By RON WINSLOW Stroke, until recently the third leading cause of death in the U.S., has dropped back to fourth place, reflecting a host of gradual improvements in preventing and treating the disease. The change isn't a result of major advances in new medicines or devices. Instead, medical experts cite improvements in controlling people's risk factors such as high blood pressure and smoking. They also point to the increase in recent years in the number of designated stroke centers and emergency rooms that are specially equipped for stroke patients. A recent study underlines the incremental progress being made. Researchers in California found that treating stroke patients with cholesterol-lowering drugs called statins throughout a hospital stay substantially improved survival rates and increased the chances of patients being discharged to their home instead of to a nursing home. "In the country as a whole, there has been a dramatic reduction in stroke-related mortality in the last few years," said Larry Goldstein, director of the Duke Stroke Center at Duke University Medical Center, Durham, N.C. "We're learning more and more about preventing stroke." In the 10 years ending in 2008, the latest data available, the death rate from stroke, as a percentage of … Continue reading
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