The expert recommends to take notes about the onset of symptoms, medical history and medication of

The fear of a stroke is great - and it is not unfounded. About 250,000 German meets this fate every year. The Wicked: A stroke is difficult to detect. We talked to a neurologist, high blood pressure on what symptoms to look out for.
Stroke is one of the most common diseases. He is the third leading cause of death after cancer and heart disease. About a quarter high blood pressure of a million German have a seizure per year. Twelve high blood pressure percent of them die, one third of survivors remains a long-term care. These figures fear. A study of about DAK has shown that in Bavaria alone, every second is very worried. high blood pressure What causes a stroke?
In 80 percent of cases, a stroke caused by a blockage of an artery in the brain is triggered. "A high blood pressure blood clot that has formed previously in the heart or the carotid artery is swept away by the blood flow in the cerebral vessels clogged and there one of the arteries," explains Professor Matthias Reinhard of the Neurological University Clinic Freiburg. Thereby high blood pressure obtaining the nerve cells too little blood and oxygen. A cerebral hemorrhage by tearing a vessel in the brain can cause a stroke. Signs and symptoms of stroke
"The early recognition of symptoms and prompt action are essential for survival," says Professor Reinhard. But it was not always so easy. "A stroke is usually painless and may also initially be accompanied by mild symptoms." In addition, he would often go unnoticed during sleep
In a stroke suddenly functions of parts of the brain fall out. According to the experts, high blood pressure usually high blood pressure affects one hemisphere of the brain. Therefore, symptoms often occur only on one side. "Are often affected arm, face and voice," says Professor Reinhard.
Typical symptoms are deficiency symptoms such as blurred vision, both temporary deafness, loss of speech, facial paralysis, high blood pressure drooping mouth and weakness. These symptoms usually begin suddenly. "You can ask the stakeholders for funds for both arms for ten seconds and with the palms up. Sinks an arm during the time from which has a paralysis down," said the doctor.
A facial paralysis is however easier to see. Here it helps if you ask the patient to show their teeth. However, a stroke high blood pressure can do and sudden loss of consciousness noticeable also by very strong headache (headache destruction). In a stroke every hour counts
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In a stroke must be taken quickly. "Lighter deficits are often trivialized. This is dangerous," says the doctor. For a vessel occlusion destroyed on average 1.9 million neurons per minute.
In order to minimize the impact as low as possible, there is only a small window of time. Within four hours, the thrombolysis is possible, says Professor Reinhard. The blood clot is thereby dissolved with medication. "Thrombolysis via an infusion is usually quite effective, but not everybody successful. Large clots in specialized centers be located with a brain catheter," said the doctor. In affected individuals with cerebral hemorrhage, however such a treatment is not helpful.
"In the first, the golden hour, the patients have the greatest high blood pressure chance of recovery," says Professor Reinhard. Every second person concerned is recovering well after a stroke. With each additional hour decrease the chances. "The Americans have the aptly 'time is brain,'" says the neurologist. To act as first responders
Who noticed typical symptoms, must act immediately and call an ambulance. "There should be no blood-thinning drugs administered before hospital admission or taken himself, because it is unclear high blood pressure what type of stroke is" warned Reinhard. In the case of a cerebral hemorrhage could be as aspirin lethal. It is also advisable that sufferers do not eat and drink. Because with paralysis may occur swallowing.
The expert recommends to take notes about the onset of symptoms, medical history and medication of the person concerned. Unconscious high blood pressure patients should also be placed in the recovery position. At the hospital, the doctor usually looks with a brief ultrasound examination, if a large vessel is sealed in the neck or brain. "The exact nature of the stroke is then determined over a MRI or CT."
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