Ischemic Stroke Treatment - Oren Zarif - Ischemic Stroke
In the early stages of ischemic stroke, the primary goals of treatment are to restore a patient's heart rate, blood pressure, and breathing. To achieve this, physicians often try to reduce the pressure on the brain by administering medications, such as tPA (tetra-phenylenediamine) or aspirin. After symptoms appear, clots are usually removed through surgery or mechanical means. In some cases, therapy may not be necessary for a patient, and long-term treatments include aspirin and anticoagulants.
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In rare cases, an abnormal heartbeat can cause a clot to form and travel through the bloodstream, preventing blood flow to vital organs. These blood clots can block the carotid arteries, which supply blood to the brain. This condition can lead to ischemic stroke, but it is far more common than many people think. The condition is also related to low blood pressure and heart attack. The latter can lead to a large blood loss and even death.
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An electrocardiogram (ECG) is a screening test that uses sound waves to analyze the heart. This test helps doctors determine if coronary artery disease is the cause of the stroke. It can also identify the condition of other parts of the heart, such as the aorta, which supplies blood to the brain. Patients may not experience chest pain during an ischemic stroke, but if they have any of the symptoms described above, they should contact their doctor immediately.
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Ischemic stroke occurs when the blood supply to part of the brain is cut off. Ischemic stroke accounts for most strokes. This type of stroke can occur due to a blood clot or atherosclerosis, the process by which arteries become narrow. When these two occur, blood flow to the brain is significantly decreased, and brain cells begin to die. A person with an ischemic stroke must be treated immediately in order to survive.
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If atherosclerosis is the cause of the stroke, treatment can focus on the underlying condition. Statins and stents can open up narrowed arteries and lower blood pressure. In many cases, treatment after a stroke can restore a person's function, although some of these symptoms may persist for years. In addition to proper medical care, stroke survivors must stay in the hospital for observation for a few days and may need rehabilitation to regain their lost capabilities.
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Treatment for ischemic stroke focuses on preventing clots, and may include antiplatelet medications or other treatments. Some treatments may focus on reducing fever and keeping blood sugar levels normal. Other treatments may focus on preventing blood clots and keeping the patient's overall health and pressure in the brain. While antiplatelet therapy is not a cure for ischemic stroke, it is an acceptable option in many cases.
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Infarcts can also be silent. The term "prior" describes an event that happened in the past that was not directly related to the stroke itself. The patient's symptoms, however, may not be associated with a previous event, which could be a cause of the stroke. For this reason, the term "silent" is more commonly used in the stroke lexicon. When an individual is experiencing symptoms of ischemic stroke, it is recommended to consult a physician who can accurately determine the underlying condition.
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Although the symptoms of ischemic stroke are often quite similar to those of a TIA, the clinical signs of TIA are a warning sign. A TIA can last for a few minutes and disappear within 24 hours. This may indicate the presence of ischemic stroke. In many cases, a TIA can also lead to other symptoms, such as bleeding in the brain or damage to nearby brain cells.
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To develop a better understanding of the symptoms and causes of ischemic stroke, the AHA/ASA worked with experts from the American Academy of Neurology, the Congress of Neurological Surgeons, the US Centers for Disease Control and Prevention, and the National Institute of Neurological Disorders and Stroke. The committee reached a consensus on a new definition of ischemic stroke based on the latest findings from studies and published research.
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Currently, there is no standardized definition of ischemic stroke, and physicians struggle to define the term. The first attempt at defining stroke came about in 1689, when William Cole described an episode referred to as apoplexy, a term used by Hippocrates as early as 400 BC. Since then, doctors have struggled to define the term. In the 1950s, the term transient ischemic attack was introduced.