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Heart problems - stroke

What is a Stroke?



A stroke can occur when the blood supply to an area of the brain is reduced or blocked, causing the brain to be starved of oxygen. It is essentially the same process as that which affects the heart in a heart attack. Strokes can also be caused by a haemorrhage in the brain. People who have strokes are affected in different ways, ranging from complete recovery to the chance of permanent disability and sometimes death. The effects of stroke depend on which part of the brain has been damaged. Recovery can continue to occur for several years after the stroke.
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Causes


There are two main types of stroke - Ischaemic and Haemorrhagic.
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  • Ischaemic stroke


    This is the most common type, accounting for more than two thirds of strokes and happens when blood vessels are blocked by a clot or become too narrow for blood to get through to the brain. The reduced flow causes brain cells in the area to die from lack of oxygen. The main cause of ischaemic stroke is atherosclerosis - the build up of cholesterol deposits (called plaques) in the walls of the arteries that feed the brain.

  • Haemorrhagic stroke


    The blood vessel is not blocked but it bursts and blood leaks into the soft brain tissue causing major damage.
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Transient Ischaemic Attack (TIA)


A transient ischaemic attack or mini-stroke is when the interruption of blood supply is short-lived. This produces transient stroke-like symptoms that usually clear up within a few minutes. A TIA should be considered a warning sign as a major stroke may follow. Don’t ignore the symptoms! Get advice from your doctor.

Symptoms of stroke and TIA


The symptoms of a stroke vary depending on the type (ischaemic or haemorrhagic) and location of the stroke in the brain. Stroke symptoms usually occur suddenly, coming on within seconds or minutes. Occasionally, it can be over a period of hours or more rarely, days. A person who is suspected of having a stroke should be taken to hospital as an emergency, as the sooner a stroke is diagnosed and treated the less damage there is likely to be to the brain tissue and the better chance of a good recovery.
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    Symptoms include:


  • Sudden weakness, numbness or paralysis often down one side affecting the face, arm, leg or the whole of one side of the body.
  • Loss or disturbance of vision, especially in one eye.
  • Confusion or difficulty understanding.
  • Difficulty speaking and swallowing.
  • Dizziness, loss of balance or co-ordination.
  • Sudden severe headache.
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