Deans' stroke musings: Treatment of asymptomatic carotid stenosis

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.

Sunday, February 21, 2021

Treatment of asymptomatic carotid stenosis

If it is truly asymptomatic, as mine was, how the hell do you even know about it?

Would this test also work for carotid stenosis?

New data indicate AI-powered blood test accurately diagnoses aortic stenosis

The latest here:

Treatment of asymptomatic carotid stenosis

Until now, degree of stenosis has been regarded as being predictive of risk of stroke in patients with symptomatic carotid stenosis, but not in those with asymptomatic stenosis. In their analysis of a cohort from the Oxford Vascular Study (OxVasc) in The Lancet Neurology, Dominic Howard and colleaguesreport that the degree of stenosis can predict risk of stroke among patients with asymptomatic carotid stenosis. Out of 2178 patients in OxVasc who underwent carotid imaging because of stroke or transient ischaemic attack (TIA), 207 (10%) had a 50–99% carotid stenosis. The 5-year risk of stroke in patients with less than 70% stenosis was only 2% (Rothwell P, University of Oxford, Oxford, UK; personal communication). In patients with 70–79% stenosis, it was 14·6% (95% CI 3·5–25·7), and in patients with 80–99% stenosis it was 18·3% (7·7–29·9).

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