By Larry B. Goldstein
Society-sanctioned instructions are precious instruments, yet gaining access to key info could be a daunting activity. This ebook illuminates a transparent route to winning software of the yankee center Association/American Stroke organization directions. geared up for quick reference, this new quantity is helping practitioners enhance sufferer care.
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Extra resources for A Primer on Stroke Prevention and Treatment: An overview based on AHA/ASA Guidelines
3 in subjects in the highest quartile for serum homocysteine in the NHANES Follow-up Study III . In the Framingham Study, the baseline total homocysteine levels were an independent risk factor for stroke in the elderly . 82. Homocysteine is an amino acid derived from dietary methionine. Methylene-tetrahydrofolate reductase (MTHFR) is the enzyme that metabolizes homocysteine, and a single mutation in its gene at base position 677 in which cytosine (C) is replaced by thymidine (T) results in elevated homocysteine concentration.
Quitting smoking is associated with a decreased risk for stroke, which approaches baseline after approximately 5 years from quitting [26,27]. In our patient, smoking cessation would be a major intervention aiming at primary stroke and cardiovascular disease prevention. Hyperlipidemia Several studies have found an increased risk for ischemic stroke in patients with elevated total cholesterol. For example, the Asia Pacific Cohort Studies Collaboration found a 25% increase in ischemic stroke rates for every 1 mmol/L increase in total cholesterol .
In our patient, smoking cessation would be a major intervention aiming at primary stroke and cardiovascular disease prevention. Hyperlipidemia Several studies have found an increased risk for ischemic stroke in patients with elevated total cholesterol. For example, the Asia Pacific Cohort Studies Collaboration found a 25% increase in ischemic stroke rates for every 1 mmol/L increase in total cholesterol . The data on the relationship between low-density lipoprotein (LDL) cholesterol and ischemic stroke are weaker, whereas several studies have shown increased prevalence of ischemic stroke in persons with low high-density lipoprotein Chapter 3 Primordial and Primary Prevention of Stroke (HDL) cholesterol (especially less than 30 mg/dL) .
A Primer on Stroke Prevention and Treatment: An overview based on AHA/ASA Guidelines by Larry B. Goldstein