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Doctor insights on: Acute Stroke Treatment

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What are some developments in the treatment of acute stroke?

What are some developments in the treatment of acute stroke?

Time is essential: It is most important to seek treatment for sudden changes in the ability to move, sense, or think. If a stroke is treated in first few hours, a great improvement in outcome may be possible. If you wait even a few hours to see if if gets better, the chances of improved recovery are greatly lessened. ...Read more

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What are the treatments for acute stroke?

What are the treatments for acute stroke?

Acute stroke Rx: There are many treatments for acute stroke, including: 1. blood pressure management, when needed 2. blood sugar mgmt when needed 3. IV TPA- tissue plasminogen activator, for many cases 4. aspirin 5. arterial TPA, (alteplase) in select cases 6. thrombosis retrieval, in very select cases 7. later on, cholesterol treatment, anticoagulation for atrial fib, and artery repair may be options ...Read more

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What therapy is used in patients with acute ischemic stroke?

What therapy is used in patients with acute ischemic stroke?

Time critical: Within 3 hours of symptoms ( up to 4.4 hours in some cases ) intravenous tpa (alteplase). After that up to 6 hours, intraarterial tpa (alteplase) through a catheter in the artery to the brain. Up to 8 hours can use special devices to pull clot out of vessel to brain. These procedures usually done at stroke centers. ...Read more

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Can antithrombotic and hypofibrinogenetic therapy be used for acute ischemic stroke?

Yes: If ct of brain reveal no bleeding and if the pt. Is in the window period ( less than 4.5 hours from symptoms )to receive fibrinolytics ( tpa (alteplase) or others) this is going to break the clot and restore the circulation avoiding serious neurological damage.Aspirin is started 24. Hrs later after tombolytics. For DVT prevent. Anticoagulants should be used except when hemorrhagic transformation is present. ...Read more

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What is the best early treatment for a stroke?

What is the best early treatment for a stroke?

TPA (alteplase): The best early treatment is tissue plasminogen activator. This drug is given in the vein or artery and can break up the clot plugging the vessel allowing blood flow back to the brain. The sooner it is given, the less damage the patient may suffer. ...Read more

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What is the appropriate prompt treatment for stroke?

What is the appropriate prompt treatment for stroke?

Stroke treatment: Prompt treatment for a stroke is to transport the person to the emergency room. They should keep their head down, treat blood pressure gently if needed, review medications, check blood sugar, start IV fluids and get an EKG and head CT without contrast. Certain patients with ischemic stroke may benefit from rapid treatment with a medicine called TPA (alteplase). ...Read more

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What should one do as an emergency treatment for stroke?

Best advice: Do not hesitate, head for an emergency department. Time is of the essence, as tpa (alteplase) infusion works best within the first 3 hrs, and most er docs are very experienced in use of tpa (alteplase) these days. ...Read more

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Can you please suggest the best treatment and/or control for a stroke?

Can you please suggest the best treatment and/or control for a stroke?

Scenarios: Too many variations to be complete, but 1. Acute stroke, use TPA (alteplase) emergently. 2. Completed, use speech, PT, OT 3. Prevention, just for stroke, not underlying co-morbidities, use Aggrenox, or clopidigrel, and/or statin. 4. For more info, contact Concierge service. ...Read more

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Can you please explain the stroke condition, the cause, risk factors, symptoms and treatment?

Can you please explain the stroke condition, the cause, risk factors, symptoms and treatment?

Brain attack: Like a heart attack, there is decreased blood flow to parts of the brain resulting in partial or complete damage to nerve cells. Common symptoms include loss of vision, one-sided weakness and/or numbness, loss of balance, deficiency of speech expression or understanding, dizziness, etc. Causation includes hypertension, smoking, diabetes, etc. Prevention is best approach. ...Read more

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What pharmacologic treatment of stroke are there?

CHALLENGING: Alteplase or t-pa, can be infused within the first 4.5 hrs after a stroke and possibly reverse the symptoms. If this does not work, conservative in=hospital symptomatic medication is employed with emphasis on complications. An embolism from elsewhere is handled with heparin, warfarin, pradaxta, etc. Prevention best from Aggrenox or clopidigrel. ...Read more

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