a macro study reveals the exact heart rate to minimize the risk of stroke

Nowadays we monitor our vital signs, such as heart rateon the wrist itself thanks to smartwatches and activity bracelets that constantly tell us how many beats per minute our heart beats at rest. This information is vital, since traditionally it is believed that having an excessively high number is an indication that something bad is happening in the heart. The middle point is the best. In medicine, both due to excess and scarcity, we can find a scenario that is pathological, and that is why, although we relate high heart rate as something very negative, we must keep in mind that having them excessively low It is not always positive. This is the main conclusion of a pioneering research presented at the European Stroke Organization Conference, and although it has yet to undergo review, its foundations are extraordinarily solid, based on the analysis of 460,000 participants over 14 years. Crossing data. Of all these people analyzed, the researchers were especially interested in their medical histories and the diseases they presented, highlighting the registration of a total of 12,290 cases of stroke during the decade and a half of follow-up. But what is truly important here is when these records were crossed with the resting heart rate data of the participants, discovering a very clear pattern by showing a risk graph in the shape of a ‘U’ and not a straight line. Its meaning. The fact that a graph with this shape has been generated tells us that the optimal heart rate level is between 60 and 69 beats per minute, since these people were the ones with the lowest risk of suffering from a stroke. The problem is that, when the heart rate at rest exceeds 90 bpm, the risk of suffering a stroke increases by up to 45%, both ischemic and hemorrhagic. But in the case of having excessively low heart rate, the risk also increases, so we cannot be completely calm if we have 50 bpm at rest. Atrial fibrillation. Until now, medicine was very clear that severe arrhythmias such as atrial fibrillation They were determining risk factors for suffering a stroke. But now this study adjusted the data specifically to separate people with and without atrial fibrillation, showing that resting heart rate is, on its own, an independent prognostic marker. Because? Although this study gives us a lot of information, the reality is that previous medical literature already offered a fairly rigorous explanation as to why a low or high heart rate had implications for strokes. In this case, an excessively low frequency can alter cerebral hemodynamics, causing blood to pass too slowly through the brain, and facilitating the formation of thrombi in certain contexts, especially when there are more risk factors. On the other side of the scale, when the frequency is chronically high, we have the layer of our blood vessels exposed to blood flow, exposed to constant mechanical stress that favors inflammation, hypertension and vascular damage, as has been shown in previous studies. Preventive medicine. These findings are good news for patients, especially older patients, since it is a new parameter that can predict the possibility of something as serious as a stroke occurring. This allows, especially in primary care, to better control the heart rate and not miss when it goes too fast or too slow, since the consequences can be fatal. Images | freepik In Xataka | We cannot predict a stroke, but we can avoid its main risk factors: reducing the danger is in our power

restore mobility to millions of stroke patients for 15,000 euros

The Spanish company Robopedics has presented the final design of Awake, your bionic mobility assistance device. It is a unique product in the world and is developed with a clear and very specific objective: to help people who have suffered a stroke rehabilitate and regain the ability to walk. You have probably heard of this disease, but it is also very likely that you do not know its subsequent impact: 93% of those who survive end up having significant consequences, and in fact 82% end up having continuous dependence and permanent help in the chronic phase. Many lose their autonomy and ability to walk. And that’s where Robopedics comes in. From the storage room to a promising medical revolution TO Ivan MartinezCEO and co-founder of Robopedics, it didn’t occur to him that he wanted to create a company to help stroke patients walk again. The only thing he wanted was to help his father, who suffered a stroke before the pandemic that left him without that ability. Iván Ramírez, CEO and co-founder of Robopedics. With that illness Iván had a shock of reality. After the stroke came dependency, the slowness of the system and the frustration of seeing that the technology did not seem to be made for cases like his father’s. “He only had one leg affected, but all the solutions were for two.” That’s how it is. The solutions that we usually find on the market are bilateral clinical devices that are designed for spinal cord injuries. These exoskeletons are striking, but they have many limitations. The first, the price, which usually starts at 100,000 euros. The second, the weight: they do not weigh less than 20 kg and make handling complicated. In fact, Ramírez points out, current solutions barely have any scope: although it may seem more because of their popularity in the media, only about 500 units are sold a year, when there are more than 20 million people who would need them. Ramírez decided to build from scratch a unilateral bionic device (“it is not an exoskeleton,” its creators insist) that would be capable of helping those who had lost unilateral mobility after a stroke to walk. Ramírez tells us without drama: “during the first four years I was alone. I took notes from my degree, tutorials, papers, I went to events… I learned as I went.” Iván had the help of the medical staff who treated his father, for example, but the technological solution was entirely in his hands. Without resources or equipment, he began to design and test his first structures from home, with basic engines. “I thought it would be a three-afternoon project, and I spent four whole years on it.” And then something happened. His father died during the COVID-19 pandemic, and the blow was tremendous. “Ramírez kept the prototype in the storage room and forgot about it for months.” But then, “by circumstances and coincidences,” he confesses, he met his co-founders, Dionís Guzmán and Marc Serraand decided that this device could become a commercial product. One that would help improve the lives of many people, even if he would not be able to help Iván’s father. Get up and walk This is how Robopedics was born, which little by little developed its current solution, Awake. Until then, Ramírez explains to us, existing exoskeletons were bilateraldesigned for people with spinal injuries or who cannot move either leg. This engineer soon understood why there were no solutions for those who only had one leg affected: it was much more difficult. With two robotic legs there is always one resting on the ground, making balance and control easier. But with only one, the system has to coordinate the robotic leg with the patient’s healthy leg, which does not have sensors or assistance. “Doing it with one leg seemed simpler, but it was just the opposite: without instrumenting the healthy leg, everything is much more complex,” he explains. The result was a lightweight unipodal exoskeletonwith adjustable telescopic joints and an electronic system curiously based on a Raspberry Pi in its industrial model. The idea not only reduced costs – key in a market where prices are skyrocketing – but also opened the door to more accessible and modular manufacturing. With the start of the business project, Iván and his partners added physiotherapists and neurological rehabilitation specialists to the team. Sandra Torrell, a team physiotherapist who has been working with stroke patients for years, explains how in the initial tests “we saw that the device really worked. There were patients who arrived tired and left walking straighter, more confident. And that change was maintained over time.” The device has already passed the technical development and laboratory testing phases, and is now entering the clinical trials stage to achieve medical certification. This approval, in which they have spent four years, has been long but, curiously, fruitful: by having to meet the demanding medical requirements, the product “is much better than it was at the beginning of the process,” confesses Ramírez. In fact, if everything goes as expected, Awake will be available in Spain in the second half of next year. And subsequently the idea is to expand the market, first in the European Union and then in the rest of the world. For this expansion, Robopedics has been closing successive rounds of investment, raising two million euros in the past, to which another million more is added in a new recent financing round and another 700,000 euros that they hope to raise in an imminent round. Among its key partners, Iván Ramírez highlights, are the Mondragón group as the main investor, in addition to Erreka as in charge of global manufacturing. To develop the product they have worked in collaboration with the Valencia Biomechanics Institute and The CT Engineering Group. The funds are used, for example, to achieve regulatory authorization as a class IIa medical device and thus be able to launch it on the market. How does Awake work… and how much does it … Read more

What we know about the risks of suffering a stroke being young

Over the years our health worsens and that is why it is not surprising that there are diseases and ailments that we associate with age, such as Alzheimer’s or some types of cancer. However, young people are not immune to these diseases and when these call the consequences can be devastating. An increasing problem. Age is One of the key risk factors In the appearance of stroke or stroke (stroke), but that does not mean that young people are immune to this type of event. According to the European ICTUS organization (that for its acronym in English), the prevalence of ischemic stroke (the most frequent type of stroke) in adults between 18 and 50 years is approximately 10 cases per 100,000 inhabitants and year. More worrying perhaps is the fact that this prevalence has been growing, at least in high -income countries between the 1980s and the present. Also worrying the fact that we do not know exactly the reason. The stroke. The strokes occur when interrupts or reduces drastically The blood flow that reaches a part of the brain. There are two types of stroke depending on the origin of this interruption, ischemic (the most frequent), or hemorrhagic (less prevalent). The ischemic stroke occurs when one of the circulatory routes of the brain is blocked, by a clot or by a narrowing of this route. The hemorrhagic instead is caused by the breakage of the blood vessel and can therefore be even more harmful than the ischemic. Risk factors. The risk factors in the appearance of the ICUTS have been extensively studied, but the information we have regarding cases in which this ailment is unleashed early is more limited. A study Posted in 2018 in the magazine Journal of the American Heart Association He studied these factors and found 11 that showed statistical correlation. These risk factors included atrial fibrillation, cardiovascular diseases, diabetes types 1 and 2, LHD clollesterol, hypertension, and family history of stroke. The study also found a negative correlation between LDL cholesterol and the risk of suffering from an early stroke. Other studies have also found risk factors in the consumption of tobacco, obesity or metabolic syndrome although only the first of these three factors did it with consistency According to that. The weight of genetics. Genetics is an important factor in the appearance of stroke. Another study Posted in 2022 in the magazine Neurologyobserved some genetic trends among patients with early stroke. The team found a relationship between the genes that determine the blood group and this risk. The existence of stroke cases in family history is generally considered a risk factor, but it is more when these cases occur at an early age. That is, the cases of stroke in young people are, in themselves, a risk factor. When the stroke comes soon. Experts used to think that the arrival of an ICTUS at an early age raised a smaller problem than its arrival at a late age since the response capacity was better. However, long -term studies They have questioned that idea: People suffering from an early ichtus show an increase in long -term mortality among those who suffer from this type of events before the age of 60. In Xataka | We have a new and promising treatment against the consequences of stroke (and has been created in Spain) Image | MART PRODUCTION

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