When is the best time to treat a stroke?

This is an automatically translated article.

Video content is professionally consulted by Master, Doctor Nguyen Nam Duong - Emergency Doctor - Vinmec Times City International Hospital.

Master, Doctor Nguyen Nam Duong - Emergency Doctor - Vinmec Times City International Hospital said that a stroke is a case of a blocked or broken blood vessel causing the entire brain behind to lack blood. Emergency time very important when detecting stroke patients. So what are the measures to handle when determining the time since the stroke occurred?

Most stroke patients are treated with fibrinolysis, which is the use of drugs that dissolve blood clots. This measure is optimal within 3 hours after the stroke. However, fibrinolysis can be applied in 3 - 4.5 hours after stroke depending on the case; not effective for patients with underlying medical conditions, history of stroke, advanced age...
If a stroke patient is detected after 4.5-6 hours and can't use fibrinolysis, doctors will appoint to remove the blood clot from the cerebral blood vessel depending on the condition of the patient's pulse, nerve damage, damaged area.
If after 6-24 hours after having a stroke, at emergency centers and facilities, leading experts will identify the lesions and prescribe appropriate treatment measures.
After 24 hours of stroke, the patient will have no indication of "fibrinolysis" nor "intravascular thrombosis".
For cases where the stroke time cannot be determined, specifically the case of sleep stroke, the time is calculated from the time when the patient started sleeping or from the last time the patient's relatives witnessed the patient normal. At that time, doctors will have different measures to determine the time of the patient's stroke to prescribe appropriate treatment methods.
At Vinmec Times City International Hospital, doctors will diagnose through magnetic resonance. If the time is seen to be normal in the range of 6-24 hours, endovascular interventions can still be applied.
If you have similar cases with your loved ones or in the community, you can support patients and medical staff to provide timely treatment for stroke by learning more information about the disease. stroke, understand the time factor of stroke onset, determine the patient's underlying medical condition.

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