Stroke from Cardiogenic Embolism
Alternate Names : Brain Attack
What are the treatments for the condition?
Most people with strokes are treated right away with only aspirin if they do
not have bleeding into the brain. This only serves to help prevent further
strokes. In cases when a stroke is caught in the first few hours, a
clot-busting medication may be used to reverse a stroke. This is why early
recognition of a stroke can be important.
If someone has the early warning signs of stroke, the emergency medical system should be contacted
immediately.
These signs include a sudden onset of:
severe headache
weakness or numbness
of the face,
arm, or leg, especially on one side of the body
dizziness
trouble walking or loss of balance, known as ataxia
confusion
speech impairments,
including
trouble speaking or understanding speech
visual impairments
Supportive therapy may also be needed with some strokes. This may include an artificial breathing machine, or
ventilator, and an artificial
feeding tube if the person cannot swallow.
Rehabilitation services can help to improve a person's function after a stroke.
Physical therapy and other therapy, such as speech
therapy or occupational therapy, may be used to maximize
recovery.
What are the side effects of the treatments?
Side effects depend on the treatments used. For instance, aspirin may cause
allergic reactions, stomach upset, or bleeding. Clot-busting
medications can cause excessive bleeding. A
ventilator may sometimes cause damage to the lungs or an infection.
What happens after treatment for the condition?
After the person is stable, treatment of the risk factors for stroke, as well
as the cause of the stroke, is important to prevent further strokes. For
instance, stopping smoking and controlling high blood pressure,
diabetes, and high cholesterol
are advised for most people. Treatment for
atrial fibrillation and congestive
heart failure will be given as needed.
Many people need assistance of one form or another after a stroke. This may
range from using a walking cane to needing 24-hour-a-day skilled nursing
care. Ongoing therapy to improve function is usually advised for at least 6
months if the person is able.
How is the condition monitored?
After having a stroke due to cardiogenic embolism, a person may need a repeat
echocardiogram with routine
follow-up
visits to the healthcare provider's office to check for new clots in the heart.
If an individual takes blood thinners, blood tests are normally done to assure
the correct dose. These tests let a healthcare provider know if the person's
blood is too "thin" or too "thick," which may require a dosage adjustment. Any
new or worsening symptoms should be reported to the healthcare provider.
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