Meadville Tribune

Breaking News

Our Health

February 1, 2013

American Stroke Association: Quick action key to stroke treatment

New guidelines recommend therapy within 60 minutes of hospital arrival

People having an ischemic stroke -- which accounts for nine in 10 strokes -- should receive clot-dissolving therapy, if appropriate, within 60 minutes of arriving at the hospital, according to new American Stroke Association guidelines published in the American Heart Association journal Stroke.

Ischemic stroke is caused by a blood clot in the arteries leading to the brain. Calling 9-1-1 immediately after recognizing any of the warning signs of stroke -- and getting to a stroke center as fast as possible -- are still the most important steps for optimal stroke care.

Rapid action a must

During an acute stroke, physicians must evaluate and diagnose the patient as soon as possible to determine if the patient is eligible to receive the clot-dissolving drug recombinant tissue plasminogen activator (tPA), which must be given 4.5 hours within hours of symptom onset. The goal is to minimize "door to needle" time which provides the patient with the best opportunity for benefit from the treatment.

"tPA can now be considered for a larger group of patients, including some those who present up to 4.5 hours from stroke onset," said Edward Jauch, M.D., lead author of the guidelines and director of the Division of Emergency Medicine at the Medical University of South Carolina.

The new guidelines recommend integrating regional networks of comprehensive stroke centers (which offer 24/7, highly specialized treatment for all types of stroke); primary stroke centers (which provide 24/7 specialized care mainly for ischemic stroke); and acute stroke-ready hospitals (which can evaluate and treat most strokes but lack highly specialized capabilities), and community hospitals.

"This is the first time we've brought these healthcare elements together -- including community hospitals which may lack onsite stroke expertise -- which reflects the emerging role of telemedicine in these hospitals," Jauch said.

Guidelines revised

Among other major revisions to the guidelines, if feasible, patients should be transferred rapidly to the closest available certified primary care stroke center or comprehensive stroke center, which might involve air medical transport.

Text Only
Our Health
  • Don't let a desk job negatively impact your health

    If you’re female, you might want to consider a more physically active career to avoid a variety of cancers.

    July 21, 2014

  • Study focuses on cancer in those who apply pesticides

    This year marks the end of the Agricultural Health Study, a 20-year study of the effects of pesticides on farm workers and their families. Although the study focused on Iowa and North Carolina, there are still some elements that are important for Pennsylvania farmers as well as anyone who handles chemical compounds.

    June 30, 2014

  • Learn to swim and keep drowning at bay

    When you and your family hit the pool or the beach this summer, you need to be aware of a phenomenon known as secondary drowning, or dry drowning.

    June 16, 2014

  • ‘Planting’ the seeds of a better diet this summer

    Summertime is a great time to make improvements to your diet and lifestyle. Despite the conflicting “advice” you may get about diet when reading the popular press (not to mention all of the “food rules”), adding more plants to your diet is always a good idea.

    June 9, 2014

  • Is the idea of drinkable sunscreen worth swallowing?

    Tired of greasy, sticky hands after applying sunscreen? Even the spray-on sunscreens leave you inhaling fumes that you shouldn’t breathe. Well, enter a new era of skincare products: drinkable sunscreen.

    June 3, 2014

  • Survivor stories: Beating cancer with faith and family love

    I recently talked with Rebecca Arbuckle of Meadville to discuss her journey with breast cancer and how she was able to beat it with faith, strength and the love of her family. Although our conversation was upbeat and filled with confidence, there were times that emotion broke through, as it should, for having faced such a battle and won. I am in awe of the people I have had the chance to interview and am honored to share their stories.

    May 27, 2014

  • Uncovering the simple fix to the 'super bug'

    The World Health Organization has identified a serious threat to human health around the globe. Known as a “superbug,” this antimicrobial resistant bacterial infection has been coined “AMR” (Antimicrobial Resistance).

    May 19, 2014

  • Get educated about high blood pressure and eating better

    May is High Blood Pressure Education Month, and one in three Americans have it. High blood pressure (hypertension) is a leading risk factor for stroke. Hypertension is often referred to as the “silent killer” since you may feel no apparent symptoms. Yet, high blood pressure will cause damage to the blood vessels, brain and heart over time.

    May 13, 2014

  • Researchers: colon cleansing health benefits a myth

    Researchers have found that while colon cleansing has been around since ancient times, the health benefits are basically a myth.

    May 5, 2014

  • Prescription for Medical Nutrition Therapy

    Nutrition is a vital part of being well, and an even more important part to getting well (or healing). It’s a critical part of prevention, yet if I surveyed physicians or lay people, and asked them “Does diet therapy work?” chances are at least 70 percent of them would say “No.”

    April 21, 2014