Heart Disease
Heart disease, a risk factor for ischemic stroke, can cause blood clots that
may break apart and block blood vessels in the brain.
In particular, atrial fibrillation, or irregular heartbeats in the left side
of the heart, can cause irregular blood flow and create some blood clots. These
blood clots can leave the heart and travel to the brain, causing a stroke.
People who have irregular valves or muscles in the heart face an increased
risk for stroke. Such valve diseases as mitral valve stenosis or mitral annular
calcification can double a person's risk for stroke, regardless of other factors.
People who undergo heart surgery to correct problems or reverse the effects
of heart disease also have an increased risk for stroke. Plaque from the aorta
sometimes can come loose during surgery and travel through the bloodstream to
the arteries in the neck and head, causing stroke.
Atherosclerosis ("hardening of the arteries"), a process in which plaque builds
up along artery walls, increases stroke risk, as well. This condition reduces
the amount of blood that nourishes the heart and brain. Inside the blood vessels,
a cap forms an irregular surface over fatty plaque. If the plaque is unstable,
it bursts through the cap. The body responds as it would to an injury-by forming
blood clots, which can block blood flow and cause a stroke.
People can lower their risk for developing atherosclerosis by controlling their
blood cholesterol. To do so, a person must lower his or her daily fat intake
to 30 percent or less of total calories, reduce stress, and exercise regularly.
Some people who have a genetic predisposition to high cholesterol may need to
take medication.
References
- What
Are the Risk Factors for Stroke? American Federation for Aging Research,
2002.
- Atherosclerosis,
American Heart Association, 2002.
- Living
with Atrial Fibrillation, American Heart Association, 2002.
Source of Material: RockHill Communications,
14 Rock Hill Road Bala, Cynwyd, PA 19004, (610) 667-2040,
Writer: Christine Norris
Editors: Erin Murphy, Andrea King, Joanne Poeggel, Ron Wozny
Clinical Reviewer: Patt Panzer, M.D.
Date Written: 4/30/01
Last Revised: 4/3/03
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