Saunas seem to help lower blood pressure, might prevent strokes

Now, here's some news I can appreciate - saunas might lower stroke risk:

Middle-aged and elderly men and women who had four to seven hot, dry sauna bathing sessions a week were 60% less likely to have a stroke over a 15-year period than those who had one weekly session, reported Setor Kunutsor, PhD, of the University of Bristol, U.K., and colleagues online in Neurology.

These results "are very strong and consistent, given that we have previously shown that sauna use reduces the risk of cardiovascular mortality," Kunutsor told MedPage Today.
Saunas -- which are found in nearly every home in Finland -- have been linked to lower cardiovascular disease and overall mortality, but have not been studied in stroke until now.

"Sauna appears to have a blood pressure-lowering effect," Kunutsor said. "Since the majority of strokes can be attributed to hypertension, sauna use may reduce the risk of stroke via reduction in blood pressure." Sauna also may stimulate the immune system, stabilize the autonomic nervous system, and reduce inflammation, oxidative stress, arterial stiffness, and vascular resistance, he noted 

Modifiable stroke risks still rising across all ages, races

Most - not all, but most - strokes are preventable. Experts have been know for years that risk factors include high blood pressure, smoking and high cholesterol. All addressable issues. Yet, as NPR reported not long ago, modifiable stroke risks are still rising across all ages and races:

For years, doctors have been warning us that high cholesterol, cigarette smoking, illegal drug use and diabetes increase our chances of having a potentially fatal stroke.

And yet, most of the stroke patients showing up at hospitals from 2004 to 2014 had one or more of these risk factors. And the numbers of people at risk in this way tended to grow among all age groups and ethnicities in that time period. 

Meth could up stroke risk in younger users

Methamphetamine's dangers are well known - and now, it looks like that the drug could up stroke risk in younger users:

With use of the stimulant increasing, particularly in more potent forms, doctors in many countries are seeing more meth-related disease and harms, the Australian study authors said. This is especially true among younger people, who are the major users of the drug.

"It is likely that methamphetamine abuse is making a disproportionate contribution to the increased incidence of stroke among young people observed over recent years," said researchers led by Julia Lappin. She's with the National Drug and Alcohol Research Center at the University of New South Wales in Sydney.

These strokes can lead to disabilities or death, she and her colleagues pointed out.

(Photo from MedlinePlus)

Where were you born? If you're from the 'stroke belt,' you might be in danger

Geography if often a key health indicator. Now, a recent study shows that being born in the U.S. "stroke belt" is tied to higher risk of dementia:

For the current study, researchers examined data on 7,423 adults living in Northern California, including 1,166 people born in high stroke-mortality states - all but one in the South: Alabama, Alaska, Arkansas, Louisiana, Mississippi, Oklahoma, Tennessee, South Carolina and West Virginia.

At age 65, the risk of developing dementia in the next 20 years was 30 percent for people born in these states, compared to 21 percent for those born elsewhere, the study found.

Unsettling numbers: Stroke rates and young people

This topic really hits home for me. I was under 40 when mine happened. Despite that, there's a general assumption that strokes happen only to the elderly.

But yet another study shows stroke rates appear to be rising steadily in young adults:

"Most people think that having a stroke is something that only happens to older people, but the impact of stroke is significant — it is uniquely complex in younger adults, in midst of careers, serving as wage earners and caregivers, who may suffer disability that can impact their lives and the lives of family members and loved ones," George said.

'Something else going on' in pot connection

You've likely seen similar news before. Click here for the most recent.  And while the research leaves many unanswered questions, it's worth considering how pot use is tied to higher odds for stroke:

New research analyzing millions of U.S. medical records suggests that marijuana use raises an adult's risk of stroke and heart failure.

The study couldn't prove cause-and-effect, but the researchers said they tried to account for other heart risk factors.

"Even when we corrected for known risk factors, we still found a higher rate of both stroke and heart failure in these patients," explained lead researcher Dr. Aditi Kalla, a cardiologist at Einstein Medical Center in Philadelphia.

"That leads us to believe that there is something else going on besides just obesity or diet-related cardiovascular side effects," Kalla said in a news release from the American College of Cardiology (ACC).

Exercise: It's good for your brain

Do what exercise you can - it's good for the brain.

If you've read this blog before, you likely know I'm a longtime distance runner. Not everyone can do that, I realize. But almost anyone can exercise at some level of motion. And recent research reiterates that for stroke survivors, exercise is good for the brain:

The findings bolster what experts have long believed: Exercise can aid stroke recovery in multiple ways.

Snowstorms and strokes - strange association

The people in my town, Columbia, Missouri, can thank me for the lack of snow lately. A couple of years ago on Black Friday, I bought a snow blower online, from my recliner. That's my kind of Black Friday shopping.

But it's been mostly idle since - not that much snow. Which is fine. I'm not a fan.

So how does this tie in with strokes? It seems that snowstorms may bring blizzards health troubles, including strokes:

Hospital admissions for heart-related ailments -- heart attack, chest pain and stroke -- were 23 percent higher two days after a storm.

The study authors believe their analysis is the first to examine hospital admissions over the course of several days after low, moderate and high snowfalls.

Marriage might boost stroke survival odds

I see countless benefits of being married to someone who puts up with me. Now, it seems, a lengthy, stable marriage may boost stroke survival:

Stroke patients may have better odds of surviving if they're in a long-term stable marriage, a new study suggests.

Researchers found that among more than 2,300 stroke sufferers, those who'd been "continuously" married had a better chance of surviving -- versus both lifelong singles and people who'd been divorced or widowed.

Missing opportunities for stroke prevention

Do you know three people who've had a stroke?

Did one of those three have a missed opportunity to prevent a stroke?

Disturbing research from the United Kingdom suggests "missed opportunities" to prescribe drugs for stroke prevention:

Across the UK, that amounts to 33% of all stroke and 'mini-stroke' (transient ischaemic attack, or TIA) patients having a 'missed opportunity' for preventative treatment.

Stroke risk factors that need a solution

If you've read much of this blog, you've seen items about smoking, diet and other stroke risk factors. Click here to read a compilation.

But are you always in complete control of those risk factors? Or does just living in a poor neighborhood up stroke risk?:

Women and men of all races in the poorest neighborhoods were more likely to suffer a stroke than those in the richer neighborhoods. This held true even after the researchers adjusted for other factors such as age, race, sex and region of the country.

Type of stroke location might be relevant to new treatment

Last week, we had a post about new stroke treatment. Not long afterward, I ran across another story about how - potentially - to decide on treatment. I might have to do with large-vessel strokes related to blood clots:

“There was some benefit of therapy up to 7 1/3 hours after onset — that’s an important new aspect,” Jeffrey L. Saver, MD, of David Geffen School of Medicine at UCLA, said in a press release. “If you get the artery open at 3 hours, 65% of patients will be able to live independently 3 months later. If it takes 8 hours to get it open, then only 45% will be able to live independently. It makes a major difference in outcome.”

Speed and the right place - more important than ever

Sooner the treatment, better the outcome.

You've read this before here - time is critical in getting a stroke patient to a stroke center hospital. Every minute counts.

You've also read about recent research on new stroke treatment. Now, read about how the new treatment calls for getting to the right place quickly:

That’s the implication of a study published Monday in the Journal of the American Medical Association that found that the sooner patients with severe strokes receive a thrombectomy, the less disabled they tend to be three months later.

What are your odds of the right stroke treatment?

You can read my story here and an update here. But in a nutshell, I wound up in the right place and the right time when my stroke occurred back in 1998, two years after tissue plasminogen activator was approved for stroke patients - a Southern community hospital, of all places.

More than 18 years later, we still have problems getting this medication to stroke patients. Kaiser Health News noted geographic and racial disparities in stroke treatment tracked in a new study:

The findings come from a report published Wednesday in the journal Neurology. Researchers found stroke patients living in the Northeast states had more than twice the odds of receiving tPA — a powerful anti-coagulant that can break up the clot causing the stroke — than those living in the Midwest and the South.

From a stroke survivor - take high blood pressure seriously

High blood pressure is the leading cause of strokes. So it should be taken very seriously. A stroke prevented is one life possibly saved or one person potentially not disabled. As a stroke survivor, I wouldn't wish a stroke on anyone.

So we need to better than this -  1 in 4 Medicare patients uses blood Pressure meds incorrectly:

An analysis of 18.5 million Medicare Part D enrollees in 2014 found that 26 percent either skipped doses of their blood pressure medication or stopped taking the drugs entirely, according to the study from the U.S. Centers for Disease Control and Prevention.

Positive research development for those facing a weakened hand

Stroke is the most common reason for adult disability in the United States - thousands each year have weakened limbs.

One area of research is electrical stimulation, and some positive news recently highlighted that innovative electrical stimulation glove improves hand function:

According to new research published in the American Heart Association journal Stroke, researchers at the MetroHealth System, Case Western Reserve University, and the Cleveland Functional Electrical Stimulation Center have developed a therapy whereby patients can be in control of the stimulation to their weak hand.

Another tool for important tasks

I have a hammer. I also have an air compressor and a few nail guns.

So, which tool should I use to hang a picture on a wall?

On the other hand, I once had the need to place a piece of cedar siding around 24 feet above the ground. One hand held the siding, but using a hammer is a two-handed operation. Now which tool should I use?

So I see the importance of health professionals with more tools to do the important work of treating stroke patients. Check out the story on the FDA approving a clot-picker use with tPA:

Two Trevo clot retrieval devices were approved Friday by the FDA for use in conjunction with tPA thrombolysis in acute ischemic stroke patients.

Fewer people now rely on rat poison anticoagulant

Before smartphones, I had a voice-recorder device that gave me reminders and recorded lists and notes. I could record a reminder and tell it when to remind me. So every day around 5 in the afternoon, I'd get this reminder: "Take the rat poison."

That is, warfarin, also know as Coumadin. And it really can be - in a somewhat different dosage - rat poison. Read here about that.

I took warfarin for years after my stroke in 1998, requiring monthly blood tests to make sure it was effective in preventing blood clots that could lead to a stroke.

Problem is, it also had its own dangers - bruising, bleeding excessively from even a small cut, and internal bleeding, to name a few. I had some pretty ugly bruises myself during my warfarin years.

Sleep - reducing stroke risk, boosting recovery

I know people who wish they didn't have to sleep so much. Sometimes I wish that, thinking how much more I can accomplish.

Then you read stories like this, linking sleep problems to stroke risk, recovery:

In addition, sleep problems can affect recovery from a stroke, according to the report.

Keys to survival include speed and expertise

Where are stroke centers? Click here for a map and a list, at least according to The Internet Stroke Center.

It stands to reason that stroke centers are the place to take stroke patients - as long as you can get to one relatively quickly. Read here about the question are stroke centers life savers?:

The odds of surviving a stroke are slightly better for patients treated at hospitals with a specialized stroke department, known as primary stroke centers, a new study finds.

But that benefit was only seen if stroke patients got to a stroke center in less than 90 minutes, the study authors said.

"Treatment of stroke is very time sensitive. As the saying goes, time is brain," said lead researcher Dr. Kimon Bekelis.

"So the faster you intervene, the faster the patient recovers," he said.