessels), but little is known about depression among survivors of hemorrhagic stroke.

"Our study changes the way we look at depression after a hemorrhagic stroke," said lead author Alessandro Biffi, M.D., Assistant in Neurology at Massachusetts General Hospital in Boston and Director of the Aging and Brain Health Research group. "Depression is not just an isolated phenomenon following a hemorrhagic stroke. It may identify those who are likely to develop dementia, and this is important when these patients are evaluated, particularly in outpatient care settings."

Researchers followed 695 survivors of intracerebral hemorrhage with no pre-stroke history of depression for five years. Participants were 50 percent women, approximately 75 percent white, and most had one or more of the known cardiovascular and cerebrovascular risk factors (hypertension, diabetes, or hyperlipidemia).

Researchers surveyed the study participants over the phone every six months asking about mood, anxiety, and cognitive performance to monitor the onset of depression and dementia. They found that 40 percent of the study participants developed depression during the first 50 months of follow-up after intracerebral hemorrhage, a rate of approximately 7 percent per year, which is higher than that found in the general population of the same age and gender.

The researchers also found that risk factors normally associated with the risk of having another hemorrhagic stroke—lower educational levels, evidence of disease of the white matter of the brain, and carrying a variant of the apolipoprotein E gene—also predicted the risk of developing depression.

Finally, patients who developed depression were also highly likely to develop dementia later in the course of the study. The overlap of depression and dementia was present in 63 percent of study participants; and among them, depression was diagnosed before the onset of dementia in 80 percent of cases, on average 18 months in advance.

"When caring for hemorrhagic stroke patients, healthcare providers tend to focus on preventing another stroke," Biffi said. "We have found that even among patients who do not have a second stroke, the incidence of depression and subsequently dementia are very high, and healthcare providers need to be on the lookout for it in order to counsel patients and families." (NO prevention fixes even suggested, you are completely fucking on your own to solve this, hopefully before dementia sets in and you can't even think.)

Explore further: Study examines risk, risk factors for depression after stroke

Provided by: American Heart Association search and more info
People who survive brain bleeds - the most lethal form of stroke - are at significantly higher risk of later developing depression and dementia, according to research presented at the American Stroke Association's International Stroke Conference 2017.
Intracerebral hemorrhage is a stroke caused when a weakened blood vessel ruptures and bleeds into the brain. Previous studies of depression and stroke have focused on (caused by blockages in blood vessels), but little is known about depression among survivors of .
"Our study changes the way we look at depression after a hemorrhagic stroke," said lead author Alessandro Biffi, M.D., Assistant in Neurology at Massachusetts General Hospital in Boston and Director of the Aging and Brain Health Research group. "Depression is not just an isolated phenomenon following a hemorrhagic stroke. It may identify those who are likely to develop dementia, and this is important when these patients are evaluated, particularly in outpatient care settings."
Researchers followed 695 survivors of intracerebral hemorrhage with no pre-stroke history of depression for five years. Participants were 50 percent women, approximately 75 percent white, and most had one or more of the known cardiovascular and cerebrovascular risk factors (hypertension, diabetes, or hyperlipidemia).
Researchers surveyed the over the phone every six months asking about mood, anxiety, and cognitive performance to monitor the onset of depression and dementia. They found that 40 percent of the study participants developed depression during the first 50 months of follow-up after intracerebral hemorrhage, a rate of approximately 7 percent per year, which is higher than that found in the general population of the same age and gender.
The researchers also found that risk factors normally associated with the risk of having another hemorrhagic stroke—lower educational levels, evidence of disease of the white matter of the brain, and carrying a variant of the apolipoprotein E gene—also predicted the risk of developing depression.
Finally, patients who developed depression were also highly likely to develop dementia later in the course of the study. The overlap of depression and dementia was present in 63 percent of study participants; and among them, depression was diagnosed before the onset of dementia in 80 percent of cases, on average 18 months in advance.
"When caring for hemorrhagic stroke patients, healthcare providers tend to focus on preventing another stroke," Biffi said. "We have found that even among patients who do not have a second stroke, the incidence of and subsequently are very high, and healthcare providers need to be on the lookout for it in order to counsel patients and families."



Read more at: https://medicalxpress.com/news/2017-02-survivors-higher-depression-dementia.html#jCp

No comments:

Post a Comment