Ischemic Stroke Treatment and Prevention - Oren Zarif - Ischemic Stroke
There are several treatment options for ischemic stroke, including blood transfusions and surgery. The first priority of treatment is to restore normal blood pressure and breathing, since a lack of oxygen in the brain can have devastating effects. Next, doctors may administer a drug called tissue plasminogen activator (tPA), which breaks up the clot. If the clot is found early enough, the drug can greatly reduce the risk of permanent disability.
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In order to maximize the chances of successful recovery from an ischemic stroke, patients must undergo an acute evaluation. This evaluation should begin within three hours of the onset of symptoms. Patients should receive thrombolysis within the first four and a half hours, although a patient with certain medical conditions may not be eligible. Thrombolysis may be helpful beyond three hours, although it is not always possible to administer the drug. In addition to blood transfusions, patients may also be given oral antiplatelet medication or other treatments to help with the symptoms of their ischemic stroke.
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Imaging tests can help doctors identify the type and location of blockages in the heart. An ECG is one type of imaging used to detect heart problems. Another type of imaging, called telemetry, can help doctors assess the risk of ischemic stroke based on the patient's symptoms. During an ischemic stroke, blood flow is reduced or completely absent. If the condition is not corrected, blood clots may form again and cause another stroke. In addition to evaluating the blood flow to the brain, a doctor may also order an electrocardiogram to assess the rate and heart rhythm.
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Symptomatic treatment for an ischemic stroke can include drugs to prevent the formation of clots, surgery to open blocked arteries, and rehabilitation. Prevention measures include controlling risk factors, using drugs that break up blood clots, and getting regular checkups. These treatments can significantly reduce the risk of another ischemic stroke. However, they cannot prevent all cases. The best way to prevent an ischemic stroke is to prevent it from occurring in the first place.
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Depending on the severity and location of the clot, patients who have suffered a ischemic stroke should undergo advanced imaging diagnostic tests to determine the cause of the condition. A CT scan and blood tests can help doctors determine whether a patient has a heart disease or another condition that could cause the stroke. After this, doctors may prescribe medications that break up blood clots and treat the symptoms. But before this, the treatment plan must be individualized based on the type of ischemic stroke and the extent of complications.
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The symptoms of an ischemic stroke can vary greatly. They can appear suddenly or fade away, and may be temporary. Some people may experience no symptoms at all. Some people experience transient ischemic attacks, which do not cause lasting damage. In transient ischemic attacks, the symptoms usually go away and return. The reason for this is that blood clots and narrowed arteries can completely block the blood supply to a part of the brain.
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An angiographic procedure called thrombectomy can also be used to treat ischemic stroke. This procedure is often less invasive than cerebral angiography with a catheter. Mechanical thrombectomy has been shown to improve outcomes in large blockages and restore blood flow in up to 90% of cases. If you suffer from ischemic stroke, make sure to seek medical help as soon as possible. It is important to remember that there is no cure for ischemic stroke, but treatments can greatly reduce your chances of having a stroke.
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Anticoagulants are often prescribed to treat specific types of stroke. These drugs inhibit proteins that make blood clot. They are typically prescribed for atrial fibrillation, dissection of a large artery, or a blood clot in the brain. Anticoagulants can increase the risk of bleeding inside the brain, so they are not appropriate for everyone who suffers from ischemic stroke. In fact, if your doctor decides that anticoagulant therapy is appropriate, it is unlikely that your stroke will be prevented.
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Although it is important to seek medical treatment right away, most patients recover some function after leaving the hospital. Some recover completely; while others are left with physical and mental disabilities. For those who do not recover all function, rehabilitation therapy can help regain motor skills, coordination, and other functions. Physical, occupational, and speech therapy may also be needed to help a person regain some of their lost function. If you have suffered an ischemic stroke, it is important to seek medical help immediately.
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