Is someone who has had a stroke previously more likely to have another?

Question by Katrina M: Is someone who has had a stroke previously more likely to have another?
My granddad recently had a mild stroke – does this mean he is more susceptible to another in the future?

Best answer:

Answer by *~Queeny~*
Unfortunately yes it does, but it does not mean that he is guaranteed to have another one. Best wishes to your grandfather.

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  1. Reply
    Sean May 28, 2013 at 1:43 pm


  2. Reply
    Wooty May 28, 2013 at 2:41 pm

    Although the onset of a stroke is sudden, the underlying disease condition has usually been of long standing. Stroke may be caused when the formation of a blood clot (thrombus) at the site blocks a vessel—a complication of arteriosclerosis. It may be caused by the lodging of a floating fragment of blood clot (embolus) in one of the arteries of the brain. Or it may be caused by a rupture of the wall of an artery in the brain, with escape of blood into the brain tissue. The rupture may be brought about by high blood pressure forcing blood through a weakened vessel wall, as in arteriosclerosis or in aneurysm.

    Your granddad has to change his habits that caused him to have his first stroke. Having a higher chance of getting a second stroke only seems that way because people don’t change their habits.

  3. Reply
    Judge May 28, 2013 at 2:45 pm

    I agree with Wooty, if the old established habits are not dealt with, then there is a distinct possibility that another stroke will follow. check out Mike Adams (the health ranger)

  4. Reply
    jaf May 28, 2013 at 3:07 pm

    The chances of your granddad having another stroke is highest in the first few months after his initial stroke. I read that 25 percent of all stroke patients have another stroke within 5 years. This appears very bleak but there are some risk factors that can be avoided to reduce the odds that a stroke will reacquire; not smoking or drinking alcohol and if diabetic try to control it, But there are more risk factors that your granddad has no control over. As you said his stroke was mild and these odds are based on all strokes.

  5. Reply
    Srinivas May 28, 2013 at 3:54 pm

    There are more chances of recurrence for stroke


  6. Reply
    gangadharan nair May 28, 2013 at 4:22 pm

    A Transient ischemic attack (TIA) is often considered a warning sign that a true stroke may happen in the future if something is not done to prevent it.
    To help prevent a stroke:
    * Avoid fatty foods. Follow a healthy, low-fat diet.
    * Do not drink more than 1 to 2 alcoholic drinks a day.
    * Exercise regularly: 30 minutes a day if you are not overweight; 60 – 90 minutes a day if you are overweight.
    * Get your blood pressure checked every 1 – 2 years, especially if high blood pressure runs in your family.
    * Have your cholesterol checked. If you are at high risk for stroke, your LDL “bad” cholesterol should be lower than 100 mg/dL. Your doctor may recommend that you try to reduce your LDL cholesterol to 70 mg/dL.
    * Follow your doctor’s treatment recommendations if you have high blood pressure, diabetes, high cholesterol, and heart disease.
    * Quit smoking.
    Aspirin therapy (81 mg a day or 100 mg every other day) is recommended for stroke prevention in all men who have stroke risk factors, and in women under age 65 who are at risk for stroke, as long as the benefits outweigh the risks. It should be considered for women over age 65 only if their blood pressure is controlled and the benefit is greater than the risk of gastrointestinal bleeding and brain hemorrhage. Ask your doctor if aspirin is right for you.

  7. Reply
    john e russo md facm faafp May 28, 2013 at 4:32 pm

    It would be nice to have more information but in general Yes. JR

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