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How long does your body warn you before a stroke?

Warning signs of an ischemic stroke may be evident as early as seven days before an attack and require urgent treatment to prevent serious damage to the brain, according to a study of stroke patients published in the Ma issue of Neurology, the scientific journal of the American Academy of Neurology.

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EMBARGOED FOR RELEASE UNTIL 4 PM ET, March 07, 2005

Stroke Warning Signs Often Occur Hours or Days before Attack

St. Paul, Minn. -

Warning signs of an ischemic stroke may be evident as early as seven days before an attack and require urgent treatment to prevent serious damage to the brain, according to a study of stroke patients published in the March 8, 2005 issue of Neurology, the scientific journal of the American Academy of Neurology. Eighty percent of strokes are ischemic, caused by the narrowing of the large or small arteries of the brain, or by clots that block blood flow to the brain. They are often preceded by a transient ischemic attack (TIA), a “warning stroke” or “mini-stroke” that shows symptoms similar to a stroke, typically lasts less than five minutes, and does not injure the brain. The study examined 2,416 people who had experienced an ischemic stroke. In 549 patients, TIAs were experienced prior to the ischemic stroke and in most cases occurred within the preceding seven days: 17 percent occurring on the day of the stroke, 9 percent on the previous day, and 43 percent at some point during the seven days prior to the stroke. “We have known for some time that TIAs are often a precursor to a major stroke,” said study author Peter M. Rothwell, MD, PhD, FRCP, of the Department of Clinical Neurology at Radcliffe Infirmary in Oxford, England. “What we haven’t been able to determine is how urgently patients must be assessed following a TIA in order to receive the most effective preventive treatment. This study indicates that the timing of a TIA is critical, and the most effective treatments should be initiated within hours of a TIA in order to prevent a major attack.” Rothwell also noted that clinical guidelines should be amended accordingly. The study included two population-based studies (Oxford Vascular Study and Oxfordshire Community Stroke Project) as well as two randomized trials (UK-TIA Aspirin Trial and European Carotid Surgery Trial). The American Academy of Neurology is the world's largest association of neurologists and neuroscience professionals, with 38,000 members. The AAN is dedicated to promoting the highest quality patient-centered neurologic care. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as Alzheimer's disease, stroke, migraine, multiple sclerosis, concussion, Parkinson's disease and epilepsy. For more information about the American Academy of Neurology, visit AAN.com or find us on Facebook, Twitter, LinkedIn, Instagram and YouTube. Editor's Notes: Common symptoms of a TIA, which are similar to those of a stroke yet temporary, include: Sudden numbness or weakness of the face, arm or leg, especially on one side of the body

Sudden confusion or problems understanding

Sudden difficulty speaking

Sudden vision difficulty in one or both eyes

Sudden dizziness, loss of balance or coordination, or difficulty walking

Sudden, severe headache with no apparent cause

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The top fruits for lowering blood pressure include bananas, apples, pears, apricots, grapes, raisins, kiwis, mangoes, watermelon, pomegranate, plums, prunes, avocado, cantaloupe, honeydew melon, tomatoes, citrus fruit, berries, and more.

What Is High Blood Pressure?

A healthy diet can help you manage high blood pressure, including eating plenty of fruits and vegetables. The top fruits for lowering blood pressure include bananas, apples, pears, apricots, grapes, raisins, kiwis, mangoes, watermelon, pomegranate, plums, prunes, avocado, cantaloupe, honeydew melon, tomatoes, citrus fruit, berries, and more. High blood pressure (hypertension) is a condition in which the force of blood pumping through the arteries is consistently too high. When this occurs, the walls of the arteries are extended beyond their normal limit, which can lead to damage and scarring and put people at risk for heart attack, stroke, and kidney disease.

Blood pressure is expressed in two numbers:

Systolic blood pressure (the first/top number): measures the pressure in the blood vessels when the heart beats Diastolic blood pressure (the second/bottom number): measures the pressure in the blood vessels when the heart is at rest between beats High, elevated, and normal blood pressure is usually defined in the following ranges:

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