Overview of Stroke Rehab-Rothrock Flashcards
What are the risk factors for stroke?
Age Hypertension Diabetes Hypercholesterolemia Cigarette smoking Atrial fibrillation; mechanical valve Asymptomatic carotid artery stenosis Migraine Patent foramen ovale Prior stroke or TIA
What are the primary risk factors for stroke?
hypertension diabetes hypercholesterolemia cigarette smoking atrial fibrillation; mechanical valve (!!!!) ACAS (Asymptomatic Carotid Atherosclerosis Study) migraine? PFO?
What did ACAS show?
that patients with carotid artery narrowing that are showing no symptoms should undergo surgery to reduce stroke
What are the secondary prevention strategies for stroke?
carotid endarterectomy vs angioplasty
antiplatelet therapy, statin
chronic anticoagulation
How do you treat acute ischemic stroke?
judicious BP management; IV hydration intravenous thrombolysis intra-arterial thrombolysis mechanical clot retrieval “heroic” measures (eg, hemispherectomy)
How do you treat intracerebral hemorrhage?
BP control
“heroic” measures (cerebellar hemorrhage)
Both the incidence and the causes of stroke may vary widely from geographic region to geographic region.
If so, then the type of stroke management program one develops should be designed to “fit” the needs of the particular (blank) served.
population
WHich has a higher risk for stroke, a fib or a fib with mechanical valve?
a fib w/ mechanical valve
The (blank) is the main artery of embolization
middle cerebral artery
What are the 2 types of hemorrhagic strokes?
Intracerebral
Subarachnoid
What are the 2 types of ischemic strokes?
Thrombotic
Embolic
