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Blood Pressure and Obesity

Lowering BP reduces health risks at all weight levels
Data from the Perindopril Protection Against Recurrent Stroke Study showed lowering blood pressure reduced the risk of vascular disease and stroke among patients of all body weights. Overweight and obese patients, however, have a greater baseline cardiovascular risk, so they saw the biggest benefit of all study participants, researchers said. Medscape (free registration)/Heartwire (3/12)

March 16, 2010 Posted by | Chronic conditions, healthcare, High Blood Pressure | , , , , | Leave a comment

Studies: Intense Treatment Doesn’t Help Diabetics

Key results from a landmark federal study are in, and the results are disappointing for diabetics: Adding drugs to drive blood pressure and blood-fats lower than current targets did not prevent heart problems, and in some cases caused harmful side effects.

A decade ago, the federal government launched the three-part study to see whether intensely lowering blood sugar, blood pressure, or fats in the blood would reduce heart attacks and strokes in diabetics. The first piece of the study – about blood sugar – was stopped two years ago, when researchers saw more instead of less risk with that approach. Now, the other two parts of the study are in.

http://www.ahiphiwire.org/Clinical/News/Default.aspx?doc_id=534531&utm_source=3/15/2010&utm_medium=email&utm_campaign=HiWire_Newsletter&uid=TRACK_USER

March 15, 2010 Posted by | diabetes, healthcare | , , , , , | Leave a comment

Heart and Stroke Risk Factors

Psoriasis is a risk factor for heart attack, stroke
Psoriasis may raise the risk of heart attack, stroke and other cardiovascular problems, likely through a shared inflammatory response, Danish researchers told a cardiology conference. Study data showed severe psoriasis raised the risk of a heart attack by 24%, and having moderate or severe disease increased the odds of a stroke by 45%. HealthDay News

March 15, 2010 Posted by | Chronic conditions, healthcare, High Blood Pressure | , , , , | 1 Comment

Blood Pressure Control is a Critical Health Consideration

Variable blood pressure raises risk of stroke
Patients with variable blood pressure readings may be six times more likely to have a stroke compared with people who have regularly high blood pressure, study data showed. European researchers said that blood pressure treatment guidelines may need to be revised and that the number of people treated for hypertension could double. The Washington Post/The Associated Press (3/12)

March 12, 2010 Posted by | Chronic conditions, healthcare, High Blood Pressure | , , , | Leave a comment

Good Blood Pressure Control, Exercise and a Healthy Weight

Family history is key in stroke risk, study finds
U.S. researchers found that children of men or women who had a stroke by age 65 had a fourfold increased risk of stroke by that age and double the risk of stroke at any age. The lead researcher said people with a positive family history of stroke should work to modify risk from other factors, such as good blood pressure control, exercise and maintaining a healthy weight. HealthDay News (3/8)

March 9, 2010 Posted by | healthcare, High Blood Pressure, Prevention and Wellness | , , , , | Leave a comment

Following Guidelines Improves Overall Outcomes

Editor’s note: Are these finding extendable to a myriad of other conditions? Experience would indicate that it is. See http://www.leapfroggroup.org for additional information.

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Patients fare better when hospitals use stroke protocol
Stroke patients taken to hospitals that follow specific treatment protocols had a 10% better chance at survival, study data found. Researchers analyzed 1 million patients treated at hospitals in the “Get With The Guidelines” program that includes seven specific steps for treating stroke patients. HealthDay News (2/22)

February 24, 2010 Posted by | Chronic conditions, healthcare, hospitals, quality | , , , | Leave a comment

Quarter of stroke patients die within a year

WASHINGTON – One in four people who have a stroke will likely die within one year from any cause and 8 percent who have a stroke will have another one soon, U.S. researchers said on Monday.

The risks were higher for African-Americans compared to whites and increased with age and the number of other ailments stroke patients had, the researchers wrote in the journal Neurology.

High blood pressure, heart disease, diabetes, smoking and a prior stroke are the biggest risk factors for stroke, the third leading cause of death in the United States, according to the CDC.

http://www.msnbc.msn.com/id/35410389/ns/health-heart_health/

February 16, 2010 Posted by | Chronic conditions, diabetes, healthcare, High Blood Pressure | , , , , , | Leave a comment

High Blood Pressure Requires Urgent Attention

“While exact projections are difficult to establish, data from the Framingham Heart Study and the NHANES II indicate that even small improvements in blood pressure control can have a major impact on public health. Lowering the DBP by only 2 mmHg could result in a 6 percent reduction in the risk of coronary heart disease, and a 15 percent reduction in the risk of stroke and transient ischemic attacks.13 <http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hstechrev&part=A24909#A24922>  Moreover, in individuals with a SBP of 140–159 mmHg and/or a DBP of 90–99 mmHg, a sustained 12 mm reduction in SBP for a period of 10 years has been estimated to prevent one death among every 11 patients treated.1 <http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hstechrev&part=A24909#A24910>  “

January 27, 2010 Posted by | Chronic conditions, healthcare, High Blood Pressure | , , , , | Leave a comment

Weekend Stroke Care More Aggressive, But Not Better

Here is an intersting story…one that, at least on the surface is crying out for at least two things:
1) Transparent quality and outcome metrics
2) Comparative Effectiveness Research
 
NEW YORK (Reuters Health) – There is never a good time to have a stroke, but a new study suggests that a person who suffers a stroke on a weekend is more apt to get clot-busting therapy on arrival at the hospital than a person who suffers a stroke on a weekday.
 
But later in the article there is this:
 
Putting those figures together could suggest that the clot-buster tPA wasn’t doing much good. In fact, that authors note that patients who received tPA were more likely to die in the hospital. Dr. Lawrence B. Goldstein, director of the Duke Stroke Center in Durham, North Carolina, and spokesperson for the American Heart Association said the results were not surprising, since “no clinical trials ever showed that treatment with a (clot buster) improves survival.”
 
http://www.reuters.com/article/idUSTRE60A5C020100111

January 12, 2010 Posted by | Chronic conditions, healthcare, quality | , , , | Leave a comment

Vitamin D Appears to Play a Role in Heart Attack and Stroke

Low vitamin D tied to heart, stroke deaths: American Journal of Epidemiology

NEW YORK (Reuters Health) – Low vitamin D levels in the body may be deadly, according to a new study in the American Journal of Epidemiology hinting that adults with lower, versus higher, blood levels of vitamin D may be more likely to die from heart disease or stroke.

Vitamin D is an essential vitamin mostly obtained from direct sunlight exposure, but also found in foods and multivitamins.

Dr. Annamari Kilkkinen, at the National Institute for Health and Welfare in Helsinki, Finland, and colleagues compared blood levels of vitamin D and deaths from heart disease or stroke over time in 2,817 men and 3,402 women in Finland.

During follow-up of about 27 years on average, 640 of the participants (358 men) died from heart disease and another 293 (122 men) died from stroke.

More of Low vitamin D tied to heart, stroke deaths: American Journal of Epidemiology

October 30, 2009 Posted by | Chronic conditions, healthcare | , , | Leave a comment