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Medical researchers conducted the largest-ever genome-wide association study of all-cause dementia, finding substantial genetic overlap with vascular dementia.
In a new extensive systematic review, researchers identified 17 modifiable riskfactors that are shared by stroke, dementia, and late-life depression. Modifying any one of them can reduce your risk of all three conditions. The findings provide evidence to inform novel tools such as the Brain Care Score.
In middle-aged people, having riskfactors like blood pressure, blood sugar and cholesterol that are not well-controlled combined with not following certain healthy habits including exercise, diet and sleep, are linked to a higher risk of stroke, dementia or depression later in life, according to a new study.
BackgroundNon-valvular atrial fibrillation (NVAF) significantly increases ischemic stroke and systemic embolism (SE) risks. Despite the proven efficacy of oral anticoagulants (OAC) in reducing these risks, their underutilization highlights a gap in clinical practice. for stroke/SE-specific, p-value<0.001).
Poor Sleep Might Eliminate The Benefits Of Exercise & Dementia. High levels of aerobic fitness are closely linked to lower rates of future dementia 1. Regular physical activity is arguably one of the biggest factors preventing dementia. When it comes to preventing dementia, this could not be truer.
Cerebral small vessel disease is common in older adults and increases the risk of stroke, cognitive impairment, and dementia. While often attributed to midlife vascular riskfactors such as hypertension, factors from earlier in life may contribute to later small vessel disease risk.
Stroke, Volume 56, Issue Suppl_1 , Page AWP269-AWP269, February 1, 2025. Introduction:All-cause dementia remains a significant public health concern, with stroke recognized as a key riskfactor. This study included patients aged 20+ who experienced their first stroke (any type) in 2018 (baseline).
BackgroundIt is uncertain whether rareNOTCH3variants are associated with stroke and dementia in the general population and whether they lead to alterations in cognitive function. For the follow‐up analysis, 1007 participants were included in the stroke analysis, and 870 participants in the dementia analysis.
Signs of injury to the brain's white matter called white matter hyperintensities, as seen on brain scans, may be tied more strongly to vascular riskfactors, brain shrinkage, and other markers of dementia in former tackle football players than in those who did not play football.
Stroke, Volume 55, Issue Suppl_1 , Page AWMP16-AWMP16, February 1, 2024. Background:Individual magnetic resonance imaging (MRI) markers of cerebral small vessel disease (CSVD) are associated with impaired cognition and dementia but may not reflect the overall burden of CSVD. Over a median follow-up time of 6.4 years (Q1-Q3: 4.6-11.3),
Stroke, Volume 56, Issue Suppl_1 , Page ADP22-ADP22, February 1, 2025. Introduction:Covert brain infarcts (CBIs) are associated with risk of stroke and dementia. It is unknown whether surveillance for CBIs and medical management can mitigate this risk. Results:Among 1,290 included patients, 237 (18.4%) had CBI.
The authors tested the hypothesis that suboptimal sleep duration is associated with poorer neuroimaging brain health profiles in asymptomatic middle‐aged adults.Methods and ResultsThe authors conducted a prospective magnetic resonance neuroimaging study in middle‐aged individuals without stroke or dementia enrolled in the UK Biobank.
Stroke, Volume 56, Issue Suppl_1 , Page ATP33-ATP33, February 1, 2025. (1) The riskfactors for cerebral MB and cSS and their relationship with cognitive decline are not well known.(2) The riskfactors for cerebral MB and cSS and their relationship with cognitive decline are not well known.(2)
cSVD accounts for approximately 25% of ischemic strokes and the vast majority of spontaneous intracerebral hemorrhage and is also the most important vascular contributor to dementia. Despite its high prevalence and potentially long therapeutic window, there are still no mechanism-based treatments.
Stroke, Volume 55, Issue Suppl_1 , Page AWMP13-AWMP13, February 1, 2024. Introduction:Associations between magnetic resonance imaging (MRI) markers of vascular pathology and dementiarisk in older adults have been established, but it remains less clear how lifestyle factors may modify this association.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionPatients with cognitive impairment often have a history of cardiovascular disease (CVD) or multiple cardiovascular riskfactors (CRFs) such as hypertension, obesity, and hypercholesterolemia.
Stroke, Ahead of Print. As awareness of dementia increases, more individuals with minor cognitive complaints are requesting clinical assessment. Neuroimaging studies frequently identify incidental white matter hyperintensities, raising patient concerns about their brain health and future risk for dementia.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP117-AWMP117, February 1, 2025. Endothelial dysfunction, a key mechanism in COVID-19 illness, is also a major riskfactor for vascular dementia (VaD). Introduction:SARS-CoV-2 causes various neurological sequelae in COVID-19 survivors including fatigue and cognitive dysfunction.
Whether hs‐cTn is associated with domain‐specific cognitive decline and SVD burden in patients with stroke remains unknown.Methods and ResultsWe analyzed patients with acute stroke without premorbid dementia from the prospective multicenter DEMDAS (DZNE [German Center for Neurodegenerative Disease]‐Mechanisms of Dementia after Stroke) study.
Stroke, Volume 55, Issue Suppl_1 , Page AWMP22-AWMP22, February 1, 2024. Background:Mild manifestations of individual cerebral small vessel disease (CSVD) markers are common and may not denote increased risk, but high CSVD burden identifies individuals at increased risk of stroke and dementia. years (Q1-Q3: 5.1-12.5)
Stroke, Volume 55, Issue Suppl_1 , Page ATP238-ATP238, February 1, 2024. Introduction:Stroke and transient ischemic attack (TIA) increase risk for cognitive impairment and dementia. Both subjects with stroke and subjects with TIA had increased serum PDGFRβ compared to those without history of CVA (6608.4 pg/mL and 5337.0
Stroke, Volume 55, Issue Suppl_1 , Page A37-A37, February 1, 2024. The 21-point Brain Care Score (BCS) is a novel tool designed to motivate individuals and care providers to take action to reduce the risk of stroke and dementia by motivating lifestyle changes (Fig 1).
Stroke, Volume 56, Issue Suppl_1 , Page AWP44-AWP44, February 1, 2025. Background:Patent foramen ovale (PFO) is an independent riskfactor for neurovascular injury such as stroke. We previously found that large PFO shunt is associated with increased long-term risk of vascular dementia.
Stroke, Volume 56, Issue Suppl_1 , Page ATP252-ATP252, February 1, 2025. Alzheimers Disease (AD) is the most common form of dementia and is characterized by progressive neurodegeneration and cognitive decline.
BackgroundInfection and inflammation are dementiariskfactors in population‐based cohorts; however, studies in stroke are scarce. years; median National Institutes of Health Stroke Scale score 5 [range, minimum‐maximum, 0–30]), infection was present in 90 patients (35.3%) at mean 4.4 (SD,
Stroke, Volume 55, Issue Suppl_1 , Page A10-A10, February 1, 2024. Background:Adherence to the American Heart Association's Life’s Essential 8 (LE8) reduces the risk of cardiovascular disease. Participants with prior stroke, transient ischemic attack (TIA) or myocardial infarction (MI) were excluded. 0.73; p<0.001).APOEε4
Stroke, Volume 56, Issue Suppl_1 , Page A139-A139, February 1, 2025. Using Cox regression analyses, we compared the risk of incident SDH among the three groups after adjustment for demographics and comorbidities. In pre-specified sensitivity analyses, patients with a diagnosis of dementia at baseline were excluded.Results:Among 8.5
BackgroundCerebral small vessel disease (cSVD) is a major contributing factor to ischemic stroke and dementia. However, longitudinal investigations into vascular stiffness and regulatory function as possible riskfactors for cSVD remain warranted. However, the vascular pathologies of cSVD remain inconclusive.
Stroke, Volume 56, Issue Suppl_1 , Page ADP15-ADP15, February 1, 2025. Background:White matter hyperintensities (WMH) of presumed vascular origin can be associated with vascular cognitive impairment and dementia. However, WMH are also seen in asymptomatic subjects. FLAIR/T1 images were segmented to create WMH masks.
Stroke, Volume 55, Issue Suppl_1 , Page AWP308-AWP308, February 1, 2024. Introduction:Respiratory disorders, including sleep apnea, are an independent riskfactor for the development of cognitive dysfunction and dementia. Disordered breathing occurs frequently in patients with AD (Alzheimer’s Disease).
The big risk of AF is thought to be an increased risk of strokes and therefore when we see patients above the age of 65, or patients who carry comorbidities we recommend lifelong anticoagulation and as long as the patient is anticoagulated, we feel that the patient is safe. We never really think beyond the risk of stroke.
BackgroundStroke and dementia are leading causes of mortality and can be prevented through riskfactor management. Riskfactor assessment requires laboratory or physical measurements. Journal of the American Heart Association, Ahead of Print.
Stroke, Volume 56, Issue Suppl_1 , Page AWP319-AWP319, February 1, 2025. Introduction:Stroke and dementia are among the leading causes of mortality globally. This can be mitigated through targeting modifiable riskfactors.
That is severe obstructive sleep apnea (OSA), and with that serious interruption to sleep quality also comes a doubling in the risk of future heart disease, particularly stroke 6. As a riskfactor for cardiovascular disease and many of the major chronic diseases that result in an early death, avoiding type 2 diabetes is key.
Stroke, Volume 56, Issue Suppl_1 , Page ATP358-ATP358, February 1, 2025. Introduction:Stroke is a well-established independent riskfactor for the development of dementia. Most dementia patients exhibit mixed brain pathologies, with histological evidence of ischemia and A plaque accumulation, observed at autopsy.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP18-AWMP18, February 1, 2025. Background:Cerebral microbleeds (CMBs) are associated with incident dementia, but the impact of specific CMB patterns is unclear. Compared to individuals with no CMBs, presence of any CMBs was associated with an increased risk of dementia (Table 2).
Stroke, Ahead of Print. The burden of neurologic diseases, including stroke and dementia, is expected to grow substantially in the coming decades. Emerging evidence shows that the heart and the brain, once considered unrelated organ systems, are interdependent and linked through shared riskfactors.
Stroke, Volume 56, Issue 1 , Page 65-73, January 1, 2025. BACKGROUND:Socioeconomic disparities exist in acute stroke care as well as in long-term stroke outcomes. We aimed to investigate whether socioeconomic status was associated with the rate of poststroke dementia (PSD).METHODS:This 1000 person-years).
It’s not that they don’t get cardiovascular disease, cancer or dementia; they just get it way later than everyone else. When broken down by disease category, cardiovascular disease, cancer, dementia, stroke, osteoarthritis, hypertension and stroke, the pattern is the same. J Gerontol A Biol Sci Med Sci.
Stroke, Volume 56, Issue Suppl_1 , Page AWP285-AWP285, February 1, 2025. Introduction:Cerebral small vessel disease (CSVD) is linked to stroke and dementiarisk, often predating clinical events for years to decades.
male) without cardiovascular disease and with proteomics measurements, we examined the primary composite outcome of fatal and nonfatal coronary heart disease, stroke, or heart failure (major adverse cardiovascular events), as well as additional secondary cardiovascular outcomes.
Stroke, Ahead of Print. Vascular contributions to cognitive impairment and dementia, specifically cerebral small vessel disease (CSVD), are the second most common cause of dementia. Currently, there are no specific pharmacological treatments for CSVD, and the use of conventional antidementia drugs is not recommended.
It usually takes many years of being exposed to an uncontrolled riskfactor such as high blood pressure, high LDL cholesterol or diabetes. Even if they have controlled all of their known riskfactors. However, it just happens way less often to those who have controlled their riskfactors. Manage Risk.
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