There has never been a disease like stroke, which can make a person lose the dignity of life in an instant: the mouth and eyes are crooked, the limbs are numb, and even paralyzed in bed …… Do you really understand stroke? Have you also fallen into its misconceptions? Professor Wang Congjun of Beijing Tiantan Hospital of Capital Medical University summarized the ten misconceptions of stroke. 1. Correct view: Stroke can happen at any age, regardless of gender and age. 1 in 6 people worldwide will suffer a stroke in their lifetime, 1 in 2 seconds, 1 in 6 seconds will die from stroke, 1 in 6 seconds will be permanently disabled by stroke. The average age of stroke onset in China is 66 years, 10 years earlier than in white America. Moreover, most stroke patients have no warning before the onset of stroke and less than 1/3 have a history of transient ischemic attack. Therefore, do not think that stroke is a disease of the elderly. In time, you are young, have normal blood pressure, pay attention to your life, and have annual physical examinations, it is just as likely that a stroke will occur. 2, the correct point of view: carotid artery examination is not the same as stroke screening, and plaque in the carotid artery does not necessarily mean that a stroke will occur Stroke screening is a comprehensive process. Cerebrovascular examination and carotid artery examination are only part of the process, and it depends on whether it has risk factors or not. The risk factors include: (1) behavioral factors, the biggest risk is smoking; (2) mental stress; (3) reduced exercise; and (4) disease factors, including hypertension, diabetes, heart disease, and of course, dyslipidemia and others. Therefore, even if there is carotid plaque, do not be nervous, it does not necessarily mean stroke. 3.Mistake: if the cerebrovascular examination is normal, you will not suffer from cerebrovascular disease In cerebrovascular disease, vascular factors are only one of the causes. Some statistics show that 1/5 of cerebrovascular disease actually comes from the heart, with atrial fibrillation first, and has nothing to do with blood vessels. So cerebrovascular screening is normal, does not mean you will not suffer from cerebrovascular disease. 4. Wrong opinion: some food or action is a panacea to prevent stroke Often someone says he has the best trick to prevent disease, eating special food, combing his hair with a rhinoceros horn comb, exercising every day, etc.. Others take lecithin, fitness tea, etc. every day. Do these really prevent strokes? For health care, sometimes regular living even outweighs science itself. Not many foods, including lecithin, etc., as we often say, really work, and the best foods are still these vegetables and fruits that we eat every day. The most evidence-based exercise to prevent stroke is brisk walking. But research from the American Institutes of Health shows that strenuous exercise will increase brain bleeding, so exercise is also to have a limit. 5, the correct view: aspirin is not a panacea and does not prevent any stroke The current aspirin use of the general population in China is 14%, much lower than the 50% in the United States. The aspirin recommended by clinical doctors varies from person to person, and certainly not for anyone. Studies in the United States have pointed out that the following three groups of people are suitable for aspirin use: (1) people who have already had a heart attack; (2) women over the age of 45; and (3) people with multiple risk factors and a high risk of future cardiovascular disease. However, aspirin is best not used by the following people: (1) people with very high blood pressure that cannot be easily controlled; (2) people with bleeding disorders; and (3) people with a family history of brain hemorrhage. The US guidelines also state that stroke prevention and control measures are comprehensive and that aspirin is only one part of prevention. Although aspirin is important, don’t forget to take antihypertensive, lipid-regulating and blood sugar-lowering medications as prescribed by your doctor, as these are also important measures. 6, the wrong point of view: drugs are toxic, health care products are safer Some people say: drug instructions written on the side effects, the chances of side effects are also more, Western medicine to treat the symptoms, Chinese medicine to treat the root. The fact is that the frequency and severity of adverse reactions have no relationship with the number of instructions written. Stroke prevention drugs, many people worry about long-term liver damage from taking them, I can say that there is not a single case of physical damage from the use of statins in the world, so do not be frightened by the instructions. The safety of health care products has not been scientifically evaluated, and those with definite efficacy must not be health care products, and health care products are very expensive, so we must not blindly believe in health care products, and give up drugs with better safety, thus misleading the condition. 7, wrong opinion: their stroke symptoms are very light, do not need to be hospitalized, in the outpatient infusion can be good In fact, even a small stroke, the prognosis is often unsatisfactory, mortality and recurrence rates are higher, so the emergence of a small stroke must be taken seriously. From a social point of view, the treatment of brief and minor strokes is of greater value. A minor stroke is normal if it is cured, but it may become a real stroke if it is not treated. 8, wrong opinion: infusion is more effective than medicine At present, China has become a large country of infusion, all hospitals have infusion rooms, but for the prevention of stroke, infusion has how much effect? In fact, there are not many infusions that have a significant effect in the early stages of stroke. In our national guidelines, there is almost no infusion, mainly statins, antiplatelet and antihypertensive drugs, and only thrombolysis requires intravenous infusion. Inappropriate infusion will only make the disease heavier, and research has found that patients with daily infusions have a higher disability rate. 9. Wrong opinion: activating blood = unblocking blood vessels = preventing stroke Often patients say, “I now eat panax ginseng and wild ginkgo tea every day, and eat blood-boosting supplements every day, so I can live the blood and dissolve the blood clots.” This is wrong. Nowadays, there are few varieties of thrombolytic drugs, all of which also have the best time period for treatment, and the risk of thrombolysis will be great and harmful. So far there is no oral thrombolytic drugs, and blood-activating drugs cannot dissolve clots and unblock blood vessels. 10. Wrong opinion: if the stroke symptoms are reduced, the disease is better, and the legs and feet can move, there is no need for medication. It is important to know that the recurrence rate of stroke is very high, the 5-year recurrence rate is 30%, and 1/3 of people are re-hospitalized because of recurrence. Patients who have done the ESSEN Stroke Risk Scale, the higher the score the more people have to stick to their medication. Others stop taking medication because they can move their legs and feet. In fact, even if the limbs recover after a stroke, the blood vessels may not necessarily get better. The blockage may still exist, and one should adhere to the medication as prescribed by the doctor.