Medical advice to avoid strokes

Saturday, November 21, 2009

transient ischemic attack, or a shortcut (TIA), in need of a new label. The name is currently fashionable (mini-stroke) does not seem entirely appropriate. Both names are Progress presumption that the situation of small and transient, that is, the problem will pass and you can live with it until the arrival time, which can deal with it.

Transient and continuous shift
But what is required is the name actually reflects the situation urgent and harm, because ischemic heart blood in transit, often followed by a comprehensive stroke. Therefore, access to fast diagnosis and immediate treatment within minutes of a shift in transit, as possible will reduce the vulnerability to stroke.

In general, there is little difference between the ischemic heart blood in transit and among the most common types of strokes, or stroke resulting from lack of blood perfusion. Because they were alike in their appearance, and give rise to the same feeling, and result from the same reason, a blood clot, or a fragment of the scattered deposits of cholesterol blocked blood flow in the artery supplying part of the brain.

But it separates the larger cross between A heart and stroke is the duration of each, A heart ischemic blood cross take a short time, with fade within hours, if not minutes, with the last stroke for more than 24 hours.

Symptoms of artery
And can cause blockage of blood flow in any of the following symptoms:
Numbness or weakness in the face, arm, man, especially on one side of the body.
Inability to move the fingers, hand, arm, or men.
Sudden confusion.
Difficulty speaking or understanding what others are saying.
Problem in vision in one or both eyes, or hearing in one or both ears.
Dizziness, trouble walking, or loss of balance and lack of coordination of movements.
Rapid and severe headache.

In cases of heart cross the blockage is small or light, so that the systems of the body to repair the damage and reopen the artery, which leads to the end of the symptoms. Aka The largest and longest for so they lead to strokes.

Quick handling
The non-availability of information on the impacts of long-term bouts of ischemia blood in transit to the incompatibility of medical perceptions about the best remedies. Suggest the results of two studies released them «SOS-TIA» and «EXPRESS», the balance to the need to take quick decisions.

In the first study «SOS-TIA» dedicated researchers at clinic in hospital in Paris, working throughout the day to assess and address of any person believed to be the victim of ischemic heart blood passing through a few hours of their occurrence. It appeared that did not suffer a stroke during the next three months, only 1 per cent of those who reviewed the clinic.

This is much lower than the expected rate based on the labels that appeared on the patients, symptoms and overall health, a 6 per cent.

A study «EXPRESS» held in the British city of Oxford also results in a dramatic decline in the number of strokes. Among those who have been taken care of quickly, with a perceived lack of heart subjected to ischemia, blood cross, he was only 2 per cent for a stroke during the next three months, compared to 10 per cent of those who approached the clinic after a few days to two weeks after exposure to shift in transit.

Changing habits
Although it is impossible to prevent the incidence of each stroke after the occurrence of ischemic heart blood in transit, then we can improve our situations. However, that will need to work on three fronts:

Identify the situation, knowledge of signs and symptoms of ischemic heart blood in transit, is the first step towards conversion to the question of actually passing.
Response. If you think that you, or someone close you, has suffered a bout of lack of blood supply in transit or a stroke, rushed to connect to an ambulance, medical.

If you suffered a stroke, the arrival to the hospital within 60 minutes, entitles you to a dose of medication to break up blood clots, which would greatly reduce the damage caused by stroke. But suffered a heart ischemia blood cross the diagnosis will help in preventing the occurrence of stroke.

Reorganization. There is so far only a few centers for stroke in hospitals that can be evaluated cases of persons exposed to bouts of transient or strokes. It is intended to establish such centers, but that will not happen quickly.

Recommendations
Provide the American Heart Association and National Stroke Association following recommendations for the prevention of stroke after a heart ischemia bloody cross:

Conduct a rapid assessment, and preferably within the first 12 hours of onset of symptoms.

Photographer diagnostic survey on the same day.

Attention and sustained follow-up blood pressure, cholesterol, diabetes, atrial flutter in the heart and other diseases.

Control of risk factors such as smoking, obesity, and physical inactivity.

Aspirin, aspirin plus (dipyridamole), (Aggrenox), or «clopidogrel» (Plavix), to prevent the formation of new blood clots.

Surgery (carotid endarterectomy), or treatment of artery «endovascular therapy» (remove the narrowed artery with / or without a brace in it), in order to open the carotid artery Uncomfortable or deadlock.