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.

Thursday, August 22, 2019

Association of intensive vs standard blood pressure control with cerebral white matter lesions

My doctor told me I had a bunch of white matter lesions right after my stroke. He never showed me any scans so he might have just been pulling crap out of his ass. In today's world this should be a protocol to intensively treat blood pressure. But I'm sure your doctor and stroke hospital are incompetent and won't have this in place in the next month. It is YOUR RESPONSIBILITY to train your doctor in this. Otherwise it will never get done.  And you will bear the burden of this problem while your doctor doesn't face any consequences for incompetency. 

Oops, my bad. Suggesting I know more than your doctor. Don't listen to me I'm not medically trained, but I do keep up with research.

Association of intensive vs standard blood pressure control with cerebral white matter lesions

JAMA | August 15, 2019

The SPRINT MIND Investigators for the SPRINT Research Group - Via performing a sub-study of a randomized clinical trial that included 449 hypertensive individuals with longitudinal brain MRI, researchers assessed the correlation of intensive blood pressure treatment with cerebral white matter lesion and brain volumes. Mean white matter lesion volume progressed from 4.57 to 5.49 cm3 vs a rise from 4.40 to 5.85 cm3 in the standard treatment group. Mean total brain volume reduced from 1,134.5 to 1,104.0 cm3 in the intensive treatment group vs a drop from 1,134.0 to 1,107.1 cm3 in the standard treatment group. Hence, among hypertensive adults, targeting a systolic blood pressure of < 120 mmHg vs < 140 mm Hg was significantly related to a smaller increase in cerebral white matter lesion volume and a higher reduction in total brain volume; however, the variations were small.
Read the full article on JAMA

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