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, July 13, 2017

2014 Chinese guidelines for secondary prevention of ischemic stroke and transient ischemic attack

So rather than do anything like getting survivors to 100% recovery they take the easy way out and focus on prevention.  Nothing on any diet protocols for stroke prevention.
http://journals.sagepub.com/doi/full/10.1177/1747493017694391?utm_source=Adestra&utm_medium=email&utm_content=What%20are%20the%20latest%20recommendations%20for%20the%20secondary%20prevention%20of%20ischemic%20stroke%20In%20China%3F&utm_campaign=7JA003A&utm_term=

Compiled by the Chinese Society of Neurology, Cerebrovascular Disease Group

First Published March 6, 2017 Research Article



Ischemic stroke and transient ischemic attack (TIA) are the most common cerebrovascular disorder and leading cause of death in China. The Effective secondary prevention is the vital strategy for reducing stroke recurrence. The aim of this guideline is to provide the most updated evidence-based recommendation to clinical physicians from the prior version. Control of risk factors, intervention for vascular stenosis/occlusion, antithrombotic therapy for cardioembolism, and antiplatelet therapy for noncardioembolic stroke are all recommended, and the prevention of recurrent stroke in a variety of uncommon causes and subtype provided as well. We modified the level of evidence and recommendation according to part of results from domestic RCT in order to facility the clinical practice.

Ischemic stroke and transient ischemic attack are common cerebrovascular diseases. In China, approximately 70%1 of patients with stroke are caused by ischemia. Recent data showed that the annual recurrence rate of ischemic stroke has reached up to 17.7%.2 Therefore, effectively preventing secondary stroke can reduce stroke recurrence and related mortality. After the “Guidelines for Secondary Prevention of Ischemic Stroke and Transient Ischemic Attack in China, 2010”3 was published, new evidence has emerged. In order to standardize the clinical practice of secondary prevention of stroke or transient ischemic attack in China, the 2010 Chinese guidelines have been revised and updated to the 2014 version. The purpose of this updated guideline is to help neurologists make appropriate decisions for their stroke or transient ischemic attack patients in order to prevent another stroke and transient ischemic attack. The grades of levels of recommendations and evidences have been defined in Table 1.
Table
Table 1. The definitions of the grades of recommendations and evidences

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