Now, stroke patients can be saved beyond the golden hour

Stroke patients who reach the hospital within one hour of symptoms receive a clot-busting injection twice as often as those arriving later. Researchers call the first hour of symptom onset the golden hour

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  • Ischemic (Clots) Ischemic stroke occurs as a result of an obstruction within a blood vessel supplying blood to the brain.
  • Haemorrhagic (Bleeds) Haemorrhagic stroke occurs when a weakened blood vessel ruptures.
  • TIA (Transient Ischemic Attack) TIA (transient ischemic attack) is caused by a temporary clot.

Mumbai’s civic-run KEM Hospital got a new piece of equipment which will help save the lives of people suffering from a stroke. The biplane digital subtraction angiography machine will help treat stroke patients beyond four and a half hours, which are considered as part of the golden hour.

In India, there around 14 to 16 lakh new stroke patients each year. The number of patients suffering from a stroke is increasing. Among a figure of one lakh people who died due to various disease, 200 people die due to a stroke.

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Over the last two years over 200 patients were admitted to KEM Hospital for stroke treatment, among them 54 patients reached the hospital within the golden hour. The health of 50 people, among the 54 people drastically improved.

The machine was unveiled by Shiv Sena chief, Uddhav Thackeray.

While speaking to My Medical Mantra, Dr Sangeeta Rawat, Professor and Head of Department of Neurology at KEM Hospital, said, “Brain strokes are caused due to blockages in the blood vessels. When a person is admitted to the hospital within the golden hour, we administer injections on the patient to remove the blood clot. Now through this machine we can manage to save the life of a patient within 24 hours as compared to just 4.5 hours. With the help of the mechanical thrombectomy procedure. It usually involves removal of thrombi (blood clots), and is then referred to as thrombectomy.”

Dr Nitin Dange, a Professor in the neurology department, said, “In May 2018, the American Stroke Association increased the time period from 4.5 hours to 24 hours. If the patient is brought within one hour, we administer injections to remove the blockage (blood clot). With the help of this new machine we can improve the survival chances of the patient. A CT scan will be done and we can check the amount of brain damage through an angiography.”

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While speaking at the event, Shiv Sena president, Uddhav Thackeray stated, “We are proud to provide the best medical service to Mumbaikars. This machine will help benefit both the doctors and the patients,”

BMC Commissioner, Ajoy Mehta, who was present at the unveiling of the new machine, said, “In Mumbai, around 80 % of Mumbaikars can access a primary healthcare centre within 1.5 kms. The BMC has a health budget of 3,50,000 crore. In the next five years, we will prepare a new road map for health. We connect major civic hospital with dispensaries and peripheral hospitals through an info management system.”