Medication

Taking a Different Approach to Stem Cell Therapy for Stroke

Since a stroke overstimulates the immune system, resulting in permanent damage to the brain, can using stem cells to calm the immune system limit the extent of damage caused by a stroke? Cleveland Clinic researchers participating in multicenter studies of this unusual approach to stem cell therapy are trying to find out. We are cautiously optimistic, says neurologist Ken Uchino, MD.
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Ask The Doctors: June 2018

Depending on your exercise goals, there may be specific benefits to working out at a particular time of day. Exercising in the morning may be associated with lower blood pressure, better sleep and greater weight loss, due to improved fat burning and appetite suppression. Studies also suggest that people tend to be more consistent with morning exercise, due to fewer distractions that are likely to interrupt their routines later in the day.
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Heart Failure Breakthrough

Cardiologists are calling angiotensin receptor/neprilysin inhibitors (ARNIs) one of the most exciting developments in heart failure in decades. These drugs relax blood vessels and eliminate excess fluid and sodium in a new, very effective way.
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Ask The Doctors: May 2018

In 2002, the American Heart Association recommended that patients with coronary heart disease (CHD) consume 1 gram daily of marine-derived omega-3 fatty acids containing EPA plus DHA, preferably from oily fish. Supplements are okay if you dont like fish. In 2012, 8 percent of adults in the United States were taking fish oil supplements. However, fatty acids may have gained their heart-healthy reputation in the absence of strong evidence. Only one clinical trial reported benefit in patients with heart failure, and there is little evidence to support its benefit for primary prevention.
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Know When You Might Benefit from Palliative Care (Psst…Its Not Hospice)

In the course of a disease, you may experience distressing symptoms, despite the best medical treatment. Or you learn that a procedure that might save your life has frightening risks. You may run out of treatment options and worry about what will happen next.
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Heart Beat: May 2018

The bacterium Chlamydia pneumonia is known to be present in atherosclerotic plaques, and macrolide antibiotics will eradicate C. pneumoniae from atherosclerosis. Two studies have shown this improves the cardiovascular health of patients with coronary artery disease (CAD), likely by reducing inflammation.
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Migraine with Aura and Stroke

Before birth, blood bypasses the lungs by circulation through a hole between the upper chambers of the heart called a foramen ovale. After birth, the hole generally closes. If it does not, it is known as a patent (open) foramen ovale, or PFO. PFOs increase the risk of a blood clot passing from the right side of the heart into the left side, where it gets pumped into the circulation and travels to the brain, causing a cardioembolic stroke.
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Theres No Need to Fear Ablation for Atrial Fibrillation

Most physicians try treating a medical problem medically before recommending an invasive procedure or surgery. But in the case of the cardiac arrhythmia known as atrial fibrillation (AFib), a procedure called ablation is proving so successful that it is increasingly being recommended as a primary treatment for patients with certain forms of this condition.
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Download the Full February 2018 Issue PDF

Dont forget to cultivate good habits as a couple. A different study revealed a higher risk of diabetes in husbands whose wives gained weight. Since couples tend to eat the same meals and have the same eating habits, both people are likely to suffer or benefit from their choices, so choose well.
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Ask The Doctors: January 2018

What is the latest word on taking an aspirin a day to help prevent a heart attack? Ive heard opposing ideas from two of my doctors. What is the truth about vitamins and supplements? Do they really promote heart health?
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Which Blood Thinner Is Right for You?

Anticoagulants-more widely known as blood thinners-are used in patients with cardiovascular disease. Blood thinners dont actually thin the blood; they interfere with the ability of a protein called fibrinogen that causes blood to clot. This makes them useful for preventing blood clots from forming in the arteries or veins, where they could cause a heart attack or stroke or blood clots in the legs or lungs.
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Ask the Doctors: December 2017

At my last checkup, my doctor said I was prediabetic, but he didnt prescribe medication. Will changing my diet and exercising be enough to bring my blood sugar levels down?I recently suffered what I thought was a stroke, but it turned out to be a transient ischemic attack (TIA). What can I do to prevent a full-blown stroke?
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