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Apollo Hospital begins brain stroke treatment in record 42 minutes

Thrombolysis is a process under which brain stroke patients are administered tissue plasminogen activator (TPA) to dissolve arterial blood clots

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Apollo Hospitals, Navi Mumbai, set a benchmark by starting treatment of acute brain stroke patient in just 42 minutes a few days ago. It surpassed the international quality standard, which is 60 minutes. The hospital says that it was possible due to the stringent Stroke Protocol Code that is followed by them.

Dr Narendra Trivedi, CEO, Apollo Hospital, said, “The doctors at the hospital thrombolysed the patient with ischemic arterial stroke of the brain in just 42 minutes, creating a world record. The hospital set a new benchmark of starting treatment of brain stroke patient in such a short time.”

Thrombolysis is a process under which brain stroke patients are administered tissue plasminogen activator (TPA) to dissolve arterial blood clots.

The patient, 64-year-old Ravikant (name changed), from Navi Mumbai went to the hospital on December 17, 2016, with complete paralysis of the left upper and lower limbs and inability to speak.

The doctors diagnosed him as having complete thrombotic occlusion of Right ICA and distal M1 with subcortical infarction. In simple words, there was complete blockage of the arteries supplying blood to the right side of the brain due to a large clot obstructing blood flow.

Dr Girish Nair, Consultant, Neurology, Apollo Hospitals, said, “When the patient was brought in the hospital, he was unable to speak, walk or move his head. However, with proper preparation and treatment, the patient had become comfortable in just four hours.”

Nair added, “A person suffers from a brain stroke every three seconds in India and a death is reported every three minutes. Following the onset of blockage of blood supply to the brain, over 1.4 million nerve cells are irreversibly damaged every second.”

He further said that the emergency room team did a stellar job of triaging the patient, completing the critical tests including CT scan of the brain and arranging to start the treatment in a new benchmark setting time of 42 minutes. “The patient was administered the clot bursting drug which worked to open up the blocked artery and restore blood flow in the brain. Within 5 hour he had fully recovered from the paralysis and regained his ability to speak and move normally,” said Dr Nair.

BRAIN ATTACK

Stroke can happen to anyone at any time. It occurs when blood flow to an area of brain is cut off.

When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.

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