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Homocysteine is a toxic amino acid also linked to heart attacks and strokes ; it is more likely to be high if your diet is high in animal protein and low in fruits and leafy vegetables ( good sources of folic acid and other B vitamins ) . Rofecoxib ( Vioxx ) , another popular COX-2 specific inhibitor approved for osteoarthritis-related pain and acute pain , was voluntarily withdrawn from the market in September 2004 by its manufacturer after data from a study involving Vioxx indicated an increased risk for heart attack and stroke in patients participating in the study . Of the three leading causes of death in African Americans - - heart disease , cancer and stroke - - smoking and other tobacco use are major contributors . First , the study showed that menopausal women who took 0.625 milligrams of estrogen plus 2.5mg of progestin in the drug Prempro daily for five years had slightly higher rates of breast cancer , heart attacks and strokes . A letter from Germany , about a wedding and a pending journey into Austria and friends , written with a touch of philosophy that comes to a man when he 's fallen down and bumped himself , and strokes the bruise . For example , African American patients have more seizures and strokes , while Hispanic / Latino patients have more heart problems . Adopting more moderate health habits enables people " to avoid bad health outcomes and bad health problems " like lung cancer , emphysema , liver and brain damage , diabetes , heart attacks and strokes , he noted . " Today , the Ice Skating Science Development Center supports some 300 athletes and 56 coaches who teach all aspects of ice skating including figures , freestyle , pairs , dance and stroking . But now Ojo rushed up and threw his arms joyfully about his uncle , and the old man hugged his little nephew tenderly and stroked his hair and wiped away the boy 's tears with a handkerchief , for Ojo was crying from pure happiness . That first night , I was odd man out as everyone downed beers and stroked their surfboards . Additional costs to society include lost worker productivity , accidents both on and off the job , and major health problems such as heart attack and stroke . In this case you will need to take an anticoagulant ( blood thinner ) to reduce the risk of clot formation and stroke . LV hypertrophy profoundly affects morbidity and mortality from cardiovascular diseases , including myocardial infarction , congestive heart failure , and stroke .