The nation's fourth leading cause of death is getting a little less common and a bit less deadly. And while racial disparities remain, there is equal progress in driving down stroke incidence and improving survival among African Americans and white Americans, a new study finds. Between 1987 and 2011, rates of stroke among a representative sample of Americans who were between 45 and 65 years old upon recruitment declined steadily. A stroke victim's likelihood of dying also decreased during the period. The decline in stroke incidence was largely driven by lower rates of stroke among those over 65, as there was no drop in strokes among younger patients. But the improved survival rates were driven by a declining death rate among younger stroke victims--those under 65. Among stroke victims older than 65, there was little improvement in the likelihood of dying within 30 days or a year of suffering a stroke. In explaining the drop, the authors of the latest study on stroke in America, published Tuesday in the Journal of the American Medical Assn., cited better and more widespread control of risk factors for stroke, including smoking, high blood pressure, high cholesterol, diabetes and atrial fibrillation. Over time, the … Continue reading
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