Stroke, Epidemiology, Management and Prevention
Stroke occurs when the supply of blood to the brain is either interrupted or reduced. When this happens, the brain does not get enough oxygen or nutrients, which causes brain cells to die.
Some stroke risk factors can’t be controlled. These include gender, age and family history. However, many stroke risk factors are lifestyle related. Everyone can reduce their risk of having a stroke by making a few simple lifestyle changes. There are some races and ethnic origins that are more prone to stroke than others. This includes those of Asian, African or Caribbean origin.
The goal for the acute management of patients with stroke is to stabilize the patient and to complete initial evaluation and assessment, including imaging and laboratory studies, within 60 minutes of patient arrival. Critical decisions focus on the need for intubation, blood pressure control, and determination of risk or benefit for thrombolytic intervention. Hypoglycaemia and hyperglycaemia need to be identified and treated early in the evaluation.
The best way to prevent a stroke is to address the underlying causes. This is best done by living healthfully, which means Eating a healthy diet, maintaining a healthy weight, Exercise regularly, Avoiding alcohol or drink moderately.
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