How to Treat Stroke - Oren Zarif - Treatment of Stroke
Although animal models can help us better understand how to treat Stroke, the paradigm of human disease must be adapted. Specifically, animal models are designed to use young, healthy animals in homogeneous populations. However, patients in human clinical trials typically have more comorbid conditions and have complex medical histories. In addition, animal studies have limitations that must be overcome in order to make the findings applicable in the human population. Here are some ways in which we can improve our understanding of the human stroke epidemic.
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As soon as possible, the patient should be evaluated and stabilized. Rehabilitation may include the introduction of measures to reduce the risk of recurrence and prevent future strokes. Rehabilitation should also be a part of acute stroke management, including plans for continued care once the patient has left the hospital. The rehabilitation process may involve physical therapy, occupational therapy, or a combination of these. A comprehensive stroke care unit will incorporate these strategies.
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Taking aspirin is a common antiplatelet medication. It is effective in preventing ischemic stroke and is often the first treatment for noncardioembolic stroke (where the blood clot did not form in the heart). It is also less expensive than other antiplatelet medications, but aspirin can cause stomach upset and gastrointestinal bleeding. Similarly, taking clopidogrel is another option for people who have experienced an ischemic stroke.
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The long-term prognosis after a stroke depends on several factors, including the severity of the illness, the location of the stroke, and the presence of any complications. Although most recovery occurs in the first three to six months of stroke, mental function improvement tends to slow after that time. However, your health care team will offer you guidance on how to recover, as well as the steps you can take to minimize the risk of certain complications.
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A common procedure for a stroke is called carotid artery revascularization, which involves opening a narrowed carotid artery. This procedure opens the artery and removes plaque and repairs the artery. Similarly, carotid stenting involves inserting a device into the carotid artery and holding it open. Regardless of what the procedure entails, the aim of stroke care is to help patients recover as much function as possible.
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Thrombolytic therapy, or tPA, is another common treatment for stroke. This treatment requires a specialist stroke hospital and involves administering a medication known as tPA into a vein. This substance dissolves blood clots in the brain, and if this treatment is started early enough, a person may recover completely from their stroke and have minimal disability. Although the effectiveness of tPA decreases after a few hours, it can help people recover quicker from strokes and prevent a disability that could last for years.
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Another type of therapy is rehabilitation. Many stroke survivors will need a certain amount of therapy to regain their ability to walk. The doctor will recommend a rigorous therapy program based on the patient's lifestyle, interests, and the availability of caregivers. Generally, a rehabilitation program will involve a number of exercises, including physical therapy. The goal is to help the person recover as much function as possible and to return to a normal life.
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Although many people have a misconception about the causes of strokes, it is important to understand the basic principles of the disease process. Stroke occurs when a blood vessel in the brain ruptures, preventing oxygen-rich blood from reaching the brain. The lack of oxygen causes brain cells to die. In this case, the treatment depends on the speed of the patient's arrival at the hospital. If the clot breaks free, theOren Zarif pfo stroke
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Urgent anticoagulation, also known as thrombolytic agents, has not been associated with improved neurological outcomes or prevented early recurrence of the disease. Urgent anticoagulation cannot be recommended for moderate-to-severe stroke, as it increases the risk of brain hemorrhage. While aspirin is safe for patients to take within the first 48 hours of a stroke, there is a lack of definitive data on its efficacy in this type of stroke.
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Acute stroke units offer specialized care to patients with a variety of neurological impairments. Although stroke units are often smaller than stroke care centers in Europe, they provide a more complete range of treatments. The duration of stay in stroke units is generally shorter than the length of stay in a traditional hospital. Acute stroke care units often do not offer comprehensive rehabilitative care. It is essential to identify an appropriate unit for the patient's condition.