Second Stroke?...Maybe

Why do people keep trying to tell me about stroke prevention and recognizing the symptoms of the stroke? — I've already had a stroke!  

Well, unfortunately, the risk of a second stroke or something like a TIA remains fairly high for at least five years after the first one. In fact, of the 795,000 Americans who will have a first stroke this year, 23% will suffer a second stroke. In total, about 25% of stroke survivor's will have another stroke.  

This is why it is always important for stroke survivors to take steps to lower their risk of having another stroke.

So what factors put you at the greatest risk?

  • Chronic hypertension  
  • Diabetes
  • High cholesterol  
  • Obesity  
  • Prolonged inactivity  
  • Smoking

The great thing is that something can be done about ALL of these risk factors!

Let's talk about what you can do about it

1) Monitor Your Blood Pressure

Many people who have had a stroke also have high blood pressure. High blood pressure is one of the most controllable and preventable risk factors for a stroke.  

It is important to monitor their blood pressure daily (I recommended at least twice a day) and to take medications as prescribed and recommended.  

If you notice your blood pressure medications are doing a poor job at managing your blood pressure, LET YOUR DOCTOR KNOW. If your blood pressure medications tank your blood pressure (super low blood pressure), LET YOUR DOCTOR KNOW. If your blood pressure medications make you "feel funny," LET YOUR DOCTOR KNOW!

2) Get Active
The more active you are, the stronger you heart gets, and the less strain that will be put on your arteries. In fact, exercising enough to break a sweat a few times a week can reduce your risk for a second stroke by 20 percent.  

Start slow and build up from there. If you are unable to do something like walk or ride a bike, chair exercises or floor bicycle are just as good. Just get the body moving as safely as possible.  

3) Modify your diet

A Mediterranean diet is one of the most recommended diets to reduce the risk of a second stroke. Studies have found that a Mediterranean diet can reduce your risk of a second stroke by 21 percent.  

The main components of a Mediterranean diet:  

  • Daily consumption of vegetables, fruits, whole grains and healthy fats such as olive oil  
  • Weekly intake of fish, poultry, beans and eggs
  • Moderate portions of dairy product such as yogurts and cheeses
  • Red wine in moderation  
  • Limited intake of red meat

Many of these foods are also clinically proven to help aid in stroke recovery. So, that's a bonus!

4) Protect Your Mental Health

Anxiety and depression are extremely common after a stroke, which overtime can increase your blood pressure and consequently your risk for a second stroke.  

  • Exercise regularly  
  • Breathe deeply  
  • Meditate and practice mindfulness  
  • Identify fun, enjoyable leisure activities  
  • Find a social support group  

If necessary, talk to your doctor and get the help you need!  

5) Stop Smoking

Smoking can be an incredibly hard habit to kick! That's why it's necessary to get the proper support. Visit quit.com for more specific information to help you on your journey!

To recognize the symptoms of a stroke — BE FAST!

BE FAST is a quick easy acronym that's helpful for recognizing a stroke. It may just help you save someone's life — even your own!

Balance

Sudden onset of dizziness, loss of balance or coordination, possibly even an inability to walk at all.  

Eyes

Vision changes such as blurred vision or double vision is common after a stroke.

Facial Drooping

One side of the face may droop or feel numb. Ask the person to smile. Is the person's smile lopsided or uneven?

Arm Weakness

Check to see if one arm or side of the body is weak, paralyzed, or feels numb. A quick test is to ask the person to raise both arms at the same time. Is there a noticeable difference? Does one arm drift downward?

Speech Difficulty

This could include slurred speech or general speech difficulty. A good test is to have the person say your name. Does it sound like it typically does?

Time to Call 911

If you notice any of these symptoms call 911 immediately. DO NOT WAIT to see if the symptoms will resolve!