Doctor insights on:
Massive Stroke Death
66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?
Elderly lady had stroke due to blood clot. Has brain swelling. In a coma. Stroke induced. Chances of survival?
Atherosclerosis: Depends on one's personal risks smoking, obesity, hypertension, hyperlipemia, diabetes , family history. Simply, one blocks the feeding artery to part of the heart muscle and low flow, or no flow causes ischemia which cause death of the heart cells, which is a heart attack! myocardial infarction is the medical term.Ekg and lab tests show the damage. ...Read moreSee 2 more doctor answers
Cause of death: subdural haematoma, fall exasperated by anticoagulants. Father fell - brain bleeding caused brain squashing = death Explain please?
It pushes on brain: A subdural hematoma, as a result of a head injury, is a collection of blood between the covering of the brain and the surface of the brain. The bleeding after an injury fills the brain area very rapidly, compressing the brain with the pressure from the enlarging glob of blood (the hematoma). Our brains do not tolerate compression, which stops some of the normal brain functions, and then we die. ...Read moreSee 1 more doctor answer
Arrhythmia: Scd typically refers to a sudden loss of effective contraction of the heart muscle and implies a life-threatening arrhythmia. Usually this is VT or vf. It occurs primarily in patients with a damaged heart (cardiomyopathy, postmi) where there is scar tissue that alters normal electrical conduction. It can also occur in patients w nl hearts (brugada syndrome, arvd, long qt) which are rare. ...Read more
Pathophysiology: Ischemic stroke occurs when an artery to the brain is blocked.A thrombotic stroke occurs when diseased or damaged cerebral arteries become blocked by the formation of a blood clot within the brain. An embolic stroke is also caused by a clot within an artery, but in this case the clot (or emboli) forms somewhere other than in the brain itself. Hemorrhagic stroke is sudden bleed into the brain. ...Read more
Size of stroke: The amount of swelling, or edema, around a stroke is related to the volume of tissue infarcted. For a small stroke, swelling shouldn't be a problem. For a major hemispheric stroke, swelling can be life threatening and even sometimes require brain surgery to relieve pressure caused by the swelling. ...Read moreSee 1 more doctor answer
Needs rapid evaluation: Although chronic hypertension is among the most common causes of nonischemic cardiomyopathy, there appears to be no hypertensive history in this case. With an ejection fraction of 20%, sudden life-threatening arrhythmia is a significant risk. An implantable defibrillator must be considered urgently. A Zoll Vest could be considered if there is any delay in implanting a defibrillator. In addition, consideration should be given to a myocardial biopsy to search for an infiltrative cardiomyopathy. Diuretic, beta blocker and vasodilator therapy might be limited by a low blood pressure. If there is a wide QRS, resynchronization with a biventricular pacemaker might help restore ventricular function. The prognosis (and treatment) will be dependent upon the underlying cause of the cardiomyopathy. ...Read moreSee 9 more doctor answers
No one fixed answer: The real risk depends on other comorbid conditions such as the state of coronary and peripheral vessels , the condition of the cardiovascular system , the presense of diabetes and lipid levels . Also how compliant the patient is with thier medications and folow up with neurlogist pcp and cardiologist. ...Read more
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