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.

Friday, February 28, 2020

Cardiovascular health in 20s could impact midlife brain health

I'm sure my cardiovascular health in my 20s was pretty good, biking to work every day nine months of the year in Minneapolis.  At age 53, 3 years after stroke my heart rate was 54, which is the cardiovascular equivalent of an athlete, even after doing no exercise for 3 years.  Which is part of the reason I survived.  And now my brain health is great, no problems with cognition.

Cardiovascular health in 20s could impact midlife brain health

Cardiovascular health in a person’s 20s may impact brain health later in life, according to research to be presented at the American Academy of Neurology Annual Meeting.
“These results indicate that people need to pay close attention to their health, even in their early 20s,” Farzaneh A. Sorond, MD, PhD, chief of stroke and neurocritical care in the department of neurology at the Northwestern University Feinberg School of Medicine, said in a press release.
“We’ve known that vascular risk factors such as high blood pressure and high blood glucose levels are linked to cerebrovascular damage and problems with thinking skills in older people, but this study shows that these factors may be linked decades earlier and injury may start much earlier,” she said.
Sorond and colleagues evaluated 189 participants enrolled in the Coronary Artery Risk Development in Young Adults study. Participants were followed for 30 years — the mean age was 24 years at enrollment and 54 years at the end of the follow-up period.
Doctor female patient 2019 
Cardiovascular health in a person’s 20s may impact brain health later in life, according to research to be presented at the American Academy of Neurology Annual Meeting.
Source: Adobe Stock
Researchers assessed participants’ vascular risks at eight in-person visits during the follow-up period with an overall cardiovascular health score that was based on smoking status, BMI, blood pressure, total cholesterol and fasting glucose.
At 30 years, researchers conducted a transcranial Doppler ultrasound to determine the brain’s ability to regulate blood flow, or dynamic cerebral autoregulation. They also conducted multiple neuropsychological tests to evaluate cognition. Multivariate linear regression models were used to determine the association of cardiovascular health at each in-person visit during follow-up with cognition and dynamic cerebral autoregulation.
The researchers found that better dynamic cerebral autoregulation at 30 years was associated with better cardiovascular health at baseline ( = 3.55; P = .006) and at 7 years ( = 3.48; P = .005). In addition, better cardiovascular health at baseline was associated with better cognitive testing performance in memory, attention and executive domains. The results were similar after adjusting for sociodemographic characteristics and education.
In the press release, Sorond noted the results demonstrate an association between better cardiovascular health during people’s 20s and better midlife cognitive skills and dynamic cerebral autoregulation. However, she said the results do not prove causation.
“More focus on a life-course research approach is needed to help us better understand how these vascular risk factors affect brain health as we age,” she said in the release. – by Erin Michael 
Reference:
Sorond FA, et al. Cardiovascular health across young adulthood, cerebral autoregulation and cognitive function in midlife. Presented at: American Academy of Neurology Annual Meeting; April 25 to May 1, 2020; Toronto.
Disclosure: The study was supported by the Kaiser Foundation Research Institute, NIH, NHLBI, Northwestern University, the University of Alabama at Birmingham and the University of Minnesota.

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