Cardiology Search
Cardiology Cardiology
ischemic%20stroke
ISCHEMIC STROKE
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
  • Intervention initiation should be considered which incorporates behavioral and pharmacological support
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Cardiology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Mushroom consumption not associated with cardiometabolic diseases
07 Sep 2019
Eating mushrooms has no correlation with biomarkers and risks of cardiovascular disease (CVD) and type 2 diabetes (T2D) in adults, a US study has shown.
Sleep apnoea common, poorly detectable in general population
03 Sep 2019
Sleep apnoea is highly prevalent but largely undetected in the general population of middle-aged adults, with a symptom-based strategy proving to be useless for specific diagnosis, according to a recent study. Moreover, mild sleep apnoea represents a higher-risk phenotype with manifestly increased metabolic, inflammatory and cardiovascular risk factor burden, with potential public health implications.
Adjuvant simvastatin may improve H. pylori eradication with triple therapy
Rachel Soon, 2 days ago

Adding simvastatin as an adjuvant to standard triple therapy in Helicobacter pylori treatment may help compensate for increasing antimicrobial resistance, according to a new study.
DAPA-HF heralds new era of heart failure treatment with dapagliflozin
Christina Lau, 03 Sep 2019
The sodium-glucose co-transporter 2 (SGLT2) inhibitor dapagliflozin significantly reduces the risk of death and hospitalization in patients with heart failure (HF) with reduced ejection fraction (rEF) regardless of whether they have type 2 diabetes mellitus (T2DM), the DAPA-HF trial has shown.