By Jonathan Mant, Marion F. Walker
Stroke is the most typical reason for grownup incapacity and is of accelerating significance inside of growing older populations.
This fresh identify within the ABC sequence covers the total sufferer trip, from prevention via to long term help. It comprises fundamental prevention and administration of danger elements for stroke and secondary prevention together with pharmaceutical, way of life and surgical intervention. the final rules of stroke rehabilitation also are addressed in addition to mobility, verbal exchange and mental difficulties, as is stroke in more youthful humans. It additionally covers long term help for stroke survivors and their carers.
This is a useful and useful advisor to all facets of stroke for either health and wellbeing care pros and lay audiences. it really is of specific relevance to basic practitioners, junior medical professionals, nurses and therapists operating with stroke sufferers and their...
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Additional info for ABC of Stroke
Oxford: Radcliffe Medical Press, 2004. shtml. Qureshi AI, Mendelow AD, Hanley DF. Intra-cerebral haemorrhage. Lancet 2009;373:1632–44. Chapter 2 Primary Prevention of Stroke Jonathan Mant Addenbrooke's Hospital, University of Cambridge, UK Overview Population-based approaches and identification and treatment of ‘high-risk’ individuals are complementary strategies for stroke prevention Cardiovascular risk can be calculated for an individual using a combination of several individual risk factors, including blood pressure and serum cholesterol Smoking, diet, exercise and alcohol consumption are important modifiable aspects of lifestyle Drug treatment to reduce risk of stroke focuses on cholesterol and blood pressure lowering The risk of stroke associated with atrial fibrillation can be substantially reduced through anticoagulation There is considerable overlap between prevention of stroke and prevention of coronary heart disease.
Particularly associated with atrial fibrillation. Recent myocardial infarction and prosthetic heart valves important causes. Small artery disease Several possible underlying pathologies, of which the commonest is aged-related hyaline arteriosclerosis of the small vessels supplying the brain. Other causes Rarer causes such as haematological and clotting disorders. Unknown cause No underlying potential pathology identified. Source: Adams HP, Bendixen BH, Kappelle LJ, Biller J, Love BB, Gordon DL and Marsh EE.
In most cases these are ‘benign’, such as migraine and syncope, and in many cases no clear diagnosis is made. 3 shows diagnoses made by specialists in 317 patients referred by a general practitioner with possible TIA during the Oxford Community Stroke Project who turned out not to have a TIA. 3 Non-TIA diagnoses made in patients referred as possible TIA. Source: Dennis MS, Bamford JM, Sandercock PAG, Warlow CP. Incidence of transient ischaemic attacks in Oxfordshire, England. 1). Specific investigations to identify possible sources of embolism include ECG (in particular looking for atrial fibrillation) and echocardiography.