Is Clopidogrel effective in the prevention of secondary stroke in a 65 year-old male who recently had a stroke?
Ischemic Stroke is caused due to a blood clot in an area of the brain, leading to loss of neural function if last for more than 24 hours. In the United States, ischemic stroke affects 2.7% of men and 2.5% of women of age range 18 years and older. In addition, it has reported that annually about 610,000 and 185,000 of new strokes and recurrent strokes cases occur in US1. Moreover, it has reported that patients who have suffered from a stroke have more chances of recurrent stroke, Myocardial infarction, and death from vascular causes2. One of the risk factor of ischemic stroke is formation of plaque in the blood vessels causing blood clot3. Several randomized trials have also reported that antiplatelet medications are efficient in preventing recurrences of stroke in patients who had an incident of ischemic stroke. Antiplatelet medications for preventing recurrences of stroke are aspirin, combination of aspirin and extended-release dipyridamole, and clopidogrel alone4. It ha...
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In conclusion, a dentist needs to know how to properly prevent, recognize, and manage a stroke patient. With a growing elderly population, this is more imperative than ever. Patients are living longer and we want them to enjoy it by ensuring a good quality of life. Therefore, it is important that we don’t treat all our patients the same, but realize they are all unique individuals with unique needs. This might mean not only taking care of their dental problems, but other health issues as well. Our goal should be to optimize the overall health of our patient.
Americans are faced with health complications such as stroke each and every day. Stroke, also called “brain attack” is the third leading cause of deaths in the United States, killing more women each year than breast cancer. According to World Health Organization, fifteen million people suffer from stroke worldwide each year and about 700,000 in the United States. Among the people, it can be inferred that there is a poor public awareness of stroke. There are also many myths about stroke and one of them states that stroke is not preventable. It is also said that strokes cannot be treated, can only strike the elderly and its recovery happens for a few months post-stroke. When in reality, about 80% of strokes are preventable, it requires critical emergency treatment, can happen to anyone of any age, and occurs in the brain. It is also imperative to know that its recovery can continue throughout life.
The patient’s experience relates to the concept of Perfusion since blood clots may interfere with adequate blood flow. Ischemic stroke is a sudden loss of function resulting from disruption of the blood supply to a part of the brain (Brunner and Suddarth, 2010). The presence of partial blockage of the blood vessel can be due to vasoconstriction, platelet adherence, or fat accumulation and therefore decreases elasticity of vessel wall leading to alteration of blood perfusion with the initiation of the clotting sequence. This may later lead to the development of thrombus which can be loosened and dislodged in some areas of the brain such as mid cerebral carotid artery th...
...th recurrent stroke. Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society. 2009;29(2):111-8. Epub 2009/06/06.
It goes without saying that everyone’s health is important and should be taken care carefully. Everyone has heard of strokes before but many people do not really know its meaning, types, and the number of individuals of that dies due to this issue. According to Centers for Disease Control and Prevention (2015), strokes kills an average of 130,000 people a year and it is one of the most common deaths that happen in the United States. An average of 800,000 of people die from cardiovascular disease and strokes and it is also a reason of long-term disability (Centers of Disease Control and Prevention, 2015). Strokes, which can also be called cerebrovascular accident or CVA happen when the blood supply to the brain is interrupted or the blood vessel going towards the brain burst. Then part of the brain dies or become seriously injured because the brain cells do not receive oxygen and they eventually die. People’s lifestyle may also impact seriously on their health and increase the possibility of having a stroke. Some of the risk that can severely increase the cause of stroke would be high blood pressure, heart disease, diabetes, cigarette smoking, as well as strokes that
Strokes are not only the leading cause of mentally disabling adults, but they are also the third most common reason for deaths worldwide (Jarvis, 2012). In general, a stroke, also called a “cerebrovascular accident,” occurs when blood flow of the vascular system is blocked from reaching parts of the brain (Jarvis, 2012). There are two types of stroke, an ischemic stroke or a hemorrhagic stroke, and they differ in the way they affect the vascular system. An ischemic stroke is the most common type of stroke, accounting for 80 percent of all strokes, and it is due to a thrombus or embolus blocking blood vessels supplying the brain (Durukan & Tatlisumak, 2007). A hemorrhagic stroke is less common, but is caused by the rupturing of a blood vessel in the brain and causes bleeding (Jarvis, 2012).
Globally the leading reason for mortality and morbidity rate is stroke. Nearly twenty million individuals can suffer from stroke annually and around five million individuals won't survive . The developing countries account for a median of 85% of worldwide deaths from stroke . Stroke ends up in practical impairments with a median rate of two hundredth survivors who need institutional care once an amount of three months and 15%-30% are going to be disabled for good .
According to the American Heart Association / American Stroke Association’s About Stroke (2014) “stroke is the number four cause of death and the leading cause of adult disability in the United States” (para.1). On average, a stroke happens every 40 seconds in the United States (Impact of Stroke, para. 1) About 4% to 17% of all patients with stroke experience symptom onset while hospitalized (Cumbler, et al., 2014). This amounts to about 35,000-75,000 in-hospital strokes in the United States annually.
Stroke is the third leading cause of death and the brain injuries caused by stroke are a huge cause of disability in older adults. There are over 1.2 million stroke survivors in the UK and half of all stroke survivors have a disability following their stroke. A person’s age increases their risk of having a stroke. Most strokes occur between the ages of 65 and 75. There are three main types of strokes. 85% of strokes are ischaemic and occur when a blood clot forms in an artery leading to the brain, stopping the blood supply causing a neurological defect lasting more than 24 hours (Alexander et al., 2011). 15% of strokes are haemorrhagic and result from a weakened blood vessel that has ruptured and bleeds into the surrounding brain. It can be
The main aim of this report is to present and analyse the disease called Cerebrovascular Accident popularly known as stroke. This disease affects the cerebrovascular system, which is a part of the cardiovascular system. To achieve this aim this report will firstly talk about the cerebrovascular system with its structure and functions. The main body of this report will look at causes, symptoms, diagnosis, treatments and prevention of stroke.
Stroke is one amongst the foremost distressing experiences that can happen to anyone. A stroke is caused by an intermission of the blood offer to half of the brain. The term ‘stroke’ comes from the actual fact that it always happens with none warning, ‘striking’ the person from out of the blue. Worldwide, each year 2/1000 individuals have a stroke. Five out of six strokes happen in individuals over the age of sixty. It is hardly ever obvious why somebody ought to have suffered a stroke. Contrary to widespread belief, stress, and either future or following a sudden event, is not in itself a reason behind a stroke. The most common is obtaining older and alternative factors are high blood pressure (hypertension), smoking, being overweight, having too much sugar in blood (diabetes) and having abundant in excessive amount of cholesterol in blood. Strokes occur once the blood flow within the brain is hampered and brain tissue is broken. There are 2 major varieties of strokes: Ischemic and Trauma. The severity of injury to the brain tissue depends on several factors together with age, area of the brain affected, and alternative medical conditions. If the hand and arm doesn’t have medical aid in real time when stroke, it will reduce the power and muscle management, leading to a claw like look and loss of perform. Activities of the patient daily legal document will be significantly affected.
Stroke is a serious medical condition that affects people of all ages specifically older adults. People suffer from a stroke when there is decreased blood flow to the brain. Blood supply decreases due to a blockage or a rupture of a blood vessel which then leads to brain tissues dying. The two types of stroke are ischemic stroke and hemorrhagic stroke. An ischemic stroke is caused by a blood clot blocking the artery that brings oxygenated blood to the brain. On the other hand, a hemorrhagic stroke is when an artery in the brain leaks or ruptures (“About Stroke,” 2013). According to the Centers for Disease Control and Prevention (CDC), “Stroke is the fourth leading cause of death in the United States and is a major cause of adult disability” (“About Stroke,” 2013). Stroke causes a number of disabilities and also leads to decreased mobility in over half of the victims that are 65 and older. The CDC lists several risk factors of stroke such as heredity, age, gender and ethnicity as well as medical conditions such as high blood pressure, high cholesterol, diabetes and excessive weight gain that in...