Post stroke precautions

[Guest guest]

After a first stroke, patients are nearly twice as likely to die from

heart disease than from another stroke, according to a study

published in the medical journal Neurology. However, in the long-

term, they are more likely to have another non-fatal stroke than to

have a cardiac event.

 

"Few population-based studies with long-term follow-up have compared

risk of recurrent stroke and cardiac events after first ischemic

stroke," Dr. M. S. V. Elkind and colleagues from Columbia University,

New York, write. "The relative risk of these two outcomes may inform

treatment decisions."

 

The researchers followed 655 ischemic stroke patients enrolled in the

population-based Northern Manhattan Study for recurrent stroke, heart

attack and death. Ischemic stroke, the most common type, occurs when

oxygen to the brain is blocked, usually by a blood clot,

causing "ischemia," or tissue death. Hemorrhagic strokes are caused

by bleeding in the brain, usually from a ruptured blood vessel.

 

The team defined fatal cardiac events as: death from a heart attack,

death from congestive heart failure, sudden death caused by erratic

contractions of the heart (arrhythmia), and cardiopulmonary arrest.

The average patient age was 69.7 years.

 

After five years, the risk of recurrent stroke was more than twice

the risk of having a cardiac event (18.3 versus 8.6 percent),

Elkind's team reports. The risk of having a non-fatal stroke was 14.8

percent, about twice as high as having a fatal cardiac event (6.4

percent) and four times higher than the risk of having a fatal stroke

(3.7 percent).

 

The researchers also found that the five-year risk of having a fatal

cardiac event was 6.4 percent compared with 3.7 percent for having a

fatal stroke.

 

SOURCE: Neurology, March 2006.

 

The discussion on arrhythmia and stroke brought in the memory of a

patient of this author. In ayurveda, there are emergency medicines

which can be taken in case of a stroke, mild heart attack, or severe

brady or tachy-cardia. Contact your nearest ayurvedist, and keep a

stock of such emergency medication at hand, just a few tablets.

 

One patient of this author, after severe chest congestion, chest

pressure and pain, could borrow a tablet from his neighbour for an

emergency. He found quick relief and slept for 4 hours pieacefully.

Due to non-availability of this in neighbourhood chemist shop, and

refusal of the neighbour to give another tablet 5 hours later, the

patient landed up in hospital and survived only 6 more hours in

hospital. Someone may argue that doctor cant extend life granted by

destiny. But the neighbour was abandoned as patient by this author

thereafter.

 

dr bhate.

 

 

 

 

ayurveda, more_or <no_reply wrote:

>

> I too had a minor stroke, went to er and was told all was well,

went

> home knowing that my body new something was off. I returned to er

> following day and fortunatly it was recognized and determined that

> my carotid was so blocked that I was a major stroke just waiting to

> happen. Had surgery and doing fine. I did not know the three

> questions nor the the Dr. I will pass it on to others. Thanks

[Guest guest]

And what about 7 years after a major stroke, and when coronographies,

nuclear radiographies, EKG's and Stress Tests say a person is fine?

And what about if a person takes clopidogrel?

 

Thank you for the information, Shirish, but somehow, instead of making

us feel good about it, at least this is making me feel nervous.

 

Aida

 

ayurveda, "Shirish Bhate"

<shirishbhate wrote:

>

> After a first stroke, patients are nearly twice as likely to die from

> heart disease than from another stroke, according to a study

> published in the medical journal Neurology. However, in the long-

> term, they are more likely to have another non-fatal stroke than to

> have a cardiac event.

>

[Guest guest]

All diagnostic tests are instantaneous static pictures of organs. What

about the mind, which is the driver of the body? How chemical medicines

can take care of mental toxins producing harmful chemicals in body? Has

anybody been helped by anti-depressants so far?

 

That is where yoga, ayurveda etc come to help you. No need to be

nervous. Strokes are boons in disguise, which turn us from materialism

to spiritualism, in search of true happiness.

 

When the subject of stroke was being taught in an alternative medicine

class, a mischievous student asked the professor.

"Sir, what happens if stroke victim keeps his heart in safe deposit

vault of another heart?"

 

"He will not get second stroke nor arrhythmia, as both hearts will beat

in perfect harmony" quipped the professor.

 

breathing techniques of yoga are very popular in india, and are being

taught on TV. many cardiac patients are learning and bringing down the

risk of second stroke to zero. The techniques have received full

attention after mainstream doctors at premier institution of india,

AIIMS, Delhi started studying them scientifically and endorsed them as

perfect medicines for peace, sound sleep etc. This changed attitude may

be the result of the event that India's most skilled cardiologist and

heart surgeon (from Mumbai) could not prevent his untimely stroke last

year and passed away in a matter of hours. Did he not know stress of

working 18 hours a day? This is glaring difference between just body

and mind+body approach. West is researching the body as a organism,

while east is emphasizing mind and spirit as the focus.

 

The post was incoplete. Remaining part will be covered in discussion

on breathing principles day after tomorrow in Iron rules of health

series.

 

dr bhate

 

 

ayurveda, "pesantas" <abenitez wrote:

>

> And what about 7 years after a major stroke, and when coronographies,

> nuclear radiographies, EKG's and Stress Tests say a person is fine?

> And what about if a person takes clopidogrel?

>

> Thank you for the information, Shirish, but somehow, instead of making

> us feel good about it, at least this is making me feel nervous.

[Guest guest]

I am Dr. Lakhanpaul. Kindly let me know the medicine you have mentioned for

emergency.

 

Shirish Bhate <shirishbhate wrote:

The discussion on arrhythmia and stroke brought in the memory of a

patient of this author. In ayurveda, there are emergency medicines

which can be taken in case of a stroke, mild heart attack, or severe

brady or tachy-cardia. Contact your nearest ayurvedist, and keep a

stock of such emergency medication at hand, just a few tablets.

[Guest guest]

Dr Lakhanpaul,

 

Contrary to usual practice of this author, the name of the medicines,

or procedure to make them was left out of the post for several reasons.

 

1. Author did not want to encourage self medication, at least when

serious ailments exist.

 

2. These medications were prepared by ancient Vaidyas frequently at the

bedside of the patient, after checking him thoroughly, and formulation

receipes were to suit individual. The very sight of medicine being

prepared for him started giving some relief to the patient, by mind-

body effect.

 

3. There are several medicines, and formulations of one pharmacy

differes from another somewhat. That is why, in the case cited, after

taking the same tablet from another pharmacy, problem started

worsening. Some pharmacies economise the tablets by reducing some

expensive bhasmas.

 

4. Author could imagine artificial demand for some medicines, which

could push up the prices. The rise of ayurvedic medicine prices in last

five years is too pinching on poor patients of India.

 

5. Hence author urged patients to seek nearest ayurvedist, get proper

prescription, and then keep the medication for emergency.

 

6. Author believes that effect of medicine is proportional to the faith of the

patient. He found that most of the patients, who were asked to keep some

medication for such emergencies, were willing to provide a little to nearby

neighbour, should he need, after request from the author. Once heart starts

reaching out to problems of others, it does not bother about itw own problems.

However, in the cited case, Nandkumar, to whom credit should go for progress of

Subhash, got a shock when friend subhash gave an excuse of "no stock" when

another tablet was requested. Shocks, trauma are the main factors for worsening

of the health.

 

In view of above reason, it would not be appropriate to discuss this further on

the list.

 

dr bhate

 

ayurveda, rajesh paul <rajeshalkapaul

wrote:

>

> I am Dr. Lakhanpaul. Kindly let me know the medicine you have

mentioned for emergency.

>

> Shirish Bhate <shirishbhate wrote:

> The discussion on arrhythmia and stroke brought in the memory of a

> patient of this author. In ayurveda, there are emergency medicines

> which can be taken in case of a stroke, mild heart attack, or severe

> brady or tachy-cardia. Contact your nearest ayurvedist, and keep a

> stock of such emergency medication at hand, just a few tablets.

>

[Guest guest]

Sir, I am practicing Ayurveda for last 20 years after completing BAMS. More so I

inhale pride to be in 4th. Generation in this practice since1887. Only basic

herbs or bhasams used in such cases may improve my knowledge and benefit my

patients here. Thankyou.

 

Shirish Bhate <shirishbhate wrote: Dr Lakhanpaul,

 

Contrary to usual practice of this author, the name of the medicines,

or procedure to make them was left out of the post for several reasons.