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, April 11, 2024

Anxiety, depression may accelerate heart disease risk, especially for younger women

So make damn sure your doctor prevents these from happening by having 100% recovery protocols. If not, you don't have a functioning stroke doctor. Your doctor has known since medical school that these protocols were needed and if they haven't accomplished that by now, THEY ARE INCOMPETENT! In my opinion I expect my doctors to know what needs to be done to get to 100% recovery.

You want your doctor to prevent post stroke depression and anxiety the proper way; 100% RECOVERY PROTOCOLS!  Not any after the fact intervention.

Post stroke depression(33% chance).

Post stroke anxiety(20% chance).  

Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with name and my response in my blog. Or are you afraid to engage with my stroke-addled mind?

The latest here:

Anxiety, depression may accelerate heart disease risk, especially for younger women

Key takeaways:

  • Adults with anxiety or depression are more likely to develop conditions, such as hypertension, that raise heart disease risk.
  • The association was more pronounced for women aged 50 years and younger.

ATLANTA — Younger women with a diagnosis of anxiety or depression are at markedly higher risk for developing conditions that increase CVD risk, such as hypertension, hyperlipidemia and diabetes, researchers reported.

The findings were presented at the American College of Cardiology Scientific Session.

A safety behavior elimination intervention for trauma also reduced social anxiety symptoms. Image: Adobe Stock
Adults with anxiety or depression are more likely to develop conditions, such as hypertension, that raise heart disease risk. Image: Adobe Stock

“Anxiety and depression increase the risk for CVDs such as heart attack and stroke, partly through the accelerated development of CV risk factors, such as hypertension, hyperlipidemia and diabetes,” Giovanni Civieri, MD, cardiologist and research fellow at Massachusetts General Hospital and Harvard Medical School and a doctoral student at the University of Padua in Italy, told Healio. “Among younger women, the anxiety/depression-associated risk for developing new CV risk factors is significantly higher than that in other age and sex groups. This could explain why the association between anxiety/depression and CVD is strong among younger females.”

Giovanni Civieri

Civieri and colleagues analyzed data from 71,214 adults without a history of CVD at baseline, all enrolled in the Mass General Brigham Biobank and followed for 10 years. The median age of participants was 50 years and 55.3% were women. Researchers assessed participants for incidence of anxiety and depression and cardiometabolic conditions including hypertension, hyperlipidemia, diabetes and CVD events.

During follow-up, 38% of participants developed hypertension, hyperlipidemia or diabetes.

Researchers found that, compared with adults who did not have anxiety or depression, those with an anxiety or depression diagnosis were 55% more likely to develop a condition that increased CVD risk (HR = 1.55; 95% CI, 1.47-1.64; P < .001). Sensitivity analyses showed the risk was more pronounced for women vs. men (P < .001) and adults aged 50 years or younger vs. older adults (P < .001).

“In absolute terms, younger females were less likely to develop a new CV risk factor but suffered the greatest impact of anxiety/depression,” the researchers wrote in an abstract.

Among younger women, developing CV risk factors explained 22.1% of anxiety/depression-associated major adverse CV event risk compared with 17.7% in the overall cohort (P < .05).

“While we often feel that young women are the ‘safe group’ with regard to CVD, our study suggests that if a younger woman has depression or anxiety, we should screen for CV risk factors to reduce her risk,” Civieri told Healio. “It is unknown whether mental health treatments, such as antidepressant medications or psychotherapy, could help reduce CVD risk. Future studies should address whether the treatment of anxiety and depression reduces the risk for developing new CV risk factors and whether this effect is more pronounced among younger women.”

Sources/Disclosures

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Source:

Civieri G, et al. Abstract 1331-218. Presented at: American College of Cardiology Scientific Session; April 6-8, 2024; Atlanta.


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