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

Friday, April 7, 2017

Anxiety and the risk of stroke : The Rotterdam Study

So the massive amount of anxiety you have because your doctor has no clue how to get you 100% recovered or anything at all about stroke leaves you with a higher stroke risk. And how is your doctor addressing your anxiety about that?
https://www.mdlinx.com/internal-medicine/medical-news-article/2016/04/06/anxiety-epidemiology-stroke/6604565/?
The authors assessed the association between anxiety and the risk of incident stroke. Anxiety disorders were not associated with stroke in the general population study. Anxiety symptoms were only related to stroke in the short term, which needs further exploration.

Methods

  • This population-based cohort study was based on 2 rounds of the Rotterdam Study.
  • Each round was taken separately as baseline.
  • In 1993 to 1995, anxiety symptoms were measured using the Hospital Anxiety and Depression Scale-Anxiety (HADS-A).
  • In 2002 to 2004, anxiety disorders were assessed using the Munich version of the Composite International Diagnostic Interview.
  • Participants were followed up for incident stroke until January 2012.

Results

  • In the sample undergoing HADS-A (N=2625; mean age at baseline, 68.4 years), 332 strokes occurred during 32 720 years of follow-up.
  • HADS-A score was not associated with the risk of stroke during complete follow-up (adjusted hazard ratio, 1.02; 95% confidence interval, 0.74–1.43; for HADS-A≥8 compared with HADS-A <8), although the authors did find an increased risk after a shorter follow-up of 3 years (adjusted hazard ratio, 2.68; 95% confidence interval, 1.33-5.41).
  • In the sample undergoing the Munich version of the Composite International Diagnostic Interview (N=8662; mean age at baseline, 66.1 years), 340 strokes occurred during 48 703 years of follow-up.
  • Participants with any anxiety disorder had no higher risk of stroke than participants without anxiety disorder (adjusted hazard ratio, 0.95; 95% confidence interval, 0.64-1.43).
  • They also did not observe an increased risk of stroke for the different subtypes of anxiety.

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