Related Experiment Video
Updated: Jan 3, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
12.4K
Management of Maternal Stroke and Mitigating Risk
Mariel G Kozberg1, Erica C Camargo2
1Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA.
Current Treatment Options in Cardiovascular Medicine
|November 23, 2019
Summary
Pregnancy increases stroke risk, especially with hypertension. Management of pregnancy-associated stroke should align with non-pregnant care, considering safety for the fetus when selecting treatments.
Area of Science:
- Neurology
- Obstetrics
- Cardiovascular Medicine
Background:
- Pregnancy is a state of increased risk for both hemorrhagic and ischemic strokes.
- Hypertensive disorders of pregnancy are a significant contributing factor to pregnancy-associated strokes.
Purpose of the Study:
- To review the pathophysiological mechanisms of increased stroke risk during pregnancy.
- To discuss management considerations for stroke in pregnant patients.
- To explore strategies for reducing stroke risk in this population.
Main Methods:
- This is a review article, synthesizing existing literature on pregnancy-associated stroke.
- The review discusses pathophysiological mechanisms, clinical management, and risk reduction strategies.
Main Results:
- Pregnancy-associated stroke rates have risen in the last 20 years, linked to hypertensive disorders.
- Evidence supports acute reperfusion therapies like tissue plasminogen activator (tPA) and endovascular thrombectomy for ischemic stroke.
- Stroke management in pregnant individuals should generally follow non-pregnant protocols, with careful selection of secondary prevention agents.
Conclusions:
- Pregnant women face elevated stroke risks due to physiological changes.
- Acute stroke treatment in pregnancy should mirror non-pregnant care, utilizing reperfusion therapies where indicated.
- Secondary stroke prevention requires careful consideration of the pregnancy status.
Related Concept Videos
01:23Atherosclerosis IV: Nursing Management
319
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
319
01:28Acute Coronary Syndrome IV: Interprofessional Care
188
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
188
01:26Mitral Stenosis III: Medical Management
205
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
205
01:19Mitral Valve Prolapse III: Nursing Management
235
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
235
01:27Mitral Stenosis IV: Nursing Management
226
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
226
01:22Aneurysm IV: Nursing Management
334
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
334