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Ischemic Stroke Treatment - Oren Zarif - Ischemic Stroke


In a typical case, a doctor can diagnose an ischemic stroke based on a physical examination and history. A person's symptoms may suggest that an artery supplying the brain has become blocked. For example, weakness of the left leg could indicate a blockage of the artery supplying the right side of the brain, which controls the muscles in the left leg. The doctor will likely perform a CT scan to rule out other causes of the symptoms, including a blocked artery or an underlying carotid artery. Other tests may be used to further rule out a stroke, including cerebral angiography, which uses X-rays to highlight the affected area.

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To reduce the chance of brain damage, treatment of an ischemic stroke should begin within 24 hours of the onset of symptoms. In addition to thrombolytics, antiplatelet agents should also be administered to reduce the risk of vascular disease, cardiac arrhythmias, and hyperlipidemia. Early aggressive physical therapy may also be recommended. An interprofessional team of healthcare providers should be formed to assess an ischemic stroke patient.

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Rehabilitation is critical for the recovery of patients after an ischemic stroke. It can help regain motor skills, coordination, and other lost functions. However, if the effects are not completely gone after a year, the person may need further treatment to reverse the underlying condition. A stent, for example, can open up narrowed arteries and reduce blood pressure. Patients must stay in the hospital for a few days to be monitored, and they may require rehabilitation to regain their function.

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Blood clots can develop due to a number of reasons. Some people have small collateral arteries that are too small to deliver enough blood to the affected area. In these cases, inadequate blood flow results in stroke. The resulting lack of oxygenated blood can cause severe damage to the brain. It is essential to recognize the causes of a stroke so that treatment can begin sooner. If left untreated, a stroke can lead to permanent disability or death.

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For the most effective treatment, doctors may first try to restore blood flow. They may use medication to reduce pressure in the brain. Drugs like tPA cannot be used in people who are already taking anticoagulants. Surgical procedures or mechanical thrombectomy may be performed within a few hours of the onset of symptoms. Patients may also be given long-term treatments, such as aspirin or anticoagulants. There are also numerous ways to prevent stroke, such as controlling risk factors and using drugs that are effective against clots.

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The risk of ischemic stroke is largely dependent on the person's risk factors. Smoking, high cholesterol, obesity, and high blood pressure are common risk factors. Other risks include heart disease and atrial fibrillation. When you experience any of these risk factors, it is critical to seek medical attention immediately. Only a doctor or a hospital can effectively diagnose ischemic stroke. However, even if your symptoms are mild, you should seek treatment immediately.

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Another form of ischemic stroke is the transient ischemic attack. Symptoms of the attack may last for only a few minutes or may even disappear and come back again. If left untreated, the symptoms may recur. In the meantime, the symptoms could reappear. Your doctor may prescribe a course of treatment that may include surgery. This option may be better for some people than others. However, a specialized doctor may be needed to diagnose ischemic stroke.

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Another form of treatment for ischemic stroke is anticoagulant therapy. These medications prevent the formation of new clots but do not dissolve existing ones. Aspirin and clopidogrel are common options for treatment of acute ischemic stroke. Some people may also undergo short-term dual antiplatelet therapy, which involves taking aspirin and clopidogrel. However, if your ischemic stroke is associated with TIA, DAPT may be beneficial.

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The most important criteria for a diagnosis of ischemic stroke are clinical symptoms, evidence of infarction, and absence of other causes. In the case of TIA, patients should be treated based on the clinical signs and symptoms of ischemic stroke. If there are any symptoms of ischemic stroke, treatment should be tailored to the individual's needs. If symptoms are transient, the condition should be treated accordingly. Otherwise, it may be a TIA.

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Despite the complexity of the diagnosis, an ischemic stroke can be difficult to identify. Some doctors may think of silent infarctions as a form of stroke, but these events are considered to be separate conditions. The AHA/ASA reached out to the American Academy of Neurology, the Congress of Neurological Surgeons, and the National Institute of Neurological Disorders and Stroke to help determine a more precise definition.

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