and

stroke remains a common cause of morbidity and mortality within the general population

each year nearly eight hundred thousand new are required stroke events occur and account for

approximately one out of every eighteen das and united states

in addition to traditional cardiovascular risk factors and nontraditional factor that may contribute to stroke

risk is the use of non straight all in time phonatory drugs also known as

and sets

although much publicity has focused on the risk of adverse cardiac events

stroke compromises another important subset of risk

and this review we discuss the evidence with regard to an association between selective and

non selective and sets and stroke risk

potential mechanisms for an association are shown in table one these agents affect the balance

of various process acquaintance drum boxing process likely in the regulation of the cycle oxygen

e sands i'm with downstream effects shown in figure one

much of the initial suggestions of an association between and said in cardiovascular risk came

from perspective studies assessing easy agents into menstrual in cancer prevention

within these studies there was a suggestion of an association between and said and stroke

all the results were not consistent

much of the subsequent data demonstrating hind risk of stroke events

we're based on observational studies

and the relevant risk estimates from these studies are listed in table two

within these limited analyses observational studies have not found a different role risk with either

is schema or hammer abject stroke

elderly patients does or particular mention as chronic use of and sets increases with each

but then estimated up to forty percent of individuals over age sixty five years using

either over the counter are prescribed and sets

due to the increase risk adverse gastrointestinal and cardiovascular side effects

the use of and said in this population has been of ice to get

additionally hypotensive effects of and sets may be particularly prominent in the elderly

the current evidence does not support an association between and set used in stroke risk

in the elderly however and said you should be avoided whenever possible in favour of

non and said you know jeez

initial evidence from perspective trials demonstrating increase grist

of adverse how gregor basket or events

what to the withdrawal of several selective cox two inhibitors

although the evidence from these initial perspective trials suggest it is so she shouldn't with

coronary ski make advance

the evidence for a link between and said to instruct events remains a source of

debate

as the evidence here has been presented no definitive recommendations can be made regarding the

use of and sets with respect to stroke risk

however alternative energies it should be considered whenever possible particularly elderly and if and that's

are used there were duration should be a short as possible

future study should focus on further assessing the risk of specific vascular beds

such as the risk of stroke with specific and sets

but selective and on selective

thank you

and

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