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:

Tuesday, July 11, 2017

Herpes zoster(shingles) linked to elevated risk for MI, stroke

My insurance wouldn't pay for the vaccine until after age 60 so your doctor will need to battle the insurance bastards for approval and payment.  But I bet they will pay for your heart attack or stroke.
Adults who contract herpes zoster are at elevated risk for MI and stroke, even after adjustment for confounding factors, according to a research letter published in the Journal of the American College of Cardiology.
Sung-Han Kim, MD, PhD, a physician in the department of infectious diseases at Asan Medical Center in Seoul, Korea, and colleagues analyzed approximately 570,000 patients from a subset of the National Health Insurance Service database in Korea. Patients were stratified by whether they had herpes zoster, also known as shingles, and were followed up from 2002 to 2013.
Kim and colleagues conducted a propensity score-matched analysis to determine whether herpes zoster was linked to risk for MI or stroke.
Among those in the cohort, 4% contracted herpes zoster during the study period. Those with herpes zoster were matched with an individual without herpes zoster based on year of the study and numerous clinical and demographic characteristics (n = 23,213 in each group).
Compared with controls, those with herpes zoster were more likely to be older and female and to have hypertension, diabetes, dyslipidemia, angina pectoris, peripheral vascular disease, rheumatoid disease and malignancy. However, the herpes zoster group was less likely to smoke or consume alcohol, more likely to exercise regularly and more likely to be from a prosperous economic class, according to the researchers.
In the propensity-matched analysis, herpes zoster was associated with increased risk for a composite of CV events (HR = 1.41; 95% CI, 1.25-1.59), MI (HR = 1.59; 95% CI, 1.27-2.01) and stroke (HR = 1.35; 95% CI, 1.18-1.54), Kim and colleagues found.
The difference in stroke risk was most pronounced in individuals younger than 40 years, and decreased with age.
Among the herpes zoster cohort, risk for MI and stroke was highest in the first year after onset of herpes zoster and decreased over time, whereas risk was more evenly distributed over time in controls, Kim and colleagues wrote.
“While these findings require further study into the mechanism that causes shingles patients to have an increased risk [for MI] and stroke, it is important that physicians treating these patients make them aware of their increased risk,” Kim said in a press release. – by Erik Swain

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