Medical Rounds with Dr. Amre Nouh

Do you know the warning signs of a stroke? Or would you know what to do if someone is having a stroke? This Saturday is World Stroke Day – a day to bring awareness to this illness. Dr. Amre Nouh, Director of the Stroke Center at Hartford Hospital, talks about the symptoms and treatment for stroke.

Q. What are the signs and symptoms of a stroke?
A. A stroke typically presents as sudden onset numbness or weakness on one side, slurring of speech language difficulties such as problems with comprehension or verbal output or some visual loss. A good we are to remember would be using the word fast. F is for facial weakness or an asymmetric smile. A is for arm weakness or drifting down the arm. Assess for speech either slurring of the speech or inability to speak or understand. An T is for time which is critical because time is brain and patient should be immediately rushed to the hospital.

Q. What are the treatment options available at Hartford Hospital?
A. At Hartford hospital we have all the treatments for stroke patients. Eligible patients with ischemic strokes can receive IV TPA, a clot busting medicine and some may benefit from mechanical thrombectomy using an endovascular catheter. Patient's with brain bleeds or ruptured aneurysms requiring surgical intervention can receive 24/7 neurosurgical care. We have a dedicated stroke unit and neuro ICU which best suits our patients providing excellent nursing care optimizing outcome.

Q. What are some of the newer trials offered to patients? 
A. Current trials include using TPA for minor strokes, use of anticoagulation for secondary stroke prevention and studies evaluating post-stroke depression and fatigue.

Q. What does Hartford Hospital offer for care after a stroke?
A. Patients after a stroke need close follow-up at the stroke clinic. Optimizing risk factors and providing secondary prevention is key. However other needs such as rehabilitation, physical therapy occupational therapy speech therapy are available. Managing complications such as post stroke depression fatigue are very important, as well as evaluations for ability to return to work and functional status.

For more information

There is a free class coming up, “Stroke Prevention, What you need to know.” It will be held on Thursday, November 3rd at 6:30 p.m. at Blue Back Square in West Hartford. To register, call 1-855-HHC-HERE or click here.

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