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FAQ:
Why screen for stroke and vascular disease?
What is a stroke?
What is an Abdominal Aortic Aneurysm?
What is Peripheral Vascular Disease (PVD)?
Who should participate in a stroke screening?
How often will MDH offer a stroke screening?
Do I need to pre-register for the screening?
What are my test options?
What should I wear to the screening?
Do I need to fast before the tests?
How long will the screening take?
How much does each test cost?
Will insurance cover the cost of these tests?
Is there a reliable web site I can visit to find out more about stroke and vascular disease?
Who should I call for more information or to make an appointment?

 

Stroke Plus Screening
(309) 836-1584

Why screen for stroke and vascular disease?

MDH wants you to be as healthy as possible. One goal in accomplishing this is to lower the number of strokes that occur and result in death or disability. Given the impact of stroke, it is important that you know about the disease, risk factors, prevention and detection. Through healthy lifestyle changes and early detection, you can prevent a stroke from occurring. This screening program will provide non-invasive, painless tests that can quickly detect arterial abnormalities, which can cause irregular blood flow leading to stroke, aneurysm and vascular disease.

What is a stroke?
A stroke or "brain attack" occurs when blood flow to the brain is blocked or restricted by a blood clot or some other substance. Every 53 seconds, someone in America has a stroke and every 3.3 minutes, someone dies of one. It is estimated that half of these strokes occurred without symptoms. Of the estimated 600,000 strokes that occur each year, a staggering 75% could have been prevented.

What is an Abdominal Aortic Aneurysm (AAA)?
AAA is caused by a breakdown of the lining of the abdominal aorta artery. As the lining gets weaker, the artery wall becomes thinner and expands. This expansion is an aneurysm which can rupture and cause bleeding. Such aneurysms can be repaired, but unfortunately many aneurysms show no symptoms before they rupture. AAA is considered a "silent killer," with approximately 25,000 individuals dying from it each year.

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What is Peripheral Vascular Disease (PVD)?
PVD is a blockage or restriction of blood flow to your limbs caused by atherosclerosis (hardening of the arteries) or buildup of plaque.

Who should participate in a stroke screening?
Conditions and behaviors that put one at risk for stroke or vascular disease include: family history, being age 50 or older, excessive body weight, high blood pressure, smoking, excessive alcohol intake, high cholesterol, heart disease, atrial fibrillation (rapid, irregular heart beat), diabetes, previous stroke and transient ischemic attack (TIA or mini stroke). If you have any of these risk factors, you would be a good candidate for a stroke screening. You may also want to consult your physician.

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How often will MDH offer a stroke screening?
The stroke screening program will be offered three times at MDH in 2008: March 13, July 10, and November 13.

Do I need to pre-register for the screening?
Yes, you will need to make an appointment by calling MDH Outreach Services at (309)836-1584

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What are my test options?
A. Cholesterol Test: Prior to the screening date, you can go directly to the MDH Lab to have your blood drawn. Contact MDH Outreach Services for specific dates. When you arrive in Lab, let them know you will be participating in the upcoming Stroke Screening. You will receive the results the day of the screening.

B. Carotid Duplex: An acoustic gel is applied to your neck and a wand is moved around your neck to image the arteries in order to visualize the plaque buildup and measure the velocity of the blood flow through your arteries. Up to 75% of all strokes are related to blockage of the carotid arteries in the neck. This test screens for narrowing of the carotid arteries due to the buildup of plaque on the artery wall.

C. Abdominal Aortic Aneurysm Ultrasound: This screening test is performed to visualize the existence of an aneurysm (enlargement) in the abdominal aorta that could lead to a ruptured aortic artery. An acoustic gel is applied to the abdomen and a wand is used to visualize the aorta.

D. Ankle Brachial Index: This test screens for arterial disease in the lower extremities by using blood pressure cuffs and an ultrasound Doppler transducer on your arms and ankles.

What should I wear to the screening?
A short-sleeved shirt and pants are the best attire for these types of tests. You will be asked to remove your shoes and socks for the ankle brachial index test, so women are advised not to wear pantyhose.

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Do I need to fast before the tests?
If you choose to have a cholesterol test you will need to fast 12 hours before coming to the MDH Laboratory to have your blood drawn. This test must be completed at least 2 days prior to the screening day. The day of the screening it is required that you fast for 4-6 hours before the Abdominal Aortic Aneurysm ultrasound in order to get the most accurate reading. The other tests do not require fasting.

How long will the screening take?
The risk appraisal and blood pressure/heart rate measurement will take about 20 minutes. The three ultrasound tests (carotid duplex, abdominal aortic aneurysm, and ankle brachial index) and the mini-consultation with a health educator, will take approximately 10 minutes each. You should allow one hour if you choose to participate in the entire screening.

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How much does each test cost?
The cholesterol test is $25; the three ultrasound tests are $40.00 each (if you participate in all three tests, the total cost will be $100 - a $20 savings); the lifestyle appraisal, blood pressure/heart rate measurement and mini-consultation are free of charge. Payment is due the day of the screening.

Will insurance cover the cost of these tests?
Most insurance companies do not cover the cost of preventative screening tests. MDH does not file insurance claims for the screening.

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Is there a reliable web site I can visit to find out more about stroke and vascular disease?
You can visit the National Stroke Association web site at www.stroke.org.

Who should I call for more information or to make an appointment?
Contact MDH Outreach Services at (309) 836-1584.

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