Ischemic stroke occurs when a blood vessel supplying the brain is obstructed.
Consider stroke in any patient presenting with sudden focal neurological deficit or any alteration in level of consciousness.
Rapid evaluation is essential for sure of time-sensitive treatments.
Determine if patient's symptoms are due to stroke and exclude stroke mimics (eg migraine, hypertensive encephalopathy, hypoglycemia, seizures or post-ictal paresis); identify other conditions requiring immediate intervention and determine the potential causes of stroke.

Lifestyle Modification

  • Consumption of diet rich in fruits and vegetables, and low in fat (especially saturated fat) and sodium
  • Weight loss for overweight patients
  • Regular aerobic exercise ≥30 minutes/day, on most days of the week, depending on patient’s level of fitness
    • A pre-exercise evaluation should be done on stroke survivors to determine contraindications or special medical conditions and neurological complications that may need special attention
  • Moderate intake of alcohol for those who drink alcohol
Smoking Cessation
  • Smoking is a major independent risk factor for ischemic stroke
  • Advise patient to quit smoking and avoid passive or environmental tobacco smoke
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Cardiology - Malaysia digital copy today!
Editor's Recommendations
Most Read Articles
10 Mar 2018
Compared to triple therapy, dual antithrombotic therapy yields reduced bleeding without excess ischaemic and thromboembolic cardiac events in patients with long-term indication to chronic oral anticoagulation following percutaneous coronary intervention, according to a new study.
11 Mar 2018
Coffee consumption appears to protect against the risk of developing hypertension in a dose–response fashion, according to a systematic review and meta-analysis.
10 Mar 2018
In overweight/obese children and adolescents, wrist circumference is not only a marker of insulin resistance but is also correlated with elevated systolic blood pressure (SBP), a recent study has shown.
21 Dec 2017
Results from the ASCOT-LLA study suggest that patient reports of muscle-related adverse events were more common when patients knew they were being treated with a statin. We discussed this phenomenon, known as the ‘nocebo effect’, with senior investigator, Prof. Peter Sever.