Treatment For Ischemic Stroke - Oren Zarif - Ischemic Stroke
- Oren Zarif
- May 7, 2022
- 4 min read
Ischemic stroke is a condition that causes loss of brain blood circulation. The primary cause is thrombotic occlusion of a cerebral artery, and acute ischemic stroke is far more common than hemorrhagic stroke. CTA is highly accurate in detecting large-vessel stenosis, which accounts for about a third of all ischemic stroke cases. There are several ways to detect ischemic stroke.
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Screening tests for ischemic stroke include blood tests and an electrocardiogram (ECG). Those with coronary artery disease are at a higher risk for ischemic stroke because their heart may already have some of the conditions that can lead to a blockage. Although patients suffering from ischemic stroke rarely feel any chest pain, the ECG is important for identifying heart problems and the underlying cause. In some cases, medication is needed to prevent or treat a stroke.
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Treatment for ischemic stroke aims to halt or reduce pressure in the brain, restore breathing, and reduce the risk of a thrombotic event. Treatment for ischemic stroke is most effective if begun quickly. Drug treatments must be started within 4.5 hours of the onset of symptoms. In contrast, mechanical thrombectomy can be performed up to six hours after the onset of symptoms. Regardless of the cause of your stroke, treatment for ischemic stroke is a priority.
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Early treatment for ischemic stroke is essential, as the earlier the symptoms are treated, the lower the risk of permanent brain damage. Although the symptoms of an ischemic stroke are usually a temporary condition, they are often fatal. In some cases, patients with a previous ischemic stroke have been able to recover basic function. If this happens, it is important to call 911. There are some risk factors you can control or change in your lifestyle that could make you more susceptible to ischemic stroke.
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Your doctor can diagnose ischemic stroke by performing a physical examination and family history. Your doctor may also use certain tests, such as a CT scan, to determine the exact location of the blocked artery. Your doctor may also perform a CT scan to differentiate ischemic stroke from other causes of death in brain tissue. Symptoms can vary between patients, but it's important to seek prompt medical care if you suspect a stroke.
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Early treatment for ischemic stroke can be life-saving and even prevent a recurrent event. Medication to dissolve clots in the brain can improve the patient's chances of full recovery. Other methods include surgical procedures, such as thrombectomy. In these cases, a small incision is made in the groin, and a catheter is inserted into the aorta or other arteries. The clot is then broken up using a wire attached to a catheter. The benefit of thrombolytic treatment diminishes over a few hours, and if this treatment is given early enough, the patient's recovery is possible.
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In most cases, people with an ischemic stroke will recover some of their normal function after being admitted to the hospital. However, the recovery rate of those people is not as high as in those with a severe ischemic stroke. Approximately 10% of ischemic stroke survivors will recover all their normal functions. While this is a remarkable result, it is still important to note that ischemic stroke can be devastating for the patient. Affected individuals may not be able to move or speak, and some may even lose their ability to communicate.
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Another type of ischemic stroke is called a mini-stroke, or TIA. A transient ischemic attack is a temporary blockage of blood flow in the brain. It typically lasts less than 24 hours and is often mistaken for a stroke. However, it is still important to seek medical attention for any symptoms associated with an ischemic stroke. There are also symptoms of a TIA that can be early warning signs for full-blown ischemic stroke.
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A doctor may prescribe an anticoagulant drug to reduce the risk of a second stroke. Some anticoagulants inhibit the protein in the blood that makes it clot. These medications may also be used to treat existing medical conditions. A doctor may also prescribe an anticoagulant drug to help prevent further clots. However, anticoagulants increase the risk of bleeding in the brain and should not be given to a patient suffering from hemorrhagic or uncontrolled high blood pressure.
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An emergency department should follow an organized protocol for the evaluation of a patient with a stroke. For acute ischemic strokes, a 60-minute door-to-needle time should be met. However, this time is only effective if the patient qualifies for thrombolytic treatment. The initial evaluation of any patient should include the airway, circulation, and vital signs. If respiratory problems are present, endotracheal intubation may be necessary. A fingerstick glucose check is important to rule out hypoglycemia.
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