Young people, stroke and a hole in the heart (PFO)

(This post introduces my latest column on | Medscape Cardiology. It’s about stroke in young people.)  *** We define stroke as the death of brain cells. The typical cause is a blocked blood vessel in the brain. Stroke usually occurs in older people who have established blood vessel disease. Stroke is bad; it may be the worst outcome in all of medicine. That’s because stroke can permanently remove basic functions of being human, things such as speech, thought, personality, movement, swallowing, and many others. Stroke is not supposed to happen in young people. But sometimes it does. And in some of these cases, the cause may be due to a hole in the heart or patent foramen ovale (PFO). This membrane of sorts can allow blood to flow across the right and left atrium. From AHA What experts think happens in PFO-related stroke is that a clot from the venous system (say, from prolonged sitting or some other reason) travels from the right atrium across the PFO into the left atrium. That’s bad because LA clot goes to the left ventricle and gets pumped out into the body to lodge somewhere. (Since it is a straight shot from heart to brain, clots in the heart usually lodge in the brain.) But get this: about one in four humans have a PFO. Please read that again. One in four. So it’s completely normal to have a PFO. I see this all the time when doing AF ablations. Sometimes the catheter goes right across the membrane without help from the needle. The ...
Source: Dr John M - Category: Cardiology Authors: Source Type: blogs

Related Links:

CONCLUSIONS: The uniform flush produced less damage to the vascular endothelium and surrounding tissues and was superior to the pulsed flush. However, the uniform flush is prone to thrombosis. PMID: 31618404 [PubMed - in process]
Source: Acta Cirurgica Brasileira - Category: Surgery Authors: Tags: Acta Cir Bras Source Type: research
This study was conducted to enhance the rate of advance care planning conversations and documentation by improving knowledge, attitudes, and skills of caregivers.      Read more   Violence and Trauma ...
Source: Johns Hopkins University and Health Systems Archive - Category: Nursing Source Type: news
In the absence of high-level evidence, new registry data appear to support off-label use of mechanical thrombectomy in childhood stroke.Medscape Medical News
Source: Medscape Neurology and Neurosurgery Headlines - Category: Neurology Tags: Neurology & Neurosurgery News Source Type: news
TIME held its first TIME 100 Health Summit on Thursday aiming to define — and shape — the future of health care. The Summit, which is an offshoot of the magazine’s annual TIME 100 list of influential people, featured scientists, politicians and entertainers, such as former President Bill Clinton, former Vice President Al Gore, NIH Director Dr. Francis Collins, actress Selma Blair, NBA commissioner Adam Silver, comedian Tig Notaro and former Planned Parenthood President Dr. Leana Wen. The day included a range of interviews, panels and performances. Here are the biggest moments from the Summit. Former Vice ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Comedy HealthSummit19 onetime Source Type: news
“We’re not as healthy as we should be.” That’s what Fitbit CEO and co-founder James Park said at Thursday’s TIME 100 Health Summit, where MSNBC anchor Stephanie Ruhle interviewed him about the company’s future in the health care space, the impact of wearables and just how active Fitbit’s 30 million active users really are. Ruhle talked with Park about Fitbit’s position as one of the first major wearables company to have gone public, one that led the charge in terms of mass market adoption but has lost ground to competitors offering more advanced wearable devices, as well as ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized fitness HealthSummit19 technology Source Type: news
Publication date: Available online 16 October 2019Source: Sensors and Actuators A: PhysicalAuthor(s): Ssu-Han Chen, Aron Michael, Chee Yee KwokAbstractThis paper presents the fabrication and characterization of a high performance piezoelectrically driven micro-lens actuator. The fabrication method involves controlling the residual stresses in the structure to predefine the initial deflection of the actuator, resulting in a larger actuation stroke. The residual stress control exploits the unique properties of ultra-high vacuum e-beam evaporated film to form thick tensile polysilicon as the actuator structural layer. This is...
Source: Sensors and Actuators A: Physical - Category: Physics Source Type: research
Rivaroxaban not only failed to show noninferiority to warfarin, but trended toward higher thrombosis risk in patients with APS.Medscape Medical News
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Cardiology News Source Type: news
Founder of both InTouch Health and Computer Motion, Dr. Yulun Wang is considered one of the fathers of modern surgical robotics. Originally a graduate of University of California, Santa Barbara, Dr. Wang developed AESOP (Automated Endoscopic System f...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Surgery Source Type: blogs
(Reuters Health) - Experiencing a substantial drop in income may raise the risk of having a heart attack or stroke years later, a recent study suggests.
Source: Reuters: Health - Category: Consumer Health News Tags: healthNews Source Type: news
Taking aspirin might decrease the risk of death in patients with biliary tract cancer, suggests data analysis, although researchers caution more evidence is needed to change practice.Medscape Medical News
Source: Medscape Hematology-Oncology Headlines - Category: Cancer & Oncology Tags: Hematology-Oncology News Source Type: news
More News: Aspirin | Atrial Fibrillation | Atrial Septal Defect | Brain | Cardiology | Coumadin | Heart | Hole in the Heart | Neurology | Patent Foramen Ovale | Stroke | Study | Thrombosis | Warfarin