The caring professionals at the Advanced Primary Stroke Center provide:
- Accurate diagnoses, using the latest procedures and equipment
- Compassionate treatment across the continuum of care
- Current information for the prevention of stroke
- Magnetic resonance imaging (MRI) produces a 3-dimensional, detailed image of the head, which is used to pinpoint the size and location of a stroke.
- MR angiography is a thorough MRI study of the blood vessels.
- Computed tomography (CT) perfusion is cutting-edge imaging used to help neurologists determine the best treatment for a stroke patient.
- Transthoracic and transesophageal echocardiography (TTE, TEE) are tests that use ultrasound waves to take pictures of the heart and the circulating blood. They are useful in helping to determine the cause of a stroke.
- Carotid duplex scanning is a test that uses ultrasound waves to take a picture of the carotid arteries in the neck, which carry blood to the brain.
The NIH Stroke Scale is a test done by certified nurses to assess the extent of injury and to make sure that the stroke has stabilized.
Neuro checks, also done by nurses, are a series of questions asked to stroke patients, such as: “What is the date? What time is it? Where are you?” They also test the strength of a patient’s arms and legs. These are ways to monitor the effects of a stroke.
ABCD2 is the latest tool to help doctors determine whether patients who have had a transient ischemic attack (TIA) should be admitted to the hospital. (A TIA is a “ministroke,” or “warning stroke,” that produces stroke-like symptoms but no lasting damage.) Patients with a score higher than 3 are admitted to the hospital.
|Age older than 60 years
|Systolic blood pressure = 140 mm Hg
|Diastolic blood pressure = 90 mm Hg
|Speech impairment without weakness
|TIA duration = 60 minutes
|TIA duration 10 - 59 minutes
Acute care (immediate, short-term care in the hospital) for stroke patients includes a wide range of treatments, depending on the type and severity of the stroke.
Emergency treatment, if necessary
Tests to measure blood sugar, risk of heart attack, and the level of oxygen in the blood
Constant monitoring of vital signs, including heart activity
Secondary care involves treatment in the hospital to prevent complications. It focuses on helping patients overcome some of stroke’s most serious effects and to help make them as independent as possible. Most often specialists are called in.
Surgical procedures, including carotid artery stenting, catheter ablation, and minimaze
to open blocked arteries
Interventional radiology, a medical specialty where doctors use imaging technologies to discover blockages in arteries and to treat damaged arteries
Continual monitoring of the extent of injury to be sure that the stroke has stabilized and to prevent complications
Creation of a plan of care with the help of the stroke care coordinator and speech therapist, physical therapist, and occupational therapist
Information on self-care, at-home care, family involvement, rehabilitation facilities, and preventing a second stroke
The Advanced Primary Stroke Center provides a wide assortment of resources used in the prevention of stroke:
Referrals and partnerships with community groups
Involvement in support groups
Stroke awareness campaigns
Expert speakers available to make presentations to community groups