Ischemic Stroke Treatment - Oren Zarif - Ischemic Stroke
The best way to treat ischemic stroke is by getting immediate treatment for symptoms. Your doctor will first determine if you have a risk factor for the stroke. If so, he or she can prescribe medications to reduce blood pressure and prevent blood clots. A thrombolytic treatment, called thrombolysis, is another treatment option for ischemic stroke. This medication breaks up the blood clots and reopens blocked arteries. It must be given within four and a half hours of the symptoms of the stroke.
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Antiplatelet agents should be administered as soon as symptoms of ischemic stroke present. Antiplatelet drugs are vital to reducing the risk of a thrombotic event, cardiac arrhythmias, or vascular disease. Early physical therapy is recommended after the onset of a CVA. An interprofessional team consists of an emergency department provider, neurologist, and radiologist. In the event that thrombolytics do not work, an intravenous alteplase bolus can be given.
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If an ischemic stroke is suspected, an electrocardiogram (ECG) is performed to assess the heart's rhythm. If the heart is not functioning properly, an ECG can quickly detect the problem. If an ischemic stroke has occurred, the victim may not experience chest pain. During the stroke, the blood flow to the brain becomes severely reduced. A heart attack, a blood clot, or a heart valve problem may also cause a stroke.
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An ischemic stroke can occur in people with other risk factors, including high blood pressure and atherosclerosis. These underlying conditions may be treated with medications, such as statins, which help lower blood pressure. Many people recover some function after undergoing treatment, but not all. One out of four stroke survivors will have another stroke. It is possible to prevent 80% of strokes and heart attacks through prevention and lifestyle changes. By following a few simple steps, survivors can reduce their risk of having a stroke.
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AHA/ASA guidelines recommend intravenous alteplase as a first-line treatment for acute ischemic stroke. In selected cases, it can be given in 90-mg doses over four to five hours. This treatment is associated with an increased risk of bleeding in the brain, but it has been shown to significantly reduce the disability caused by ischemic stroke. It has been shown to decrease the risk of long-term disability, which is the primary goal of treatment.
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If you are experiencing a transient ischemic attack, also known as a mini-stroke, you should immediately seek medical attention. This type of stroke is caused by a temporary blockage in the blood flow to the brain. Transient ischemic attacks usually go away on their own, but they should be taken seriously because they are warning signs of a full-blown ischemic stroke. When you notice these symptoms, it is time to get medical help.
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Younger people are more prone to developing ischemic stroke, which can result from drug abuse, energy drinks, and herbal supplements. An arterial dissection, meanwhile, occurs when a small tear in the inner lining of the artery wall develops, allowing blood to leak into the space of the vessel. A detailed history of the events leading up to the stroke is needed to make a diagnosis. Cedars-Sinai offers multiple diagnostic services to help determine if you've suffered an ischemic stroke.
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An ischemic stroke is the most common type of stroke and accounts for 87% of all strokes. It happens when blood clots form in the arteries surrounding the brain. This may be caused by a blood clot or by atherosclerosis, a condition which causes arteries to narrow over time. An ischemic stroke can occur anywhere along the blood vessels that feed the brain. Because ischemic stroke symptoms don't last long, emergency medical treatment is critical to a person's survival.
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The first step in treating an ischemic stroke is removing the clot. A catheter is used to remove the clot. The procedure has been shown to increase the chances of full recovery. In addition to medications, surgery is another treatment option for ischemic stroke. This procedure, known as thrombectomy, is performed under a physician's supervision. The procedure involves an incision in the groin and threading a catheter through the arteries. The wire in the catheter breaks up the clot and injects it with tPA.
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