News reports of the death of aspirin are exaggerated.

Late last year a number of news reports seemed to say the aspirin doesn’t work to improve health or prevent adverse health events.  Like the one linked above, these stories presented the truth about aspirin based on several studies published in the New England Journal of Medicine.  But the headline that too many people heard or […]

Respect your elders’ risk factors.

Respecting one’s elders is age-old good advice.  When it comes to avoiding stroke, younger people also need to respect the traditional risk factors that cause stroke in the elderly.  Turns out, the traditional modifiable risk factors also account for most strokes in young people. What are the traditional risk factors?  They include hypertension (high blood […]

North vs. South – The Nordic Diet

People in Nordic countries aren’t very fond of their southern European neighbors’ food choices.  Therefore, the highly-regarded healthy Mediterranean diet doesn’t play well in places like Denmark.  So the healthy Nordic diet was proposed, based on northern preferences and available natural foods.  The Nordic diet is comprised of high intake of fish, apples, pears, berries, […]

Exercise is an important part of stroke prevention

In a very important trial called Aggressive medical treatment with or without stenting in high-risk patients with intracranial artery stenosis (SAMMPRIS): the final results of a randomised trial, we discovered how powerful medication can be to prevent a second stroke due to a certain serious condition involving narrowing of arteries inside the brain.  Cholesterol buildup inside […]

Video killed the blog star.

Well, as we know radio is still around and so will be this blog. I have made some educational videos, mostly to promote conditions that I see in my White Plains, NY part-time neurology practice as well as in my regular practice in Norwalk, Connecticut. So far topics are:  Migraine, Parkinson’s Disease, and Stroke. They can be seen […]

I’ll gladly exercise now to avoid a stroke later.

It’s fairly obvious that physical fitness is good for many reasons.  Cardiorespiratory fitness that comes from regular exercise has been shown to reduce the risk of stroke.  But in most studies it’s hard to separate the effect of fitness from other risk factors such as high blood pressure, diabetes, and heart disease.  The person who […]

DASH to a lower chance of stroke.

The most important risk factor for stroke is hypertension (high blood pressure.)  This is because hypertension is a powerful cause of artery damage that results in stroke and is also common.  Thankfully, there are dozens of cheap medications that can be given to control blood pressure.  Diet also can play a role in blood pressure control […]

Take THAT JNC 8 – lower BP better for stroke prevention.

There are many organizations that meet regularly to pour over data and make broad recommendations to doctors about how to treat patients.  These include the American Heart Association, the American College of Chest Physicians, and other specialty organizations such as the American Academy of Neurology.  One of these organizations, the Joint National Committee (JNC) surprised […]

Resolution time: Diet and exercise to prevent stroke (Part 2)

Here’s part two in the resolutions series:  Exercise.  What’s the data for stroke prevention? In an article called Physical activity in primary stroke prevention: just do it!, authors review the data behind a recommendation to exercise to prevent stroke.  The way we usually talk about this issue is to say that a sedentary lifestyle is a […]

Resolution time: Diet and exercise to prevent stroke (Part 1)

I just uncovered 2 articles in my pile from the journal Stroke published in July of 2015 that seem just perfect for the beginning of a new year. They focus on the science behind benefit or healthy diet and exercise as part of stroke prevention strategy. The first article is called Diet and Stroke: Recent Evidence Supporting […]