Stopping More Strokes with tPA Treatment
The most widely known and the only FDA-approved drug for treatment of ischemic stroke — intravenous tPA (tissue plasminogen activator) — can reverse stroke if given to carefully selected patients within a few hours of stroke onset.
Recovery time after a stroke is different for everyone—it can take weeks, months, or even years. Some people recover fully, but others have long-term or lifelong disabilities. Learn more about stroke rehabilitation from the National Institute of Neurological Disorders and Stroke.
The main treatment for an ischemic stroke is a medicine called tissue plasminogen activator (tPA). It breaks up the blood clots that block blood flow to your brain. A doctor will inject tPA into a vein in your arm. This type of medicine must be given within 3 hours after your symptoms start.
Can stroke be cured? The short answer is yes, stroke can be cured — but it occurs in two stages. First, doctors administer specific treatment to restore normal blood flow in the brain. Then, the patient participates in rehabilitation to cure the secondary effects.
Call 9-1-1 immediately if any of these signs of stroke appear: Numbness or weakness in the face, arm, or leg; Confusion or trouble speaking or understanding speech; Trouble seeing in one or both eyes; Trouble walking, dizziness, or problems with balance; severe headache with no known cause.
Weakness or numbness of the face, arm or leg, usually on one side of the body. Trouble speaking or understanding. Problems with vision, such as dimness or loss of vision in one or both eyes. Dizziness or problems with balance or coordination.
Warning signs of an ischemic stroke may be evident as early as seven days before an attack and require urgent treatment to prevent serious damage to the brain, according to a study of stroke patients published in the March 8, 2005 issue of Neurology, the scientific journal of the American Academy of Neurology.
In addition to the classic stroke symptoms associated with the FAST acronym, around 7-65% of people undergoing a stroke will experience some form of a headache. People describe a stroke-related headache as a very severe headache that comes on within seconds or minutes.
How Does a Stroke Impact Life Expectancy? Despite the likelihood of making a full recovery, life expectancy after stroke incidents can decrease. Unfortunately, researchers have observed a wide range of life expectancy changes in stroke patients, but the average reduction in lifespan is nine and a half years.
Heart disease, stroke and stress
Stress can cause the heart to work harder, increase blood pressure, and increase sugar and fat levels in the blood. These things, in turn, can increase the risk of clots forming and travelling to the heart or brain, causing a heart attack or stroke.
First-Stroke Patients' 5-Year Survival Rates Study
Of the surviving patients, 60 percent who suffered an ischemic stroke and 38 percent with intracerebral hemorrhage survived one year, compared to 31 percent and 24 percent, respectively, after five years.
In fact, ischemic strokes unfold over a period of 10 hours. That means that with every second you wait for treatment, the brain damage gets worse. If a stroke is untreated for the full 10 hours, the brain ages up to 36 years! With every minute you wait, the brain loses two million brain cells.
Drink a lot of water: You should drink at least five glasses of water per day, and this will reduce your risk of stroke by 53%, according to a recent study by Loma Linda University.
Yes, you can have a stroke and not know it. A stroke's effects can be undetectable if the stroke is small or if the tissue damaged does not serve a critical function. Evidence of the stroke would show on a CT scan or an MRI of the brain, but it might not produce symptoms.
Even after surviving a stroke, you're not out of the woods, since having one makes it a lot more likely that you'll have another. In fact, of the 795,000 Americans who will have a first stroke this year, 23 percent will suffer a second stroke.
If your stroke symptoms go away after a few minutes, you may have had a transient ischemic attack (TIA), also sometimes called a “mini-stroke.” Although brief, a TIA is a sign of a serious condition that will not go away without medical help. Unfortunately, because TIAs clear up, many people ignore them.
Taking aspirin isn't advised during a stroke, because not all strokes are caused by blood clots. Some strokes are caused by ruptured blood vessels and taking aspirin could make these bleeding strokes more severe. Written by American Heart Association editorial staff and reviewed by science and medicine advisers.