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Ischaemic strokes – how to recognize and treat them


Ischaemic strokes – how to recognize and treat them

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In order to tackle cardiovascular complications that cause ischaemic strokes, professionals at Sukumvit Hospital use cutting-edge technology to ensure holistic treatment. A recent case described how a patient aged 60 years old had been suffering from cardiac arrhythmias (irregular heart beat) for ten years, but one day when he was at home, he experienced a sudden onset of dizziness and a sharp stabbing pain in the head that forced him to sit down to avoid collapsing. Luckily, in less than an hour, his wife returned home and quickly rushed him to Sukumvit Hospital. When the patient arrived at the hospital he was experiencing weakness and numbness in his limbs.

After an initial examination by medical professionals, he was put through magnetic resonance imaging (MRI) to scan the brain. From the results, it became evident that the patient had blood clots in his brain that caused an ischaemic stroke. Doctors then had to swiftly plan how to treat both the cardiac arrhythmia and stroke, simultaneously. This particular patient suffered from a heart rate that was sometimes too fast and sometimes too slow, fluctuating between atrial fibrillation and bradycardia. An arrhythmia can result in blood not being properly pumped out of the heart, leaving it to pool and form a clot that can travel to the brain and cause a stroke.
The importance of multidisciplinary treatment:

Moving forward, two doctors at Sukumvit Hospital teamed up, using their comprehensive knowledge about neurology to successfully diagnose and treat the patient. The first, Dr. Jackree Thanyanopporn is a specialist in the field of interventional neuroradiology, which describes the subspecialty of radiology that focuses on diagnosing abnormalities using neuroimaging techniques. After performing initial blood work and scans to conclude the patient had blood clots, Dr. Jackree swiftly began treatment. The first step was to give the patient recombinant tissue plasminogen activator (tPA), a medicine that should dissolve clots within an hour of being administered. However, after 45 minutes of receiving the medication, the patient’s symptoms began to worsen and doctors feared that the medicine might have increased internal bleeding.


Source: Expat Life Thailand

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