Controlling blood pressure, exercise key to preventing second stroke

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Written By: Editorial Team | Published : May 2, 2014 7:15 PM IST

stroke-finalSurvived a stroke? Now is the time to control blood pressure, cholesterol and weight and do moderate physical activity daily to avoid another stroke. According to a statement by American Heart Association, such patients should also receive other evidence-based therapy specific to their individual health, which may include aspirin therapy or a surgical procedure to keep neck arteries open.

'A vast amount of new research is revealing new and improved ways to protect patients with an ischemic stroke or transient ischemic attack from having recurrent events and further brain damage,' said Walter Kernan, a professor of medicine at Yale University School of Medicine. Treating high blood pressure is possibly most important for secondary prevention of ischemic stroke, according to the statement. (Read: How to reduce salt intake and control your BP)

About 70 percent of people who have had a recent ischemic stroke also have high blood pressure. Intensive cholesterol-lowering therapy is also important for survivors whose stroke was caused by hardened arteries. However, the association no longer recommends niacin or fibrate drugs to raise good cholesterol, due to sparse data establishing their effectiveness at reducing secondary stroke risk, the statement added. (Read: Tasty recipes to keep BP under control)

It is also good for stroke survivors to have three to four sessions per week of moderate-vigorous intensity aerobic physical exercise, such as walking briskly or riding a bike. 'Following a Mediterranean-type diet that emphasises vegetables, fruits, whole grains and includes low-fat dairy, poultry, fish, legumes and nuts and limits sweets and red meat is also beneficial,' the statement read. The statement titled 'Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack (TIA)', was published in the American Heart Association's journal Stroke. (Read: Want to control your blood pressure? Try watermelons)

What is stroke?

Also known as a cerebrovascular accident, stroke is a medical emergency that arises when arteries that supply blood to the brain get affected. As a result a part of the brain doesn't receive sufficient blood supply. Without blood and nutrient supply, the brain cells get affected and can die within a few minutes. Stroke often results in long-term dysfunction of the body part controlled by the affected brain area. There are two main types of strokes: ischemic stroke and haemorrhagic stroke. An ischemic stroke is caused due to a block (blood clot) in the blood vessel whereas a haemorrhagic stroke is caused by bleeding through a tear in the blood vessel. Damage occurred by has a huge impact on various aspects of life and well-being. A single stroke can makes a person age by 36 years. People who survive a stroke need rigorous treatment and rehabilitation methods to achieve full recovery. Strokes can be prevented with healthy diet, exercise and other lifestyle changes. Stroke can be more damaging in women and hence women can refer to these guidelines for stroke prevention in women. (Read: Stroke causes, symptoms, diagnosis, treatment and prevention)

With inputs from IANS

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