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STROKE
4.03 Cardiovascular Diseases
WHAT IS A STROKE?
Stroke is a cardiovascular disease that
occurs when there is an interruption of
blood flow to the brain. This is usually
caused by a blood clot in an artery or
when a blood vessel is ruptured. When
that happens, brain cells begin to die and
brain damage can occur.
                                         Mason 4.03
HEMORRHAGIC STROKE
Hemorrhagic strokes
are caused by
uncontrolled high
blood pressure, a
head injury, or
aneurysms.




                       Mason 4.03
ANEURYSMS
Aneurysms are abnormal
blood-filled pouches that
balloon from weak spots.
Hypertension or smoking
may contribute to the
formation of aneurysms.




                            Mason 4.03
ISCHEMIC STROKE

Ischemic strokes are
caused by a thrombus
(blood clot that forms
in the brain) or
embolus (clot that
forms somewhere in
the body and travels to
the brain.


                          Mason 4.03
WARNING SIGNS
• numbness or weakness of face, arm, or leg,
  especially on one side of the body
• confusion, or trouble talking or understanding
  speech
• trouble seeing in one or both eyes
• trouble walking, dizziness, or loss of balance or
  coordination
• severe headache with no known cause

                                                      Mason 4.03
TREATABLE RISK FACTORS
• High blood pressure
• Cigarette smoking
• High cholesterol
• Diabetes
• Being overweight or obese
• Physical inactivity

                              Mason 4.03
TREATABLE RISK FACTORS
• Obstructive sleep apnea
• Cardiovascular disease, including heart failure,
  heart defects, heart infection or abnormal heart
  rhythm
• Use of some birth control pills or hormone
  therapies that include estrogen
• Heavy or binge drinking
• Use of drugs such as cocaine and
  methamphetamines
                                                     Mason 4.03
OTHER RISK FACTORS
• The risk of stroke most often occurs between the
  ages of 55 and 85
• Men have a higher risk of stroke than women
• Women have a higher chance of death from stroke
  than men
• African-Americans have higher risk of stroke than
  people of other races
• Family history of strokes

                                                 Mason 4.03
PREVENTING A STROKE
• See a doctor about any of the treatable risk factors
  mentioned on slides 7 and 8
• Work on controlling high-risk behaviors such as
  smoking, heavy drinking, drugs, or physical
  inactivity
• If you have stroke once but recover, quickly seek
  medical help - a second stroke is likely to happen
  but worse



                                                    Mason 4.03
TREATMENT FOR STROKES
Treatment for a stroke should take place in a
hospital initially. The faster you are treated the
better, to prevent permanent damage or
death. Treatment will be different depending
on whether you’ve had an ischemic or
hemorrhagic stroke. The doctor will use a CT
scan or MRI of your head to diagnose the type
of stroke.


                                                 Mason 4.03
TREATMENT FOR STROKES
• Ischemic Stroke:
  – Treatment focuses on restoring blood
    flow
  – A medicine called tissue plasminogen
    activator can break up blood clots
  – May also receive aspirin or another
    antiplatelet medicine.


                                           Mason 4.03
TREATMENT FOR STROKES
• Hemorrhagic Stroke:
  – Treatment focuses on controlling bleeding
  – If the bleeding is due to a ruptured brain aneurysm,
    surgery may be done
  – Medicines may be given to control blood pressure,
    brain swelling, blood sugar levels, fever, and seizures
  – Surgery may be needed to remove blood that has built
    up inside the brain and to lower pressure inside the
    head


                                                         Mason 4.03
SUMMARY OF A STROKE



              QuickTime™ and a
                decompressor
      are needed to see this picture.




                                        Mason 4.03
REFERENCES
webmd.com. (2005). Retrieved from
   http://www.webmd.com/stroke/guide/stroke-
   treatment-care
(n.d.). Rosland | lab. [0]. Retrieved from
   http://www.strokegenomics.org/index.php?
   page=about-stroke-genetics
Images: Heart and Stroke Foundation of Canada
Video: Nucleus Medical Media


                                                Mason 4.03

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4 03 cardiovascular_disease

  • 2. WHAT IS A STROKE? Stroke is a cardiovascular disease that occurs when there is an interruption of blood flow to the brain. This is usually caused by a blood clot in an artery or when a blood vessel is ruptured. When that happens, brain cells begin to die and brain damage can occur. Mason 4.03
  • 3. HEMORRHAGIC STROKE Hemorrhagic strokes are caused by uncontrolled high blood pressure, a head injury, or aneurysms. Mason 4.03
  • 4. ANEURYSMS Aneurysms are abnormal blood-filled pouches that balloon from weak spots. Hypertension or smoking may contribute to the formation of aneurysms. Mason 4.03
  • 5. ISCHEMIC STROKE Ischemic strokes are caused by a thrombus (blood clot that forms in the brain) or embolus (clot that forms somewhere in the body and travels to the brain. Mason 4.03
  • 6. WARNING SIGNS • numbness or weakness of face, arm, or leg, especially on one side of the body • confusion, or trouble talking or understanding speech • trouble seeing in one or both eyes • trouble walking, dizziness, or loss of balance or coordination • severe headache with no known cause Mason 4.03
  • 7. TREATABLE RISK FACTORS • High blood pressure • Cigarette smoking • High cholesterol • Diabetes • Being overweight or obese • Physical inactivity Mason 4.03
  • 8. TREATABLE RISK FACTORS • Obstructive sleep apnea • Cardiovascular disease, including heart failure, heart defects, heart infection or abnormal heart rhythm • Use of some birth control pills or hormone therapies that include estrogen • Heavy or binge drinking • Use of drugs such as cocaine and methamphetamines Mason 4.03
  • 9. OTHER RISK FACTORS • The risk of stroke most often occurs between the ages of 55 and 85 • Men have a higher risk of stroke than women • Women have a higher chance of death from stroke than men • African-Americans have higher risk of stroke than people of other races • Family history of strokes Mason 4.03
  • 10. PREVENTING A STROKE • See a doctor about any of the treatable risk factors mentioned on slides 7 and 8 • Work on controlling high-risk behaviors such as smoking, heavy drinking, drugs, or physical inactivity • If you have stroke once but recover, quickly seek medical help - a second stroke is likely to happen but worse Mason 4.03
  • 11. TREATMENT FOR STROKES Treatment for a stroke should take place in a hospital initially. The faster you are treated the better, to prevent permanent damage or death. Treatment will be different depending on whether you’ve had an ischemic or hemorrhagic stroke. The doctor will use a CT scan or MRI of your head to diagnose the type of stroke. Mason 4.03
  • 12. TREATMENT FOR STROKES • Ischemic Stroke: – Treatment focuses on restoring blood flow – A medicine called tissue plasminogen activator can break up blood clots – May also receive aspirin or another antiplatelet medicine. Mason 4.03
  • 13. TREATMENT FOR STROKES • Hemorrhagic Stroke: – Treatment focuses on controlling bleeding – If the bleeding is due to a ruptured brain aneurysm, surgery may be done – Medicines may be given to control blood pressure, brain swelling, blood sugar levels, fever, and seizures – Surgery may be needed to remove blood that has built up inside the brain and to lower pressure inside the head Mason 4.03
  • 14. SUMMARY OF A STROKE QuickTime™ and a decompressor are needed to see this picture. Mason 4.03
  • 15. REFERENCES webmd.com. (2005). Retrieved from http://www.webmd.com/stroke/guide/stroke- treatment-care (n.d.). Rosland | lab. [0]. Retrieved from http://www.strokegenomics.org/index.php? page=about-stroke-genetics Images: Heart and Stroke Foundation of Canada Video: Nucleus Medical Media Mason 4.03