Deans' stroke musings: Ideal CV health scores confer lower risk for most stroke subtypes

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, March 30, 2021

Ideal CV health scores confer lower risk for most stroke subtypes

As far as I can tell this is just a distraction from the FACT there IS NOTHING TO GET YOU EVEN MINIMALLY CLOSE TO 100% RECOVERY. Hey, look over here; a squirrel! Because this is just setting the stage for your doctor to blame you for having a stroke and if you don't recover, that's on you also. Don't look to your doctor for recovery they know absolutely nothing. Ask them, their answer will prove that. They'll mention useless guidelines but NO PROTOCOLS and besides they already let billions of neurons die during the first week in the neuronal cascade of death. Bet they didn't mention that.

The American Heart Association’s Life’s Simple 7 (LS7) defines ideal cardiovascular health by 7 metrics: not smoking, regular physical activity, normal body mass index, blood pressure, plasma glucose, and total cholesterol levels, and a healthy diet.

I was off the charts on my physical activity so I should have not had a stroke, but there are no hereditary metrics in here. My dad had 85% carotid blockage and his doctor did not inform him to have his children tested for blockage.

Ideal CV health scores confer lower risk for most stroke subtypes

Ideal American Heart Association CV health scores were associated with substantially lower risks for stroke, ischemic stroke, intracerebral hemorrhage and unspecified stroke, but not subarachnoid hemorrhage, researchers reported.

“Previous studies ... showed that better CV health was associated with lower risks of stroke; however, there were also some studies that found no significant association between global CV health score and stroke,” Zhi Cao, MD, from the School of Public Health at Tianjin Medical University and the department of big data in health science at the School of Public Health and Zhejiang University School of Medicine in Hangzhou, China, and colleagues wrote in EClinicalMedicine, a clinical journal published by The Lancet. “Moreover, data are sparse regarding the influence of behavioral and biological CV health status on the risks of stroke subtypes, including ischemic stroke, intracerebral hemorrhage and subarachnoid hemorrhage.”

The AHA Life’s Simple 7 measures of ideal CV health include smoking, diet, physical activity and BMI as behavioral metrics and blood glucose, blood cholesterol and BP as biological metrics.

The researchers analyzed 354,976 participants (55% women) aged 40 to 70 years without stroke and CHD from the UK Biobank from 2006 to 2010 who were followed up to 2020. Participants’ CV scores were categorized into poor, intermediate and ideal groups.

During a median follow-up period of 11 years, researchers observed 5,804 incident stroke cases that included 3,664 cases of ischemic stroke, 714 cases of intracerebral hemorrhage, 453 cases of subarachnoid hemorrhage and 426 cases of unspecified stroke. In the cohort, 21.2% of participants were categorized as having poor CV health scores, 64.3% were categorized as intermediate and 14.5% were categorized as ideal.

There was a significant reduction in risk for stroke with both increasing behavioral CV health scores (HR = 0.9; 95% CI, 0.88-0.91) and biological CV health scores (HR = 0.82; 95% CI, 0.8-0.84). Participants in the ideal behavioral CV health group demonstrated significantly lower risks for all stroke subtypes. Those in the ideal biological CV health group had reduced risk for all stroke events except subarachnoid hemorrhage (HR = 1.24; 95% CI, 0.88-1.76), according to the researchers.

Each 1-point increment in global CV health score was associated with 13% lower risk for ischemic stroke and unspecified stroke, 11% lower risk for stroke and 8% lower risk for intracerebral hemorrhage. Overall, participants with poor behavioral and biological CV health had a nearly threefold increased risk for stroke compared with participants with ideal behavioral and biological CV health scores (HR = 2.78; 95% CI, 2.36-3.28).

Researchers observed no significant dose-dependent association between global CV health and subarachnoid hemorrhage.

“Our study highlights the benefits of maintaining better CV health across the life course and call attention to the need for comprehensive strategies to preserve and restore high CV health score to prevent stroke events,” the researchers wrote.