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RISKS OF STROKE IN MVP

 

                   

I will start this section by stating that it is shocking to me to  read  the medical studies done on this subject.    MVP patients have a risk factor of up to 4 times greater of having  ocular and/or cerebral ischema than the normal population.

 

TIA:

Transient Ischemic Attacks:  A localized problem caused by ischemia (decreased blood flow) that completely resolves itself within 48 hours.  The symptoms may go away as quickly as they came but it is still important to be checked for neurological and cardiovascular evaluation.   One third of patients who has a TIA go on to have a stroke, and are identified as possible high risk of heart attack.

 

EMBOLIC STROKE OR CEREBRAL EMBOLISM: A clot forms in one part of the body, breaks loose in whole or in part, travels in the blood stream until it lodges in an artery in the brain or in a vessel leading to the brain.  Most embolic strokes involve clots coming from the heart or catotid arteries.

The most common cardiac conditions associated with emboli are atrial fibrillation, valvular disease, presence of prosthetic heart valve, endocarditis, congestive heart failure and myocardial infarction.

ANTICOAGULANT DRUGS: Studies have shown that people with atrial fibrillation who take daily doses of aspirin or Coumadin have an 80% reduction in their risk of stroke.

The use of anticoagulant drugs reduce formation of blood clots.   Coumadin is only given when aspirin therapy has failed or when it is clear that the source of the clot is the heart.  e.g. when the person has atrial fibrillation or has has a myocardial infarction or valvular heart disease is present.

ORAL CONTRACEPTIVES AND ESTROGEN REPLACEMENT THERAPY: Estrogen is believed to promote clotting and several studies show  a risk increase when using oral contraceptives.

Estrogen replacement therapy in post menopausal women may slow the atherosclerotic process lowering the risk of stroke and heart disease.

WARNING SIGNS OF STROKE OR TIA:
  • sudden weakness or numbness of the face, arm and leg on one side of the body

  • loss of speech or trouble speaking or understanding speech

  • dimness or loss of vision in one eye or half of both eyes

  • sudden onset of blurred or double vision 

  • unexplained dizziness

  • sudden onset of unsteadiness, lack of coordination, difficulty walking or falling

  • sudden excruciating head ache.

CAUTION: For those showing signs of having a stroke it is of utmost importance to go to the hospital or emergency room as soon as possible.  Most strokes need immediate attention.   If it is not a stroke the symptoms may be related to other serous illness which also need attention.

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