stroke secondary to atherosclerosis…

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stroke, central nervous system, stroke secondary to atherosclerosis, loss of neurologic functions, brain attack, occurs suddenly, step-wise fashion, due to complications of atherosclerosis, stroke secondary to atherosclerosis affects, 2 out of 1,000 people, 50% of all those, strokes, strokes, the third leading cause of death in most developed countries, stroke secondary to atherosclerosis, common in people over 50 years old, incidence of stroke rises dramatically, the risk doubling, each decade after 35 years old, 5% of people over 65 years old have had at least one stroke, disorder occurs in men more often than in women, atherosclerosis, hardening, the arteries, condition where fatty deposits occur, in the inner lining, the arteries, atherosclerotic plaque, a mass consisting of fatty deposits, blood platelets, develops, plaque, obstruct, block, occlude, artery, trigger a clot, thrombus, at that location, causing cerebral thrombosis, thrombotic stroke, blockage, the artery develops slowly, atherosclerotic plaque, does not necessarily cause stroke, many small connections among the various brain arteries, blood flow gradually decreases, small connections, increase in size, "by-pass" the obstructed area, collateral circulation, is enough collateral circulation, a totally blocked artery, not cause neurologic deficits, a second safety mechanism, the brain, the arteries, large enough that 75%, the blood vessel, occluded, still be adequate blood flow to that area, the brain, atherosclerosis occludes the blood vessels, causing ischemia, reduced oxygen to tissues, insufficient blood flow, infarction, tissue death, ischemia, pieces of atherosclerotic plaque, clot, travel, in the bloodstream, embolism, strokes, embolism, most commonly strokes secondary to cardiogenic embolism, clots that develop, heart disorders, travel, brain, whatever the source, the embolism, clot travels, the bloodstream, becomes stuck, small artery, in the brain, stroke occurs suddenly, immediate maximum neurologic deficit, loss of brain function, stroke secondary to atherosclerosis, a history of high blood pressure, hypertension, present in, 70% of all stroke victims, peripheral vascular disease, smoking, transient ischemic attacks, cerebrovascular disease, high blood lipids, high levels of homocysteine, diabetes, obesity, a sedentary lifestyle, kidney disease requiring dialysis, weakness, total inability to move a body part, numbness, loss of sensation, tingling, abnormal sensations, decreased, loss of vision, partial, temporary, language difficulties, aphasia, inability to recognize, identify sensory stimuli, agnosia, loss of memory, facial paralysis, eyelid drooping, vertigo, abnormal sensation of movement, loss of coordination, swallowing difficulties, personality changes, mood, emotion changes, urinary incontinence, lack of control over bladder, lack of control over the bowels, consciousness changes, sleepy, stuporous, somnolent, lethargic, comatose, unconscious, signs of stroke, testing, same, stroke, serum lipids, triglycerides, cholesterol, tests, head ct scan, head mri, ecg, electrocardiogram, underlying heart disorders, echocardiogram, cause is suspected to be cardiac embolus, carotid duplex, ultrasound, transcranial doppler, helps determine the caliber, the vessels inside the brain, quickly, believe have had, having a stroke, stroke, acute, serious condition, strokes, "brain attacks" to stress that time, the essence in treating this condition, most effective treatment, stroke, intravenous rtpa, works to dissolve the offending clot, prevent permanent deficits, in the first 3 hours after stroke onset, risk of serious bleeding, treatment so it cannot be used in all cases, the most important factor in effective treatment, stroke is arriving, hospital, onset of symptoms, virtually all strokes, hospitalization, intensive care, life support, patients who can't be treated, clot-busting drugs, the type of stroke they, supportive, blood pressure control, adequate fluid management, prevention of complications infections, rehabilitation is important following stroke to maximize function in affected areas, treatment is also aimed at prevention of future strokes, recovery, areas, the brain take over functioning, the damaged areas, goal of treatment, prevent spread, extension, the stroke, to maximize the ability, the person to function, special treatment, stroke in general, medications to control blood cholesterol levels, a special diet, stroke patients often follows the american heart association recommendations, hyperlipidemia, increased fats /lipids, in the bloodstream, restriction of fat, saturated fat, restriction of salt/sodium, stroke is accompanied by high blood pressure, a carotid endarterectomy, removal of plaque, carotid arteries, needed by some people, prevent new strokes from occurring, stroke, third leading cause of death in developed countries, 25% of sufferers die, the stroke, its complications, 50% have some degree of recovery but, left, variable disability, 25% recover most, all function, three important signs occurring, onset, the stroke that best predict who is least likely to make a full recovery, low-grade fever, high blood sugar, hyperglycemia, low blood pressure, hypotension, contrary to common belief, recurrence of stroke is only around 2%, the first 14 days, pressure sores, permanent loss of movement, sensation of a part, orthopedic complications, fractures, contractures, muscle spasticity, permanent loss of cognitive functions, disruption of communication, decreased social interaction, decreased ability to function, care, self, decreased life span, multi-infarct dementia, side effects of medications, symptoms occur indicating a stroke, prevention of stroke secondary to atherosclerosis includes control of risk factors, hypertension, diabetes, heart disease, risk factors, smoking, minimized, preferably, treatment of tia, prevent some strokes.