Bystolic (Nebivolol)

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Other names: Nebilet
STROKE, A PREVENTABLE COMPLICATION OF HIGH BLOOD PRESSURE
Brain damage due to arterial disease can take several forms. Paralysis of one side of the body is the most familiar; but it may show up as a brief weakness of one hand or momentary loss of speech. In the severest form a violent headache may be followed within minutes by loss of consciousness. Sometimes several minor attacks can herald a more serious stroke. Another tragic manifestation is slow deterioration of intellect, concentration and memory.
The gravest form of stroke is due to tearing of a fine blood vessel leading to bleeding within the brain. A commoner variety results from the blocking of a fine artery supplying blood to part of the brain; this region is damaged by the lack of blood flow in just the same way as part of the heart is injured by obstruction to a branch of a coronary artery. This blockage may be due to a thrombus, that is, a plug consisting of the tiny blood cells called platelets. A fragment of thrombus often forms in the carotid artery in the neck, or within the heart itself; such a fragment may break loose and be carried in the blood stream to lodge in a narrow brain artery, so blocking it. This, is called embolism.
When arterial disease leads to weakness, loss of speech or sight, or giddiness lasting only a few minutes, or up to a few hours, doctors speak of transient ischemic attacks. Full recovery follows. Sometimes these recur without much sign of progression, but they can be an important warning that a more major stroke will happen. Modern medicine can do a great deal to avert this. Transient ischemic attacks are often due to platelet thrombi. Drugs which decrease the tendency of platelets to form a thrombus – including small doses of the homely aspirin – may avert further minor or major attacks. High blood pressure is dealt with. Giving up smoking is of real value, for nicotine increases the chance of forming platelet thrombi. If necessary a surgeon will repair an atherosclerotic carotid artery; and surgery of the brain arteries is currently being developed.
High blood pressure increases the risk of having a stroke. The higher the pressure, the greater the risk. ‘Mild’ high blood pressure is far commoner than severe hypertension, however; hence ‘mild’ high blood pressure is a frequent cause of strokes. Stroke, like heart attack, results from the combined effects of many factors. Cigarette smoking and diabetes was referred to earlier. Having a high cholesterol level only slightly increases the stroke hazard, but abnormal levels of the individual lipoproteins may be more important.
*38/202/5*

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