Cerebrovascular Accident Flashcards
What is a cerebrovascular accident (CVA)?
Specific event that results in a lack of oxygen supply to a specific area of the brain secondary to either ischemia or hemorrhage
What are the primary risk factors that can lead to CVA?
- Hypertension
- Cardiac Disease or arrhythmias
- Diabetes mellitus
- Cigarette smoking
- Transient ischemic attacks
What are secondary risk factors of the development of a CVA?
- Obesity
- High Cholesterol
- Behaviors related to hypertension (i.e. stress, excessive salt intake)
- Physical inactivity
- Increased Alcohol consumption
What are the types of CVA’s?
- Transient Ischemic Attack (TIA)
- Completed Stroke
- Stroke Evolution
- Ischemic Stroke
- Hemorrhage
Describe a TIA CVA?
- usually linked to an atherosclerotic thrombosis which causes a temporary interruption of blood upply to an area of the brain
- symptoms resolve quickly, typically within 24-48 hours
Where does a TIA often occur?
Vertebrobasilar arteries and may incite future CVA
What is a completed stroke?
A CVA that presents with total neurological deficits at onset
What is a stroke in evolution?
CVA usually caused by a thrombus that gradually progresses
Total neurological deficits are not seen for one to tow days after onset
Name the type of Ischemic Strokes.
Embolus (20% of Ischemic CVAs)
Thrombus
What is an Embouls Ischemic Stroke associated with?
CVD, the embolus may be solid, liquid or gas, and can originate in any part of the body.
Explain what happens with an Ischemic CVA caused by an embolus
Embolus travels through the bloodstream to the cerebral arteries causing occlusion of a blood vessel and a resultant infarct
- occurs rapidly with no warning; often presents with a headache
- tissues nearest the occlusion sustain higher permanent damage
What artery is most commonly affected in regards to an embolic CVA?
Middle cerebral artery (MCA) from the internal carotid artery most commonly affected
what are common cardiac disorders that can lead to embolism?
- valvular disease (i.e. rheumatic mitral stenosis)
- Ischemic heart disease
- acute myocardial infarction
- arrhytmias (i.e. atrial fibrillation)
- patent foramen ovale
- cardiac tumors
- post cardiac cathertizationd
What is a thrombus CVA?
- atherosclerotic plaque develops in an artery and eventually occluded the artery or a branching artery causing an infarct.
T or F: A thrombus CVA is extremely variable in onset where symptoms can appear in minutes or over several days AND typically occurs during sleep or upon awakening after a MI or p/o
True