Contact: Heather Woolwine
March 28, 2014
CHARLESTON – Stroke survivors who consistently control their blood pressure may reduce the likelihood of a second stroke by more than half, according to new research in the American Heart Association journal Stroke.
Study authors, including Bruce Ovbiagele, M.D., MUSC Department of Neurology and Neurosurgery chairman and professor, found that among individuals with elevated blood pressure at baseline (systolic blood pressure over 153 mm Hg), second stroke risk was reduced by 54 percent among participants who kept their blood pressure under control more than 75 percent of the time, compared with those who kept it under control less than 25 percent of the time. Unfortunately, fewer than 30 percent of participants maintained consistent blood pressure control more than 75 percent of the time.
“Over time, a patient may average a blood pressure that falls within normal, but this study suggests that providers and patients should also factor in the proportion of time (or visits) in which that patient’s blood pressure stays within control versus not,” Ovbiagele said. “Since South Carolina has one of the highest stroke rates in the nation, and many strokes are readily preventable through good blood pressure management, targeting the maintenance of blood pressure control consistently over time following a stroke could be a helpful way to lessen the personal and public burden of stroke in our state.”
Contact: Heather Woolwine
Exciting news regarding stroke care came out of MUSC this week!
A MUSC and AHA led study was published showing that stroke deaths in the U.S. are on the decline. MUSC's Dr. Dan Lackland who chaired the study committee said, “The decline in stroke deaths is one of the greatest public health achievements of the 20th and 21st centuries. The decline is real, not a statistical fluke or the result of more people dying of lung disease, the third leading cause of death.” Learn more...
Also, this week it was announced that MUSC was awarded a $1.7 million grant from NIH to serve as a Regional Coordinating Center (RCC) for the National Institute of Neurological Disorders and Stroke “NIH StrokeNet”. The network’s purpose is to further develop, promote and conduct high-quality, multi-site clinical trials focused on stroke prevention, emergency treatment and recovery. “It is a great opportunity for South Carolinians to participate in these studies which will lead to future stroke therapies" according to Ed Jauch, M.D., Director of the Division of Emergency Medicine at MUSC. Learn more...
MUSC's Chair of Neurology, Dr. Bruce Ovbiagele was the lead author on a recently published study that has some alarming facts about stroke. The study results include:
- Almost 4 percent of U.S. adults — nearly one in 25 — will have a stroke. This translates into an additional 3.4 million people with stroke in 2030.
- Costs to treat stroke may increase from $71.55 billion in 2010 to $183.13 billion.
- Annual costs due to lost productivity could rise from $33.65 billion to $56.54 billion.
- Americans currently 45-64 years old are expected to have the highest increase in stroke at 5.1 percent.
- Stroke prevalence is projected to increase the most among Hispanic men between now and 2030, and the costs of treating stroke in Hispanic women is expected to triple.
Dr. Ovbiagele was quoted in the AHA press release regarding the report saying, “getting patients specialized acute stroke care as soon as possible is critical. During every minute of delayed treatment, brain cells are dying. EMS systems nationwide should take patients directly to a designated stroke center equipped to quickly diagnose and administer drugs to restore blood flow to the brain.” Our Comprehensive Stroke & Cerebrovascular Center is pleased to be able to offer highly specialized stroke care to the residents of South Carolina.
You can read more about the study online from TIME Healthland.
Envision SC recently interviewed Dr. Ray Greenberg, President of the Medical University of South Carolina, about how MUSC is improving health care globally as well as for the residents of South Carolina. The REACH MUSC tele-stroke network was shared as an example of how MUSC is saving lives of residents who suffer a stroke across South Carolina.
You can read an excerpt of the interview on The State newspaper website and view the video interview on the Youtube video shared below.
The March 2012 edition of Frontiers in Neurology includes a new article, REACH MUSC: Access to Expert Stroke Care with Telemedicine authored by MUSC team members, Abby Swanson Kazley, Rebecca C. Wilkerson, Edward Jauch, and Robert J. Adams.
The article details the results of a study conducted to determine the increase in access to rtPA through the use of telemedicine for IS in the general population and in specific segments of the population based on age, gender, race ethnicity, education, urban/rural residence, poverty and stroke mortality.
Read the article in its entirety on the Frontiers Journal website.