Q: My 37-year-old cousin had a stroke two months ago. I don’t really understand why she had it at such a young age. And does that mean I’m at increased risk? I am 52. Any info would be welcome! -- Greg T., Evansville, Indiana
A: It surprises people to learn that about 15% of ischemic strokes happen to young adults and adolescents and that in any given year, around 34% of people hospitalized for a stroke can be younger than 65.
There are three types of strokes: Ischemic stroke happens when blood flow to the brain becomes blocked and accounts for around 87% of strokes. A hemorrhagic stroke happens when an artery in the brain ruptures. A transient ischemic attack, AKA mini-stroke, occurs because of a temporary blockage of blood flow to the brain. It can signal a risk for a major stroke.
The most common causes are high blood pressure, high LDL cholesterol, obesity, diabetes, head or neck trauma, an irregular heartbeat and smoking or vaping. Smoking -- even a little -- increases the risk -- every five cigarettes you smoke a day increases your stroke risk by 12%. In addition, genetic risks for cardiovascular disease may predispose you, as can diseases like sickle cell anemia.
To reduce your risk, get plenty of physical activity; eat a plant-based diet that avoids highly processed foods, saturated fats and added sugars; maintain a healthy weight; and don’t smoke or vape. Also, have cholesterol levels and blood pressure checked regularly; take any medications prescribed for diabetes and heart disease; and limit alcohol consumption. If you’ve had a stroke, stay in touch with your health care team to prevent another one (around 23% of people who have a stroke will experience a second one).
We hope you and your cousin adopt preventive measures. And check out the iHerb.com blog, “Cardiovascular Health,” which lets you know what foods to avoid if taking anti-clotting medication and what may help protect you from stroke or aid in your recovery. (Always discuss supplements with your doctor before taking them).
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