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Stroke can happen to anyone, usually at any age or time, and everyone must know the warning signs. Sudden confusional state, dysarthria, difficulty in pronunciation or speaking or understanding speech (aphasia) also suggest stroke. Sudden vision complaints like trouble seeing in one or both eyes, double vision, imbalance in walking, sudden onset vertigo, swaying while walking to one side, or lack of coordination also suggest stroke. Severe unexplained headaches with no apparent cause can also be a manifestation of stroke.
Being obese, lack of physical activity, cigarette smoking or second-hand smoke exposure, and heavy alcohol consumption can lead to stroke. Medical conditions like hypertension, uncontrolled diabetes mellitus, obstructive sleep apnea, heart failure, or irregular heart rhythm, such as atrial fibrillation, can lead to stroke. The COVID-19 infection can also lead to strokes apart from the above causes, especially after age 55 or older.
During a stroke, every second counts. Use FAST pneumonic to identify stroke patients, which means:
There are mainly two types of stroke. Artery in the brain (85% of strokes are ischemic) causes a hemorrhagic stroke. (15% of strokes are hemorrhagic strokes). 18 % of TIA patients might have a stroke as well. 50% of TIA can have a tiny stroke to be detected in MRI imaging. It might be a warning sign of a more significant stroke. So, TIAs also should be treated and investigated like a stroke. Silent strokes do happen in almost 1/4 of patients over 80 years of age.
Early presentation is critical to the early start of therapy, so acute ischemic stroke patients should reach the hospital within the first 60 minutes after onset for better outcomes. Most of the stroke management is bound. The first 6 hours of stroke are the most important; the earlier, the better in acute ischemic stroke. Over the last few years, the advances in stroke treatments/management have significantly improved patients' survival rates.
Therapeutic yield is highest in the first minutes after symptom onset and decreases rapidly over the next 4.5 hours. Early intervention can reduce long-term damage and improve the quality of life in stroke. Regular health check-ups, controlling risk factors like hypertension, smoking, and high cholesterol, and lifestyle changes can prevent strokes.