Fidest – Agenzia giornalistica/press agency

Quotidiano di informazione – Anno 31 n° 321

Posts Tagged ‘stroke’

Divorce and low socioeconomic status carry higher risk of second heart attack or stroke

Posted by fidest press agency su venerdì, 20 aprile 2018

Sophia Antipolis. Heart attack survivors who are divorced or have low socioeconomic status have a higher risk of a second attack, according to research from Karolinska Institutet, Stockholm, Sweden, published today in the European Journal of Preventive Cardiology, a European Society of Cardiology journal. Previous studies have shown that low socioeconomic status is associated with a first heart attack, but these findings could not be extended to heart attack survivors to calculate their risk of a second event.This study enrolled 29,226 one-year survivors of a first heart attack from the SWEDEHEART-registry and cross-referenced data from other national registries. Socioeconomic status was assessed by disposable household income (categorised by quintiles) and education level (nine years or less, 10–12 years, more than 12 years). Marital status (married, unmarried, divorced, widowed) was also recorded in the study.Patients were followed up for an average of four years for the first recurrent event, which was defined as non-fatal heart attack, death from coronary heart disease, fatal stroke, or non-fatal stroke.The study found that divorce and low socioeconomic status were significantly associated with a higher risk of a recurrent event. Each indicator was linked with recurrent events.
After adjusting for age, sex, and year of first heart attack, patients with more than 12 years of education had a 14% lower risk of a recurrent event than those with nine or fewer years of education. Patients in the highest household income quintile had a 35% lower risk than those in the lowest quintile.
Unmarried and widowed patients had higher rates of recurrent events than married patients, but the associations were not significant. Study author Dr Joel Ohm, a PhD student at Karolinska Institutet, said the proportions of unmarried and widowed patients in the study may have been too small for the link to be statistically significant. However, he said: “Marriage appears to be protective against recurrent events and aligns with traditional indicators of higher socioeconomic status, but conclusions on the underlying mechanisms cannot be drawn from this study.” In a subgroup analysis by sex, unmarried men were at higher risk of recurrence and unmarried women were at lower risk. “These findings should be interpreted cautiously,” Dr Ohm warned, “This was a subgroup analysis and we cannot conclude that women are better off being single and that men should marry and not divorce. Unmarried women had a higher level of education compared to unmarried men, and this difference in socioeconomic status may be the underlying cause.”
The subgroup analysis by sex also found that higher household income was associated with a lower risk of recurrent events in men, but there was no association in women. Dr Ohm said this could be due to the lower proportion of women in the study (27%), since the age cutoff for inclusion was 76 years and women are generally older than men when they have a first heart attack. In addition, the difference between the lowest and highest quintiles of household income is likely to be greater when men have a first heart attack because they and their spouse are still of working age.The study did not investigate reasons for the association between socioeconomic status and recurrent events. Numerous factors that are difficult to measure may be involved, such as diet and exercise habits throughout life and even genetic factors. In theory, unequal access to healthcare and compliance with treatment regimes could play a role. Of these two, compliance appears to be a bigger issue, since most treatments were prescribed equally to all income groups and adjusting for treatment did not change the association between socioeconomic status and recurrent events.“The take-home message from this study is that socioeconomic status is associated with recurrent events,” said Dr Ohm, “No matter the reasons why, doctors should include marital and socioeconomic status when assessing a heart attack survivor’s risk of a recurrent event. More intense treatment could then be targeted to high risk groups.”

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On World Stroke Day New ESC Stroke Council Urges Better Blood Pressure Monitoring

Posted by fidest press agency su domenica, 30 ottobre 2016

sophia-antipolisSophia Antipolis The European Society of Cardiology (ESC) and its newly created Council on Stroke says World Stroke Day should be a wake-up call for people everywhere. Each year 6.5 million people die from stroke and another 10 million are permanently disabled.
“The real tragedy is that most of these cases are preventable,” said Professor Petr Widimsky, chairman of the ESC Council on Stroke. “People need to check their blood pressure levels, and if they’re high, to get them lower with diet and exercise or medication. Doctors have a variety of safe and effective treatments. But it all starts by knowing your levels.”Studies show that only 50% of people get their blood pressure checked each year and only 30% maintain a healthy level of 140/90 or less.
The European Society of Cardiology is the preeminent science organization advancing all aspects of cardiovascular medicine. Professor Lina Badimon, ESC Vice President for Scientific Affairs, said the new Council on Stroke should make a meaningful contribution in the fight against this disease. “By working together with other experts -neurologists, vascular surgeons, neurosurgeons, neuroradiologists, epidemiologists and others – the ESC Council on Stroke aims at improving stroke awareness and prevention,” said Prof. Badimon. “The Council is also working to optimise strategies for the acute management of stroke, mapping the current situation in Europe and launching a Pan-European initiative in the field of acute stroke.”

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Ictus: Il modello Stroke Unit funziona

Posted by fidest press agency su domenica, 23 Mag 2010

Funziona il modello Stroke Unit per contrastare l’ictus. Con questo approccio la mortalità si riduce del 3%, ed è solo uno dei dati presentati ieri al ministero della Salute dove era in programma il convegno “Stroke Unit – Progetto sull’organizzazione dell’assistenza all’ictus”, occasione per presentare il secondo volume della collana del dicastero “I quaderni della salute”. All’appuntamento era presente anche il ministro della Salute, Ferruccio Fazio. Il sistema delle Stroke Unit prevede una rete, chiamata “Hub and spoke”, organizzata su tre livelli operativi di complessità diagnostico-terapeutica crescente gestiti da neurologi. Nel dettaglio, con le Stroke Unit si sono registrati 1.800 morti in meno e 5 mila pazienti in più guariti completamente. Il beneficio si ha in tutti i tipi di pazienti, indipendentemente dalla gravità dell’ictus. «Nei Paesi industrializzati – ribadisce Fazio – l’ictus rappresenta, per le sue dimensioni epidemiologiche e per il suo impatto socio-economico, una delle più importanti problematiche sanitarie, costituendo la prima causa di invalidità permanente e la seconda causa di demenza. Nel nostro Paese è la terza causa di morte, dopo le malattie cardiovascolari e le neoplasie». Il rischio di ictus aumenta con l’età: in pratica raddoppia ogni 10 anni a partire dai 45 anni, raggiungendo il valore massimo negli ultra 80enni. Il 75% degli ictus, quindi, colpisce i soggetti di oltre 65 anni. «Il progressivo invecchiamento della popolazione e la considerazione che l’incidenza dell’ictus è strettamente collegata all’età – termina il ministro – fanno ritenere che in Italia l’incidenza di eventi aumenterà nei prossimi anni: le proiezioni fino al 2016 fanno ritenere che tale aumento sarà circa del 22,2%». (fonte doctor news)

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