Stroke

Question 1

Stroke is…

Answer 1

Disruption of blood supply to the brain. It is acute and involves focal neurological symptoms and signs.

Question 2

2 types of stroke?

Answer 2

1) haemorrhagic - bleeding occurs around the brain tissue.

2) Ischaemic- clot blocks blood flow to an area. This is more common

Question 3

Risk factors for stroke?

Answer 3

Same as most CVD.
Note hypertension is a massive risk factor.
Atrial Fibrillation increases risk of cardioembolism
Prior history of TIA can increase chances.
Most likely to have a stroke just after having one.

Question 4

How can the type of stroke be determined?

Answer 4

brain imaging- CT the scan of choice

Question 5

Haemorrhagic stroke is reversible or non-reversible

Answer 5

non reversible

Question 6

Ischaemic strokes you can do thrombolysis up to _____ from onset of symptoms and thrombectomy up to _____ from symptom onset

Answer 6

4.5

6

Question 7

Medical management to avoid new stroke?

Answer 7

Antiplatelets
Statins to reduce cholesterol (can make haemorrhagic stroke worse)
Antihypertensives
Lifestyle advice
AF needs anticoagulants (Rivaroban and Apixaban)