Description

An ischemic stroke occurs when the blood supply to a part of the brain is blocked or reduced. This prevents the brain tissue from getting oxygen and nutrients. Brain cells begin to die in a matter of minutes. Another type of stroke is a hemorrhagic stroke. Occurs when a blood vessel in the brain leaks or bursts and causes bleeding in the brain. The blood, increases the pressure on the brain cells and damages them.

A stroke is a medical emergency. It is crucial to obtain medical treatment immediately. Get emergency medical help quickly can reduce the brain damage and other stroke complications.

The good news is that fewer Americans die of stroke now than in the past. Effective treatments can also help prevent disability from a stroke.

Symptoms

If you or someone that you are in may be having a stroke, pay attention to the time of the onset of symptoms. Some treatments are more effective when given soon after a stroke begins.

The symptoms of a stroke include:

  • Difficulty talking and understanding what others are saying. A person who has a stroke can be confused, ligation of words or may not be able to understand the speech.
  • Numbness, weakness or paralysis of the face, arm or leg. This often affects only one side of the body. Can the person raise both arms above the head. If one arm begins to fall, it can be a sign of a stroke. Also, one of the sides of the mouth may droop when trying to smile.
  • Trouble seeing in one or both eyes. The person may suddenly have blurred or blackened vision in one or both eyes. Or the person may see double.
  • The pain of a headache. A sudden and severe headache can be a symptom of a stroke. Vomiting, dizziness, and a change in consciousness can occur with the headache.
  • Difficulty walking. Someone who has a stroke can be tripping or loss of balance or coordination.

When to see a doctor

Seek immediate medical attention if you notice any of the symptoms of a stroke, even if they seem to come and go or disappear completely. I think that "FAST" and do the following:

  • Of the face. Ask the person to smile. Does one side of the face drooping?
  • Of the arms. Ask the person to raise both arms. Does one arm drift downward? Or is one arm unable to rise?
  • Speech. Ask the person to repeat a simple phrase. Is the speech slurred or different than usual?
  • Time. If you notice any of these symptoms, call 911 or emergency medical help immediately.

Call 911 or the local emergency number immediately. Do not wait to see if the symptoms disappear. Every minute counts. The longer a stroke goes untreated, the greater the potential for brain damage and disability.

If you're with someone you suspect is having a stroke, watch the person carefully while waiting for emergency assistance.

Causes

There are two main causes of stroke. An ischemic stroke is caused by a blockage of the artery in the brain. A hemorrhagic stroke is caused by a leak or rupture of a blood vessel in the brain. Some people may have only a temporary disruption of blood flow to the brain, known as a transient ischemic attack (TIA). A TIA does not cause lasting symptoms.

Ischemic stroke

This is the most common type of stroke. This occurs when the blood vessels of the brain are narrowed or blocked. This reduces the flow of blood, known as ischemia. Blocked or narrowing of the blood vessels can be caused by fat deposits that accumulate in the blood vessels. Or may be caused by blood clots or other debris that travel through the bloodstream, most often from the heart. An ischemic stroke occurs when fatty deposits, blood clots or other debris lodged in the blood vessels in the brain.

Some of the early research show that COVID-19, the infection can increase the risk of ischemic stroke, but further studies are needed.

Hemorrhagic stroke

Hemorrhagic stroke occurs when a blood vessel in the brain leaks or ruptures. Bleeding within the brain, known as cerebral hemorrhage, may be the result of many conditions that affect the blood vessels. The factors associated with hemorrhagic stroke are:

  • The high blood pressure that is not under control.
  • The excess of treatment with anticoagulants, also known as anticoagulants.
  • Bumps in the weak points in the walls of the blood vessels, known as aneurysms.
  • Head Trauma, such as from a car accident.
  • Protein deposits in the walls of the blood vessels that lead to the weakness in the vessel wall. This is known as cerebral amyloid angiopathy.
  • Ischemic stroke that leads to a brain hemorrhage.

A less common cause of bleeding in the brain is the rupture of an arteriovenous malformation (AVM). An AVM is an irregular tangle of thin-walled blood vessels.

Transient ischemic attack

A transient ischemic attack (TIA) is a temporary period of symptoms similar to those of a stroke. But a TIA does not cause permanent damage. A TIA is caused by a temporary decrease in the blood supply to part of the brain. The decline can last as little as five minutes. A transient ischemic attack is sometimes known as a mini stroke.

A TIA occurs when a blood clot or fatty deposit reduces or blocks the flow of blood to the part of the nervous system.

Seek emergency care, even if you think you've had a TIA . It is not possible to know if you're having a stroke or TIA based only on the symptoms. If you have had a TIA , which means that you may have a blockage or narrowing of the arteries leading to the brain. Have a TIA increases your risk of having a stroke later.

Risk factors

Many factors can increase the risk of stroke. Potentially treatable risk factors include:

Lifestyle risk factors

  • Being overweight or obese.
  • Physical inactivity.
  • Heavy or excessive drinking.
  • Use of illegal drugs such as cocaine and methamphetamine.

Medical risk factors

  • The high blood pressure.
  • Cigarette smoking or exposure to cigarette smoke.
  • High cholesterol.
  • Diabetes.
  • Obstructive sleep apnea.
  • Cardiovascular diseases, such as heart failure, heart defects, infection of the heart or irregular heartbeats, such as atrial fibrillation.
  • A personal or family history of stroke, heart attack or transient ischemic attack.
  • COVID-19 infection.

Other factors associated with an increased risk of stroke include:

  • Age — People age 55 or older have a higher risk of stroke than do younger people."
  • The race or ethnicity of African — American and Hispanic people have a higher risk of stroke than people of other races or ethnic groups.
  • Sex — Men have a higher risk of stroke than women. Women tend to be older when they have strokes, and are more likely to die of strokes than men are.
  • Hormones — who take birth control pills or hormone therapies that include estrogen can increase the risk.

Complications

A stroke can sometimes cause temporary or permanent disabilities. Complications depend on how long the brain lacks blood flow and of the affected part. Complications can include:

  • Loss of muscle movement, known as paralysis. You can become paralyzed on one side of the body. Or you may lose control of certain muscles, such as those of one side of the face or the arm.
  • Difficulty speaking or swallowing. A stroke can affect the muscles of the mouth and throat. This can make it difficult to speak clearly, swallow or eat. You may also have problems with the language, including speaking or understanding speech, reading or writing.
  • The memory loss or difficulty thinking. Many people who have had a stroke experience some memory loss. Others may have problems thinking, reasoning, judgment and understanding of the concepts.
  • The emotional symptoms. People who have had strokes may have more trouble controlling their emotions. Or they may develop depression.
  • Pain. Pain, numbness, or other feelings may occur in the parts of the body affected by stroke. If a stroke causes them to lose sensation in the left arm, you can develop a tingling sensation in the arm.
  • Changes in behavior and self-care. People who have had accidents can be more withdrawn. They may also need help with personal hygiene and daily tasks.

Prevention

You can take steps to prevent a stroke. It is important that you know your risk factors and to follow the advice of your health care professional about the strategies of healthy lifestyle. If you have had a stroke, these measures may help prevent another stroke. If you have had a transient ischemic attack (TIA), these steps may help reduce the risk of a stroke. The follow-up of the care you receive at the hospital, and after may also play a role.

Many stroke prevention strategies are the same as the strategies for preventing heart disease. In general, healthy lifestyle recommendations include:

  • Control of high blood pressure, known as hypertension. This is one of the most important things you can do to reduce your risk of stroke. If you have had a stroke, the reduction of blood pressure can help prevent a TIA or a stroke in the future. Healthy lifestyle changes and medications are often used to treat high blood pressure.
  • Reduce the amount of cholesterol and saturated fats in your diet. Eat less cholesterol and fat, especially saturated fats and trans fats, can prevent the accumulation of plaque in the arteries. If you can't control your cholesterol through changes in diet alone, you may need a medication to lower cholesterol.
  • Quit tobacco use. Smoking increases the risk of stroke in smokers and non-smokers exposed to second-hand smoke. Quitting smoking reduces the risk of stroke.
  • Control diabetes. Diet, exercise and weight loss can help to keep the blood sugar in a healthy range. If lifestyle factors are not sufficient for the control of blood sugar, you may be prescribed medications for diabetes.
  • Maintain a healthy weight. Excess weight contributes to other risk factors, like high blood pressure, cardiovascular disease, and diabetes.
  • Eating a diet rich in fruits and vegetables. Eat five or more servings of fruits or vegetables each day can reduce the risk of stroke. The Mediterranean diet, which emphasizes the olive oil, fruits, nuts, vegetables, and whole grains, you can be useful.
  • Exercise regularly. Aerobic exercise reduces the risk of stroke in many ways. The exercise can decrease blood pressure, increase the levels of good cholesterol, and improve the overall health of the blood vessels and the heart. It also helps you lose weight, control diabetes and reduce stress. Gradually work up to at least 30 minutes of moderate physical activity on most or all days of the week. The American Heart association recommends 150 minutes of moderate-intensity aerobic activity or 75 minutes of aerobic activity, vigorous week. The activities of moderate intensity can include walking, jogging, swimming, and biking.
  • Drink alcohol only in moderation, if at all. Drinking large amounts of alcohol increases the risk of high blood pressure, ischemic strokes and hemorrhagic strokes. In addition, Alcohol may interact with other medicines that you are taking. However, drinking small to moderate amounts of alcohol may help prevent ischemic stroke and decreased blood clotting tendency. A small to moderate amount is about one drink per day. Talk with your healthcare provider about what is right for you.
  • The treatment of obstructive sleep apnea (OSA). OSA is a sleep disorder that causes you to stop breathing for short periods several times during sleep. Your health care professional may recommend a sleep study if you have symptoms of OSA . The treatment consists in a device that provides positive pressure in the airway through a mask to keep the airway open during sleep.
  • Do not use illicit drugs. Certain illicit drugs such as cocaine and methamphetamine are established risk factors for a TIA or a stroke.

Preventive medications

If you have had an ischaemic stroke, you may need medications to help reduce your risk of having another stroke. If you have had a TIA , there are medications that can reduce your risk of having a stroke in the future. These medications may include:

  • Anti-platelet drugs.Platelets are blood cells that form clots. Anti-platelet drugs make these cells less sticky and less likely to clot. The most commonly used anti-platelet medicine is aspirin. Your health care professional may recommend dose of aspirin. If you have had aTIAor minor stroke, you can take both aspirin and an anti-platelet medication, such as clopidogrel (Plavix). These drugs can be prescribed for a period of time to reduce the risk of another stroke. If you can't take aspirin, may be prescribed clopidogrel alone. Ticagrelor (Brilinta) is another anti-platelet drug that can be used for the prevention of stroke.
  • Swelling of thinning medications known as anticoagulants.These medicines to reduce the clotting of the blood. Heparin is a fast-acting anticoagulant that can be used short-term in the hospital. It acts more slowly than warfarin (Jantoven) can be used long-term. Warfarin is a potent anticoagulant, so you need to take it exactly as directed and see the side effects. Also need blood tests to monitor the effects of warfarin. Several new anticoagulants medicines are available to prevent stroke in people who have a high risk. These medications include dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) and edoxaban (Savaysa). Work faster than warfarin, and generally do not require blood tests or monitoring of a health care professional. These drugs are also associated with a lower risk of bleeding complications compared with warfarin.

Anti-platelet drugs. Platelets are blood cells that form clots. Anti-platelet drugs make these cells less sticky and less likely to clot. The most commonly used anti-platelet medicine is aspirin. Your health care professional may recommend dose of aspirin.

If you have had a TIA or minor stroke, you can take both aspirin and an anti-platelet medication, such as clopidogrel (Plavix). These drugs can be prescribed for a period of time to reduce the risk of another stroke. If you can't take aspirin, may be prescribed clopidogrel alone. Ticagrelor (Brilinta) is another anti-platelet drug that can be used for the prevention of stroke.

Swelling of thinning medications known as anticoagulants. These medicines to reduce the clotting of the blood. Heparin is a fast-acting anticoagulant that can be used short-term in the hospital.

It acts more slowly than warfarin (Jantoven) can be used long-term. Warfarin is a potent anticoagulant, so you need to take it exactly as directed and see the side effects. Also need blood tests to monitor the effects of warfarin.

Several new anticoagulants medicines are available to prevent stroke in people who have a high risk. These medications include dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) and edoxaban (Savaysa). Work faster than warfarin, and generally do not require blood tests or monitoring of a health care professional. These drugs are also associated with a lower risk of bleeding complications compared with warfarin.

Diagnosis

During a race, things will move quickly once in the hospital. Your emergency team works to learn what type of stroke you're having. It is likely that you will have a ct scan or other imaging test shortly after his arrival. Health professionals must also rule out other possible causes of your symptoms, such as a brain tumor or a drug reaction.

Tests

Some of the tests you may have include:

  • A physical exam. A health care professional performs several tests, including listening to your heart and check your blood pressure. A neurologic examination shows how a potential attack is affecting your nervous system.
  • Blood tests. You may need tests to check the speed of your blood clots, and if your blood sugar is too high or too low. You can also be tested to see if you have an infection.
  • Computed tomography (CT scan). A ct scan uses a series of X-rays to create a detailed image of your brain. A ct scan can show bleeding in the brain, an ischemic stroke, a tumor, or other conditions. You could have a contrast dye is injected into the bloodstream to view the blood vessels in the neck and the brain in greater detail. This type of test is called ct angiography.
  • Magnetic resonance imaging (MRI). An mri uses powerful radio waves and a magnetic field to create a detailed view of the brain. The test can detect the brain tissue is damaged by an ischemic stroke and brain hemorrhages. Sometimes, a dye is injected into a blood vessel to view the arteries and veins, and to enhance the flow of blood. This test is called magnetic resonance angiography or magnetic resonance venography.
  • Ultrasound of the carotid artery. In this test, sound waves create detailed images of the inside of the carotid arteries in the neck. A carotid ultrasound can show the accumulation of fatty deposits, called plaques, and blood flow in the carotid arteries.
  • Cerebral Angiography. This test is less common, but provides a detailed view of the arteries in the brain and the neck. A thin, flexible tube called a catheter is inserted through a small incision, usually in the groin area. The tube is guided through the major arteries in the carotid or vertebral artery in the neck. Then, a dye is injected into the blood vessels to make the arteries visible on x-ray images.
  • The echocardiogram. An echocardiogram uses sound waves to create detailed pictures of the heart. An echocardiogram can find a source of blood clots in the heart that may have traveled to the brain and caused a stroke.

Treatment

Emergency treatment depends on whether you are having an ischemic or hemorrhagic stroke. During an ischemic stroke, the blood vessels in the brain are blocked or narrowed. During a hemorrhagic stroke, there is bleeding in the brain.

Ischemic stroke

For the treatment of an ischemic stroke, the blood flow must quickly be restored to the brain. This can be done with:

  • EmergencyIVmedicine.AnIVmedicine that can break up a clot has to be given within 4.5 hours from when symptoms started. In the evening the medicine, the better. Quick treatment improves their chances of survival and may reduce complications. AnIVinjection of recombinant tissue plasminogen activator (TPA) is the gold standard treatment for ischemic stroke. The two types of ofTPAare alteplase (Activase), and tenecteplase (TNKase). An injection ofTPAis usually given through a vein in the arm within the first three hours. Sometimes,TPAcan be given up to 4.5 hours after stroke symptoms begin. This drug restores the flow of blood by the dissolution of blood clots that cause stroke. By quickly removing the cause of the stroke, can help people recover fully from a stroke. Your health professional considers certain risks, such as the potential of bleeding in the brain, to determine whetherTPAis right for you.
  • Emergency endovascular procedures. Health professionals sometimes the treatment of ischemic strokes directly on the inside of the blocked blood vessel. Endovascular therapy has been shown to improve outcomes and reduce long-term disability after ischemic stroke. These procedures should be performed as soon as possible: Drugs delivered directly to the brain.During this procedure, a long, thin tube called a catheter is inserted through an artery in the groin. The probe moves through the arteries to the brain to deliverTPAdirectly where the stroke is happening. The time window for which this treatment is a bit longer than the injectedTPAbut is still limited.Removing the clot with a stent retriever.A device connected to a catheter can directly remove the clot blockage of the blood vessel in the brain. This procedure is especially useful for people with large clots that can not be dissolved completely withTPA. This procedure is often performed in combination with injectedTPA.
  • Drugs delivered directly to the brain. During this procedure, a long, thin tube called a catheter is inserted through an artery in the groin. The probe moves through the arteries to the brain to deliver TPA directly where the stroke is happening. The time window for which this treatment is a little longer than for injected TPA but is still limited.
  • Removing the clot with a stent retriever. A device connected to a catheter can directly remove the clot blockage of the blood vessel in the brain. This procedure is especially useful for people with large clots that may not be completely dissolved with TPA . This procedure is often performed in combination with injected to the TPA .

EmergencyIVmedicine. An IV medicine that can break up a clot has to be given within 4.5 hours from when symptoms started. In the evening the medicine, the better. Quick treatment improves their chances of survival and may reduce complications.

A single INTRAVENOUS injection of recombinant tissue plasminogen activator (TPA) is the gold standard treatment for ischemic stroke. The two types of TPA is alteplase (Activase), and tenecteplase (TNKase). An injection of TPA is usually given through a vein in the arm within the first three hours. Sometimes, the TPA can be given up to 4.5 hours after stroke symptoms begin.

This drug restores the flow of blood by the dissolution of blood clots that cause stroke. By quickly removing the cause of the stroke, can help people recover fully from a stroke. Your health professional considers certain risks, such as the potential of bleeding in the brain, to determine if the TPA is right for you.

  • Drugs delivered directly to the brain. During this procedure, a long, thin tube called a catheter is inserted through an artery in the groin. The probe moves through the arteries to the brain to deliver TPA directly where the stroke is happening. The time window for which this treatment is a little longer than for injected TPA but is still limited.
  • Removing the clot with a stent retriever. A device connected to a catheter can directly remove the clot blockage of the blood vessel in the brain. This procedure is especially useful for people with large clots that may not be completely dissolved with TPA . This procedure is often performed in combination with injected to the TPA .

The window of time when these procedures can be considered has been the expansion due to the new technology of the image. Perfusion imaging tests done with CT or MRI to help determine if someone may benefit from endovascular therapy.

Other procedures

Your health care professional may recommend a procedure to open an artery that is narrowed by plaque. This type of procedure is performed to reduce your risk of having another stroke or transient ischemic attack. The options vary, but include:

  • Carotid endarterectomy. The carotid arteries are the blood vessels that run along each side of the neck, the blood supply to the brain. This surgery removes plaque from a blockage of a carotid artery and can reduce the risk of ischemic stroke. A carotid endarterectomy, also carries risks, especially for people with heart disease or other medical conditions.
  • Angioplasty and stents. In an angioplasty, a surgeon places a catheter in the carotid arteries through an artery in the groin. A balloon is then inflated to widen the narrowed artery. After a stent may be inserted to support the open artery.

Hemorrhagic stroke

Emergency treatment of hemorrhagic stroke is centered on the control of bleeding and reduce the pressure on the brain caused by excess fluid.

Emergency measures

If you take blood-thinning medications to prevent the formation of blood clots, you may receive treatment to counteract the blood-thinning medicines' effects. These treatments include medications or transfusion of blood products. The medicines also can decrease the pressure in his brain, lower blood pressure, prevent spasms of the blood vessels and prevent seizures.

Surgery

If the area of the hemorrhage is large, you may need surgery to remove the blood and relieve the pressure in his brain. The surgery may also be used to repair the damage of the blood vessels associated with hemorrhagic strokes.

Your health care professional may recommend one of these procedures if an aneurysm, arteriovenous malformation (AVM), or other condition of the blood vessels caused by the stroke.

  • Surgical clipping. A surgeon places a small clamp at the base of an aneurysm to stop the flow of blood. An aneurysm is a bulge in a weak spot in a blood vessel. The clamp can keep the aneurysm from bursting. Or the clamp can hold an aneurysm that has recently burst of bleeding again.
  • Coiling, also known as endovascular embolization. A catheter is inserted in an artery in the groin and guided to the brain. The use of a catheter, a surgeon places small coils in the aneurysm filling. This blocks the flow of blood into the aneurysm and causes the blood to clot.
  • Surgical removal of a tangle of thin-walled blood vessels, known as anAVM. You can remove a small AVM if it is in an area of the brain that is easy to access. This eliminates the risk of rupture and reduces the risk of hemorrhagic stroke. However, it is not always possible to remove an AVM if it is deep in the brain or if it is large. Also it may not be possible to remove if the procedure would have an impact on the function of the brain.
  • Stereotactic radiosurgery. This procedure uses multiple beams of highly focused radiation for the repair of blood vessel malformations. Stereotactic radiosurgery is an advanced treatment that is not as invasive as other procedures.

Stroke recovery and rehabilitation

After emergency treatment, which are closely monitored for at least a day. After that, stroke care focuses on helping you recover as much function as possible and return to independent living. The impact of the stroke depends on the area of the brain involved and the amount of tissue damaged.

If the stroke affected the right side of the brain, the movement and sensation on the left side of your body may be affected. If the stroke damaged the left side of the brain, the movement and sensation in the right side of his body may be affected. The brain damage in the left side of the brain can also cause speech and language disorders.

Most of the people who have had a stroke to go to a rehabilitation program. Your healthcare provider can recommend a treatment program that is right for you. A program is recommended based on your age, general state of health, and the degree of disability of the race. Your lifestyle, interests, priorities, and if you have the help of family members or caregivers are considered.

Rehabilitation can start before you leave the hospital. After downloading, you can continue with the program in a rehabilitation unit of the same hospital. Or you can go to another unit of rehabilitation or a skilled nursing facility as an outpatient. You may also have rehabilitation at home.

Each person of stroke recovery is different. Depending on your condition, your treatment team may include:

  • Medical doctor trained in brain conditions, known as a neurologist.
  • Rehabilitation physician, known as a physiatrist.
  • Rehabilitation nurse.
  • Dietitian.
  • The physical therapist.
  • Occupational therapist.
  • Recreational therapist.
  • A speech pathologist.
  • Social worker or case manager.
  • Psychologist or psychiatrist.
  • Chaplain.

The results of the treatment

A way of evaluating the care of patients with a diagnosis of stroke is to look at the percentage of patients who receive timely and effective care measures that are appropriate.

The graphs below show the percentage of eligible Mayo Clinic patients with a diagnosis of stroke to receive all of the proper care of the measures.

Stroke Core Measure

See chart.

Carotid Endarterectomy Mortality

See chart .

Carotid Stenting Of Mortality

See chart .

Comprehensive Stroke As

See chart.

Comprehensive Stroke – Time of Arrival to Puncture the Skin

See chart.

Integral of the race – the Timeliness of IV t-PA Therapy

See chart.

For additional information and data from the visit of Medicare Hospital Compare .

For additional information about the quality at the Mayo Clinic in the visit of Measures of Quality .

Coping and support

A stroke is a life-changing event that can affect your emotional well-being as much as their physical function. Some people may feel frustrated, or depressed. A stroke can cause changes in mood and a decrease in sexual desire.

The maintenance of their self-esteem, connections with others, and interest in the world are an essential part of your recovery. Several strategies can help you and their caregivers, including:

  • Don't be hard on yourself. Physical and emotional recovery involves a difficult job and it takes time. Celebrate your progress. Allow time for rest.
  • Join a support group. Meeting with others recovering from a stroke allows you to get out there and share experiences. You may also exchange information, and create new friendships.
  • Let friends and family know what you need. People can help, but they may not know what to do. Let them know how you can help. You can ask them to bring over a meal and stay to eat with you and talk. Or you could ask to attend social events or religious activities with you.

Communication challenges

Speech and language can be difficult after a stroke. Here are some tips to help you and caregivers cope with the challenges of communication:

  • In practice. Try to have a conversation, at least, once a day. It can help you to learn what works best for you. It can also help you to feel connected and rebuild their confidence.
  • Relax and take your time. Talking can be easier and more pleasant in a situation of rest when you're not in a hurry. Some people who have had a stroke that after dinner is a good time for a conversation.
  • Say it your way. When you are recovering from a stroke, you may need to use the least number of words. It is based on gestures, or using your tone of voice to communicate.
  • The use of braces and supports for communication. You may find that it is useful to use the reference cards to communicate. Reference cards can include words that are often used. Or you may include photos of the close friends and family members, a favorite tv program, the bathroom, or other desires and needs.

Preparing for your appointment

A stroke in progress is usually diagnosed in a hospital. If you are having a stroke, your immediate attention is focused on the reduction of brain damage. If you have not had a stroke, but you're worried about your risk, talk with your healthcare provider at your next appointment.

What to expect from your doctor

In the emergency room, you can see an emergency medicine specialist or a doctor trained in brain conditions, known as a neurologist. The nurses and medical technicians are also likely to be involved in your care.

Your team of emergency, the first priority is to stabilize symptoms, and general medical condition. The computer then determines if you are having a stroke. Health professionals try to find the cause of the race to determine the appropriate treatment.

If you are looking for medical advice during an appointment, your health care professional believes that the risk factors for stroke and heart disease. Your health care professional can offer advice on how to reduce your risk. This may include lifestyle strategies, to quit or not to use illicit drugs. Your health care professional may also consider if you need medications to control high blood pressure, cholesterol, and other risk factors.

Symptoms and treatment of Stroke