Drear brothers and sisters,

Over the last decade, I have lost so many siblings(particularly MALE) to
STROKE. This forced me to search for answers to our agony in the family. If
you have experienced  similar problems, these are some clues and what we
can do to minimize the risks of developing stroke early in life

*What is Stroke?*

*Stroke is a disease that affects the arteries leading to atrophy of the
brain tissue. It is the No. 4*

*cause of death and a leading cause of disability in the United States.*

A stroke occurs when a blood vessel that carries oxygen and nutrients to
the brain either

bursts, ruptures or is blocked by a clot. As a result, the brain cannot get
the blood and oxygen it

needs and parts of the brain  tissue die.



*Stroke Risk Factors*

Approximately 80 percent of strokes can be prevented. Though some stroke
risk factors are

uncontrollable, such as age and race, other risk factors are within your
control and making small

lifestyle changes can reduce your stroke risk. For example, hypertension,
which is the leading

risk factor, can be controlled by eating a healthy diet, regularly physical
activity, not smoking,

and by taking prescribed medications. The American Heart Association
identifies seven factors

to control for ideal health. *Life has 7 simple basic rules*: *be active,
control cholesterol, eat a healthy diet, manage blood pressure, maintain a
healthy weight, control blood sugar and don't smoke*.

*COMMON RISKS FACTOR CAUSING STROKE*

   - *Age* -- The chance of having a stroke approximately doubles for each
   decade of life after age 55. While stroke is common among the elderly, a
   lot of people under 65 also have strokes.
   - *Heredity (family history) *-- Your stroke risk is greater if a parent,
   grandparent, sister or brother has had a stroke. Some strokes may be
   symptoms of genetic disorders like CADASIL (Cerebral Autosomal Dominant
   Arteriopathy with Sub-cortical Infarcts and Leukoencephalopathy), which is
   caused by a gene mutation that leads to damage of blood vessel walls in the
   brain, blocking blood flow. Most individuals with CADASIL have a family
   history of the disorder -- each child of a CADASIL parent has a 50% chance
   of inheriting the disease. Visit the NINDS
website<http://www.ninds.nih.gov/disorders/cadasil/CADASIL.htm>
    or read the AHA/ASA scientific statement on this
topic<http://stroke.ahajournals.org/content/early/2011/07/21/STR.0b013e3182299496>
for
   more details about CADASIL.
   - *Race* -- African-Americans <http://www.powertoendstroke.org/>
(Blacks) have
   a much higher risk of death from a stroke than Caucasians do. This is
   partly because blacks have higher risks of high blood pressure, diabetes
   and obesity.
   - *Sex (gender)* -- Stroke is more common in men than in women. In most
   age groups, more men than women will have a stroke in a given year.
   However, more than half of total stroke deaths occur in women. At all ages,
   more women than men die of stroke. Use of birth control pills and pregnancy
   pose special stroke risks for women.
   - *Prior stroke, TIA or heart attack* -- The risk of stroke for someone
   who has already had one is many times that of a person who has not.
   Transient ischemic attacks
(TIAs<http://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/TIA/TIA-Transient-Ischemic-Attack_UCM_310942_Article.jsp>)
   are "warning strokes" that produce stroke-like symptoms but no lasting
   damage. TIAs are strong predictors of stroke. A person who's had one or
   more TIAs is almost 10 times more likely to have a stroke than someone of
   the same age and sex who hasn't. Recognizing and treating TIAs can reduce
   your risk of a major stroke. TIA should be considered a medical emergency
   and followed up immediately with a healthcare professional. If
you've had a heart
   
attack<http://www.heart.org/HEARTORG/Conditions/HeartAttack/Heart-Attack_UCM_001092_SubHomePage.jsp>,
   you're at higher risk of having a stroke, too.

 STROKE RISK FACTORS THAT CAN BE CONTROLLED

   - *High blood pressure* -- High blood
pressure<http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/High-Blood-Pressure_UCM_002020_SubHomePage.jsp>
is
   the leading cause of stroke and the most important controllable risk factor
   for stroke. Many people believe the effective treatment of high blood
   pressure is a key reason for the accelerated decline in the death rates for
   stroke.
   - *Cigarette smoking* -- In recent years, studies have shown cigarette
   
smoking<http://www.heart.org/HEARTORG/GettingHealthy/QuitSmoking/Quit-Smoking_UCM_001085_SubHomePage.jsp>
to
   be an important risk factor for stroke. The nicotine and carbon monoxide in
   cigarette smoke damage the cardiovascular system in many ways. The use of
   oral contraceptives combined with cigarette smoking greatly increases
   stroke risk.
   - *Diabetes mellitus* --
Diabetes<http://www.heart.org/HEARTORG/Conditions/Diabetes/Diabetes_UCM_001091_SubHomePage.jsp>
is
   an independent risk factor for stroke. Many people with diabetes also have
   high blood pressure, high blood cholesterol and are overweight. This
   increases their risk even more. While diabetes is treatable, the presence
   of the disease still increases your risk of stroke.
   - *Carotid or other artery disease --* The carotid arteries in your neck
   supply blood to your brain. A carotid artery narrowed by fatty deposits
   from atherosclerosis (plaque buildups in artery walls) may become blocked
   by a blood clot. Carotid artery disease is also called carotid artery
   stenosis.
   - *Peripheral artery disease* is the narrowing of blood vessels carrying
   blood to leg and arm muscles. It's caused by fatty buildups of plaque in
   artery walls. People withperipheral artery
disease<http://www.heart.org/HEARTORG/Conditions/More/PeripheralArteryDisease/Peripheral-Artery-Disease_UCM_002082_SubHomePage.jsp>
have
   a higher risk of carotid artery disease, which raises their risk of stroke.
   - *Atrial fibrillation* -- This heart rhythm
disorder<http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/Atrial-Fibrillation_UCM_302027_Article.jsp>
raises
   the risk for stroke. The heart's upper chambers quiver instead of beating
   effectively, which can let the blood pool and clot. If a clot breaks off,
   enters the bloodstream and lodges in an artery leading to the brain, a
   stroke results.
   - *Other heart disease* -- People with coronary heart disease or heart
   
failure<http://www.heart.org/HEARTORG/Conditions/HeartFailure/Heart-Failure_UCM_002019_SubHomePage.jsp>
have
   a higher risk of stroke than those with hearts that work normally. Dilated
   
cardiomyopathy<http://www.strokeassociation.org/idc/groups/heart-public/@wcm/@hcm/documents/downloadable/ucm_312224.pdf>
(an
   enlarged heart), heart valve disease and some types of congenital heart
   
defects<http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/Congenital-Heart-Defects_UCM_001090_SubHomePage.jsp>
also
   raise the risk of stroke.
   - *Sickle cell disease* (also called *sickle cell anemia*) -- This is a
   genetic disorder that mainly affects African-American and Hispanic
   children. "Sickled" red blood cells are less able to carry oxygen to the
   body's tissues and organs. These cells also tend to stick to blood vessel
   walls, which can block arteries to the brain and cause a stroke.
   - *High blood cholesterol --* People with high blood
cholesterol<http://www.heart.org/HEARTORG/Conditions/Cholesterol/Cholesterol_UCM_001089_SubHomePage.jsp>
have
   an increased risk for stroke. Also, it appears that low HDL ("good")
   cholesterol is a risk factor for stroke in men, but more data are needed to
   verify its effect in women.
   - *Poor diet --*
Diets<http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/Nutrition-Center_UCM_001188_SubHomePage.jsp>
high
   in saturated fat, trans fat and cholesterol can raise blood cholesterol
   levels. Diets high in sodium (salt) can contribute to increased blood
   pressure. Diets with excess calories can contribute to obesity. Also, a
   diet containing five or more servings of fruits and vegetables per day may
   reduce the risk of stroke.
   - *Physical inactivity and obesity* -- Being
inactive<http://www.heart.org/HEARTORG/GettingHealthy/PhysicalActivity/Physical-Activity_UCM_001080_SubHomePage.jsp>
   , 
obese<http://www.heart.org/HEARTORG/GettingHealthy/WeightManagement/Weight-Management_UCM_001081_SubHomePage.jsp>
or
   both can increase your risk of high blood pressure, high blood cholesterol,
   diabetes, heart disease and stroke. So go on a brisk walk, take the stairs,
   and do whatever you can to make your life more active. Try to get a total
   of at least 30 minutes of activity on most or all days.

References: http://www.heart.org/HEARTORG/
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