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A Stroke is an Attack on Your Brain

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A stroke occurs when blood and oxygen cannot go to the brain. It is the third leading cause of death among adults in the U.S.

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									                             A Stroke is an Attack on Your Brain
                 A stroke occurs when blood and oxygen cannot go to the
                 brain. It is the third leading cause of death among adults in
                 the U.S.

   Stroke:       There are two types of stroke:
                  Ischemic stroke (is-KEM'ik stroke) - when blood vessels
  Prevent It        in the brain are blocked, and blood and oxygen cannot
                    go to the brain. Blood vessels can be blocked by blood
      &             clots or by build-up of plaque and other fatty substances.


Know the Signs       Hemorrhagic stroke (hem"o-RAJ'ik stroke) - when a
                       blood vessel in the brain breaks, causing blood to leak
                       into the brain.

                 During a stroke, many brain cells die which can lead to
                 brain damage, paralysis, problems with thinking and speak-
                 ing, or death.

                 Knowing what the signs of a stroke are and acting fast to
                 get medical attention can save someone’s life and prevent
                 further brain damage.


                      A stroke is an emergency! It can happen at any time.
                      If you have any stroke symptoms or see them in
                      someone else -- call 911 right away!



                                             Most strokes can be prevented.
                                               You can prevent a stroke!


                           This booklet will show you how to
                           recognize stroke symptoms, and give you
                           tips on how to prevent a stroke.


                                                 1
            Are You at Risk for Stroke?                                     Are You at Risk for Stroke?
Everyone is at risk for stroke at some level. But if you have   There are a few risk factors for stroke that you cannot
heart disease or had a stroke before, you are at higher risk.   control such as:
Also, if you smoke or are overweight, you are at higher risk.
Check the list of risk factors for stroke below.                You are over age 55
                                                                You are male
                                                                You have a history of stroke in your
 Medical stroke risk factors:                                      family

 You had a stroke before                                      If you said “yes” to one or more of these
 You had a mini stroke, also                                  risk factors, you are at risk. It is important
   called a transient ischemic                                  that you learn more about what you can do to prevent a
   attack (TIA)                                                 stroke. Talk to your doctor about what you can do to
 You have high cholesterol                                    lower your risk for stroke.
 You have high blood pressure
 You have heart disease
 You have diabetes

 If you said “yes” to one or more of these risk factors, you
 are at risk. These medical risk factors can be managed
 by medicines. Talk to your doctor about what works best
 for you.

 Lifestyle stroke risk factors:

 You   are a smoker
 You   are overweight
 You   drink too much alcohol
 You   don’t get enough exercise

 If you said “yes” to one or more of these risk factors, you
 are at risk. You can lower your risk by making healthy
 lifestyle choices such as quitting smoking, exercising
 regularly, and watching what and how much you eat.
                                                                 Stroke is the third leading cause of death among adults in the
                                                                 U.S. Learn to recognize the signs of a stroke.




                                  2                                                              3
 Know the Signs and Symptoms of a Stroke                                       Tips on Stroke Prevention

Stroke symptoms are unique because they occur suddenly.      1. Lower your blood pressure
                                                             High blood pressure is a major cause of stroke. If you
         The most common symptoms of a stroke:               have high blood pressure, work with your doctor to keep
► Numbness, weakness, or you can’t move your face,           it under control. See your doctor regularly and if you are
   arm, or leg -- especially on one side of the body.        on medicine to control it, take your medicine according to
                                                             what your doctor tells you.
► Sudden blurred or decreased vision in one or both eyes.
                                                             2. Find out if you have atrial fibrillation (AF) (A'tre-al
► Problems speaking or understanding simple sentences.       fib"rih-LA'shun)
                                                             AF is a medical condition where your heart does not beat
► Dizziness, loss of balance or coordination, especially     normally. AF can increase your risk for stroke. Your
   when combined with another symptom.                       doctor will perform a test called an electrocardiogram
                                                             (ECG) to see if you have AF. If you have AF, work with
                                                             your doctor to manage it.
       Other important but less common symptoms:
► Sudden and intense headache
                                                             3. Stop smoking.
                                                             Smoking doubles your risk for stroke. Stop smoking and
► Sudden nausea, fever and vomiting
                                                             your risk for stroke will decrease.
► Brief loss of consciousness or decreased consciousness
                                                             4. Drink alcohol in moderation
   (fainting, uncontrolled shaking of the body, or person
                                                             Having one drink a day may lower your risk for stroke.
   may become very confused or fall into a coma)
                                                             But alcohol is harmful if taken in large amounts.




   If you have any stroke symptoms or see
       them in someone else, call 911 or                    Medical conditions such as high blood
        emergency services right away!                      pressure or atrial fibrillation can increase
                                                            your risk for stroke. Your doctor may
                                                            prescribe medicines to help you manage
                                                            these conditions.




                              4                                                                   5
                                                                                 How to Call 911
                                                                                 Getting medical attention right away can
                                                                                 save a life.
                                                                                 Learn how to call 911 and get medical help.
                                                                                  If you don’t speak English, you can get
         Following a healthy, low salt diet can help lower your   language help. Tell the operator what language you speak
         risk for stroke. For example, fresh fruits and           (Cantonese, Mandarin, Vietnamese, etc.) and a translator
         vegetables are better for you than preserved because     will be available. There might be a short wait, but stay on
         they have less salt.                                     line. Don’t hang up.

                                                                  If you are home alone and you have signs of a stroke, call
                                                                  911 right away.
              Tips on Stroke Prevention                           ► It’s best to use a home phone if you have one
                                                                  ► Try to stay calm
5. Lower your cholesterol.                                        ► Tell the operator that you think you have a stroke
If it is high, work with your doctor to lower it. Lowering        ► Tell the operator where you are such as house number,
your cholesterol may reduce your risk for stroke.                   street address, floor or apartment number
                                                                  ► Stay on the line. Do not hang up the phone until the
6. Control your diabetes.                                           ambulance or police arrive at your home
If you are diabetic, follow your doctor’s recommendations
carefully.                                                        If you think someone is having a stroke, call 911 right away.
7. Exercise                                                       ► Tell the operator that you think someone is having a
A brisk walk, swim or physical activity for 30 minutes a              stroke
day can improve your health, and reduce your risk for             ► Say clearly where the victim is at such as address,
stroke.                                                             house number, apartment number, landmarks, etc.
                                                                    especially if you are calling from a cell phone
8. Eat a healthy low sodium (or salt) and low fat diet            ► Try to stay calm. Answer questions as best as you can
By cutting down on salt and fat in your diet, you may be          ► Stay with the victim and follow the operator’s instructions
able to lower your blood pressure and lower your risk for         ► If there is someone else present, send him or her to
stroke.                                                             meet emergency services and direct them to where the
                                                                    victim is at.
9. See a doctor if you have any conditions affecting your
heart and blood vessels                                            Remember: Stay on the line and do not hang up.
They can increase your risk for stroke and other                   Talking to the operator will not slow down emergency
problems.                                                          services. Help is on the way.
                                6                                                               7
     CHARLES B. WANG COMMUNITY HEALTH CENTER
             王        嘉         廉        社         區         醫        療         中         心
                                Website / 網址: www.cbwchc.org

    268 Canal Street,               136-26 37th Avenue, 2 & 4/F              125 Walker Street, 2/F
   New York, NY 10013                  Flushing, NY 11354                     New York, NY 10013

 Internal Medicine / 內科部              Internal Medicine / 內科部               Pediatrics & Adolescent
       (212) 379-6998                    OB/GYN / 婦產科部                      Health / 兒科及青少年部
Women’s Health / 婦女健康部                      (718) 886-1200                      (212) 226-3888
     (212) 966-0228                       Pediatrics / 兒科部                        Dental / 牙科部
                                           (718) 886-1222                         (212) 226-9339



              Health Education Department / 健康教育部 (212) 966-0461




   The Charles B. Wang Community Health Center encourages the distribution and reproduction of
   this educational material with acknowledgement of the Health Center and the sources cited.
   The content of this brochure has been reviewed by our clinical staff . The content is not a substitute
   for professional medical advice. See your doctor if you have questions about a medical condition.


   王嘉廉社區醫療中心鼓勵你複製和分發這份資料,但使用這份材料時需提及本中心以及
   資料的出處。

   這份資料的內容已由本中心的醫療人員審閱,資料的內容不能取代專業人員的醫療建議。
   如有任何關於醫療的問題,請與醫生聯系。

                                                                                          © 5/08




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