Stroke is a general term to refer to the cerebral infarction patients (due to cerebral embolism) and cerebral blood flow (caused by bleeding in the brain). Common diseases in the elderly. The main cause of the disease is caused by atherosclerosis and hypertension. Sometimes due to a blood clot from elsewhere cause cerebral artery embolization as in atrial thrombus, ventricular common in patients with cardiac arrhythmias (atrial fibrillation), myocardial infarction, heart failure, ... The heart valve disease prevention depends on the risk factors of each person.
Stroke occurs due to heart blood vessels to the brain become blocked due to fatty plaques in the arteries close to thicken gradually narrowing intravascular; Appears clot moves from cardiac arrhythmia or heart disease stenosis - heart valve insufficiency causing blood stasis, closed blood clots in the heart, then flow to the brain as stuck cerebral embolization; Brain hemorrhage (ruptured blood vessels bleeding, pinched brain) hemorrhage and subarachnoid space (blood vessels swell and rupture of blood flow into the void spaces surrounding the brain).
The risk of stroke is higher brain 55+, people with hypertension, diabetes , atherosclerosis, dyslipidemia, coronary heart disease, heart valves, cardiac arrhythmias, smoke tobacco, obesity - overweight, physical inactivity and stress are severe or frequent.
Therapy, lifestyle changes (diet, implementation and physical activity) is an important measure to reduce the risk of atherosclerosis in general and Stroke in particular. Therapy, lifestyle changes include: Stop smoking; diet with vitamins, minerals, dietary restriction and excessive fat and high-calorie foods, nutrition therapy was to reduce blood lipids, blood pressure and reduce blood glucose levels in patients with diabetes if sugar; Increasing physical activity will improve cardiovascular health and improve cardiovascular risk factors such as dyslipidemia, obesity and hypertension.
Prevention of clotting drug: hypercoagulable state may affect cardiovascular disease. Treatment with aspirin is beneficial in primary prevention and secondary for patients with cerebral infarction. Therapeutic dose should choose the most effective dose with least side effects. The high-risk patients or those with hypertension, dyslipidemia or cardiovascular disease (coronary artery disease, stroke or peripheral vascular disease) should be treated with aspirin 75-100 mg / day. If the patient is allergic to aspirin, inhibitors of platelet aggregation, such as clopidogrel 75 mg / day may be used instead of the high-risk patients.
Treatment of dyslipidemia: People over 45 should be checked periodically blood lipids, including total cholesterol, LDL-C, triglycerides and HDL-C after 10-12 hours fasting. Should periodically check blood lipids 6-12 months / time. The goal of treatment for dyslipidemia is LDL-C below 2.6 mmol / l (100 mg / dl), triglycerides less than 2.3 mmol / l (200 mg / dL) and HDL-C or above 1,0mmol / l (40mg / dl). However, should weigh the benefits and costs, as well as the possible side effects when taking high doses. Drug therapy must be combined with therapeutic lifestyle changes. The dose is gradually increased until reaching LDL-C goal.
Controlling blood pressure: Hypertension is very common in older people. Hypertension increases the risk of cardiovascular complications (stroke, coronary artery disease and peripheral vascular). The goal of treatment in order to achieve blood pressure below 140 / 90mmHg. Lifestyle changes and medications are applied to patients with blood pressure of 140 / 90mmHg. Recent studies show that the most important in the treatment of hypertension is to achieve blood pressure goals. The principle use of antihypertensive drugs should start with a low dose of the drug or drug combination with low-dose groups to achieve both efficiency and to reduce treatment side effects.
Note: In the summer, hot weather will be a factor in increasing cases of cerebral vascular accident, so patients who have had a stroke on brain and those at risk to pay particular attention preventive measures to avoid strenuous activity and diet, work, rest ... in accordance with health.
Who is at risk for cerebral vascular accident?
Brain bleeding.
Stroke is a condition of the brain damaged by the sudden loss of blood due to rules or broken capillaries. When ischemic brain, the brain cells will stop working and will die in a few minutes. Consequently, the body region of the brain that control due to discontinued operations, resulting in paralysis, numbness, loss of sensation half, unable to speak or coma, or even death if not promptly treated . Many cases can be rescued but lifelong disability, reduced life expectancy and no longer able to work, difficult to integrate a normal life.Stroke occurs due to heart blood vessels to the brain become blocked due to fatty plaques in the arteries close to thicken gradually narrowing intravascular; Appears clot moves from cardiac arrhythmia or heart disease stenosis - heart valve insufficiency causing blood stasis, closed blood clots in the heart, then flow to the brain as stuck cerebral embolization; Brain hemorrhage (ruptured blood vessels bleeding, pinched brain) hemorrhage and subarachnoid space (blood vessels swell and rupture of blood flow into the void spaces surrounding the brain).
The risk of stroke is higher brain 55+, people with hypertension, diabetes , atherosclerosis, dyslipidemia, coronary heart disease, heart valves, cardiac arrhythmias, smoke tobacco, obesity - overweight, physical inactivity and stress are severe or frequent.
Prevention of diseases like?
Although Stroke is a serious disease, but absolutely can reduce the risk of disease if you know how to prevent it, that is:Therapy, lifestyle changes (diet, implementation and physical activity) is an important measure to reduce the risk of atherosclerosis in general and Stroke in particular. Therapy, lifestyle changes include: Stop smoking; diet with vitamins, minerals, dietary restriction and excessive fat and high-calorie foods, nutrition therapy was to reduce blood lipids, blood pressure and reduce blood glucose levels in patients with diabetes if sugar; Increasing physical activity will improve cardiovascular health and improve cardiovascular risk factors such as dyslipidemia, obesity and hypertension.
Prevention of clotting drug: hypercoagulable state may affect cardiovascular disease. Treatment with aspirin is beneficial in primary prevention and secondary for patients with cerebral infarction. Therapeutic dose should choose the most effective dose with least side effects. The high-risk patients or those with hypertension, dyslipidemia or cardiovascular disease (coronary artery disease, stroke or peripheral vascular disease) should be treated with aspirin 75-100 mg / day. If the patient is allergic to aspirin, inhibitors of platelet aggregation, such as clopidogrel 75 mg / day may be used instead of the high-risk patients.
Treatment of dyslipidemia: People over 45 should be checked periodically blood lipids, including total cholesterol, LDL-C, triglycerides and HDL-C after 10-12 hours fasting. Should periodically check blood lipids 6-12 months / time. The goal of treatment for dyslipidemia is LDL-C below 2.6 mmol / l (100 mg / dl), triglycerides less than 2.3 mmol / l (200 mg / dL) and HDL-C or above 1,0mmol / l (40mg / dl). However, should weigh the benefits and costs, as well as the possible side effects when taking high doses. Drug therapy must be combined with therapeutic lifestyle changes. The dose is gradually increased until reaching LDL-C goal.
Controlling blood pressure: Hypertension is very common in older people. Hypertension increases the risk of cardiovascular complications (stroke, coronary artery disease and peripheral vascular). The goal of treatment in order to achieve blood pressure below 140 / 90mmHg. Lifestyle changes and medications are applied to patients with blood pressure of 140 / 90mmHg. Recent studies show that the most important in the treatment of hypertension is to achieve blood pressure goals. The principle use of antihypertensive drugs should start with a low dose of the drug or drug combination with low-dose groups to achieve both efficiency and to reduce treatment side effects.
Note: In the summer, hot weather will be a factor in increasing cases of cerebral vascular accident, so patients who have had a stroke on brain and those at risk to pay particular attention preventive measures to avoid strenuous activity and diet, work, rest ... in accordance with health.
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