Act fast to cut risk of stroke

Local | Kinling Lo 22 Apr 2016

People who suffer from a minor stroke can significantly reduce their chances of getting a full stroke by seeking treatment within 24 hours, a global study has found.

This is because the temporary symptoms of face dropping, limb numbness and speech or visual disturbance are likely to be early indications of a serious stroke.

Chinese University medicine professor Lawrence Wong Ka-sing said these fast-passing problems may actually be symptoms of a transient ischemic attack, or TIA, also labeled a mini-stroke, caused by a temporary blockage of blood vessels in the brain.

"Many people tend to ignore these indications as they normally disappear within minutes and at most hours," Wong said.

But 30 percent of those who have mini-strokes subsequently develop long-term impairment or even die, he said.

"In the past, when there was no special arrangement to manage patients with minor strokes, the risk of having a stroke after a mini-stroke could be 5 percent within a week and 12 percent within three months," Wong said, citing data from overseas reports from 2000 to 2007.

Yet according to the latest findings published in the New England Journal of Medicine with contributions from the TIA clinic at the Prince of Wales Hospital and 60 other specialized centers from 21 countries, appropriate treatment within 24 hours of symptoms occurring can reduce the rate of strokes by 70 percent.

Among the 4,789 mini-stroke patients studied around the world, including 139 from Hong Kong, 78 percent sought medical help within 24 hours.

Their stroke rates were 2.1 percent within one week and 3.7 percent within three months, reduced largely from the previous anticipated rates of 5 and 12 percent respectively.

Yannie Soo Oi-yan, chief of the stroke service at the CUHK's department of medicine, said: "This is a positive result showing how early treatment can reduce the occurrence of a serious stroke. This is largely because patients and doctors have become more aware of the risk following a mini-stroke."

More than 3,000 patients attend public hospitals with suspected mini-stroke symptoms every year. These include what So would define as high-risk patients: those aged 60 and above and those who have hypertension, diabetes mellitus or a history of regular smoking and drinking.

Patients will be taken to TIA specialized centers, now available in all seven public hospital clusters, for checkups and immediate drug treatment if necessary by accident and emergency department staff, she said. Procedures include an immediate brain scan and imaging of vessels to the brain.

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