The Treatment of Stroke - Oren Zarif - Treatment of Stroke
- Oren Zarif
- Apr 29, 2022
- 4 min read
The first step in the treatment of Stroke is to identify the type of stroke that has occurred. Eighty percent of strokes are ischemic, while twenty percent are hemorrhagic, a result of ruptured blood vessels in the brain. If you suspect you have suffered a stroke, you should call 911 immediately. If you have symptoms of a stroke, you may also use the National Stroke Association's FAST test. If you notice blood clots in the brain, your doctor may prescribe tissue plasminogen activator (tPA). However, tPA is only effective if administered within four hours of onset of symptoms.
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Because the brain needs blood supply to function, it's vital that it receives that blood. If the blood supply to the brain is interrupted, brain cells die, leading to disability or even death. A stroke may begin as a mini-stroke, known as a TIA, which lasts for between thirty minutes and a few hours. After the first six months, improvements in physical and mental function generally slow down. Treatment for TIAs should not be delayed, however; if a TIA occurs in the later stages, it may be a sign of a more serious stroke.
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If thrombolytic therapy has failed to improve the condition, mechanical thrombectomy is another option. In this treatment method, a special physician inserts a catheter through the groin artery. This catheter opens up a stent to catch the clot and remove it from the brain. It is important to remember that the longer you delay treatment, the worse the outcome for the brain. In addition to the above therapies, hospitals that provide acute stroke care should create clinical protocols and pathways for their implementation.
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For some patients, surgery or thrombolysis is not an option. This treatment is a temporary fix, but it can help reduce the risk of further complications such as brain bleeds. Patients should be given medications to reduce the chance of complications from stroke. This can include a surgical procedure called angioplasty. This treatment may be accompanied by thrombolytics. These drugs are given to patients within three to four hours of experiencing symptoms of stroke.
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Once you have diagnosed a stroke, it is crucial to call 911 immediately. A physician will likely want to see you right away so that he or she can provide the appropriate care. An ambulance may be necessary to provide immediate medical care. Emergency room staff may include neurologists, nurses, and medical technicians. Their goal is to stabilize your symptoms and diagnose a stroke. A physician will also attempt to decide what treatments would be most appropriate for your particular condition.
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The goal of future clinical trials should be to characterize clinical outcomes and recovery in stroke patients. Patients should be enrolled in a trial as soon as possible after the stroke occurs. This means that the study should begin within two weeks of stroke onset. It should include a multicenter approach and global scale criteria for data analysis. Further, the underlying mechanism of action of the tested drugs should be understood thoroughly. Finally, secondary measurements should include day-to-day progress of recovery, the length of rehabilitation, and any compounding factors.
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Transient ischemic attacks (TIAs) are a sign of underlying serious medical conditions and can easily progress to full stroke. If not treated in time, they may lead to permanent brain damage. Therefore, if a person suffers a TIA, call 911 immediately. The treatment of Stroke is critical and time is of the essence. A stroke victim may be unaware that they are having a TIA.
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Surgery is often necessary to relieve pressure on the brain and restore blood flow. Sometimes, surgery is required to repair a blood vessel problem associated with a stroke, such as aneurysms or arteriovenous malformations. Clots in the brain can be surgically clipped, allowing a specialized physician to reach the source of the bleeding. This procedure is also known as a craniotomy.
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A major breakthrough in the treatment of stroke came with the 1995 NINDS study on alteplase, which renamed the drug t-PA. The success of this drug was so promising, the AHA and FDA launched a nationwide campaign to discourage stroke terminology. The AHA also introduced a new term, "mini stroke," to describe the condition. This term was later replaced with "ministroke" to avoid confusion.
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In addition to antiplatelet drugs, another treatment option is antiplatelet therapy, which reduces the number of platelets in the body. These platelets stick to damaged areas of blood vessels, forming blood clots. Antiplatelet drugs stop these platelets from sticking together and are often used as first-line therapy after ischemic stroke. However, aspirin can cause stomach upset or gastrointestinal bleeding. Clopidogrel, a second antiplatelet medication, is also effective.
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