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.

Tuesday, October 17, 2017

Shingles Seen as Possible Trigger for Cardiovascular Events

I had to wait until age 60 before insurance would cover the shingles vaccine. A great stroke association president would be contacting all the insurance companies so the vaccine would be covered as soon as it is possible to be taken and be useful.
OR, don't get shingles before age 60.
I got the vaccine which is 51% effective so maybe I'm good.
This has been known for three years so you can see how good your doctor is.
https://www.medpagetoday.com/Cardiology/MyocardialInfarction/66384?

Younger age associated with increased risk; but biological mechanism unclear

  • by Staff Writer, MedPage Today
  • This article is a collaboration between MedPage Today® and:
    Medpage Today
Shingles attacks may increase a person's risk of stroke and myocardial infarction, according to a large population-based cohort in South Korea.
In propensity score-matched analysis, herpes zoster reactivation -- also known as shingles -- raised the risks of the composite of cardiovascular events, stroke, and myocardial infarction (MI) by 41%, 35%, and 59%, respectively, compared with people without herpes zoster, reported Sung-Han Kim, MD, PhD, of the Asan Medical Center in Seoul, and colleagues in the Journal of the American College of Cardiology.
Kim explained that the public health significance of the findings is that patients now know about this epidemiological association.
"The benefit and risk communication of patients with attending physicians is needed for appropriate antiviral therapy and vaccination against shingles until further studies elucidate the effect of antiviral use or vaccination on cardiovascular outcomes," he said in an interview with MedPage Today.
Kim and colleagues examined data from their country's National Health Insurance Service's "medical check-up" database -- a cohort of 570,000 people who received a medical check-up that provided comprehensive social and medical information.
They followed the patients from 2003-2013 to identify those newly diagnosed with herpes zoster or shingles, stroke, and heart attack according to the relevant International Classification of Diseases-10 diagnostic codes.
Using a propensity score-matched analysis, the researchers evaluated 23,213 cases of herpes zoster with non-herpes zoster individuals.
Patients with shingles were more likely to be female, as well as to have common risk factors for stroke and heart attack, such as old age, high blood pressure, diabetes, and high cholesterol. The researchers noted that this group was also less likely to smoke, as well as have a lower alcohol intake, exercise more, and be part of a higher socioeconomic class.
Kim's team reported that the differences of absolute incidences for stroke and MI in herpes zoster group when compared with non-herpes zoster group were 1.34 per 1,000 person-years (95% CI 0.71-1.97) and 0.80 per 1,000 person-years (95% CI 0.41-1.18), respectively.
The hazard ratios for stroke were highest in the subgroup under 40 years of age, a relatively younger population with fewer risk factors for atherosclerosis, and gradually decreased with age.
Risk for both stroke and MI were highest in the first year after the onset of herpes zoster and then tended to decrease with time. Conversely, it was evenly distributed in the non-herpes zoster group.
"While these findings require further study into the mechanism that causes shingles patients to have an increased risk of heart attack and stroke, it is important that physicians treating these patients make them aware of their increased risk," said Kim.
Kim concluded that biologic plausibility studies are still lacking and further immunopathophysiologic mechanism studies between zoster and cardiovascular diseases are needed.
The researchers reported no financial disclosures of interest.

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