Medical Condition Cerebral Artery Occlusion Unspecified With Cerebral Infarction

Source:

2009 icd-9-cm diagnosis 434.91 - cerebral artery occlusion unspecified with cerebral infarction

Active Ingredients used for Cerebral Artery Occlusion Unspecified With Cerebral Infarction:

Beta Carotene, Danshen, Folate, Ginkgo, Melatonin, Omega 3 Fatty Acids Fish Oil Alpha Linolenic Acid, Vitamin B12, Vitamin B6, Vitamin C

Active Ingredient	Uses based on scientific evidence	Grade*
beta-carotene	taking all-trans beta-carotene (synthetic beta-carotene) orally has been reported to have no effect on the overall incidence of stroke in male smokers. additionally, there is some evidence that beta-carotene actually increases the risk of intracerebral hemorrhage by 62% in patients who also drink alcohol.	d
danshen (salvia miltiorrhiza)	due to poor quality of evidence, unclear safety, and the existence of more proven treatments for ischemic stroke, this use of danshen cannot be recommended.	c
folate (folic acid)	study results are mixed for the use of folate in stroke patients. further research is needed in this area before a strong recommendation can be made.	c
ginkgo (ginkgo biloba l.)	laboratory studies suggest that ginkgo may be helpful immediately following strokes because of possible antioxidant or blood vessel effects. however, initial study of ginkgo in people having strokes found a lack of benefit. further research is needed in this area.	c
melatonin	at this time, the effects of melatonin supplements immediately after stroke are not clear.	c
omega-3 fatty acids, fish oil, alpha-linolenic acid	several large studies of populations (called epidemiological studies) have tested the effects of omega-3 fatty acid intake on stroke risk. some studies suggest benefits, while others do not. effects are likely on ischemic or thrombotic stroke risk, and very large intakes of omega-3 fatty acids ("eskimo" amounts) may actually increase the risk of hemorrhagic (bleeding) stroke. at this time, it is unclear if there are benefits in people with or without histories of strokes or if effects of fish	c
vitamin b12	in people with a history of stroke, neither high dose vitamin b12 combinations containing pyridoxine, vitamin b12, and folic acid nor low dose combinations containing pyridoxine, vitamin b12, and folic acid seem to affect risk of recurring stroke.	d
vitamin b6	pyridoxine alone or in combination with b12 and folic acid orally does not seem to be useful for preventing stroke recurrence.	d
vitamin c (ascorbic acid)	there are variable results of studies that have measured the association of vitamin c intake and risk of stroke. some studies have reported no benefits, while others report that daily low-dose vitamin c may reduce the risk of death from stroke. more research is merited in this area. individuals at risk of having a stroke should speak with their healthcare provider about the role of vitamin c supplements in stroke prevention.	c

*Key to grades
A: Strong scientific evidence for this use;
B: Good scientific evidence for this use;
C: Unclear scientific evidence for this use;
D: Fair scientific evidence against this use;
F: Strong scientific evidence against this use.