[**Dalian Municipal Health Commission, Patriotic Health].
What should I do if carotid plaque is detected? Can I get cerebral infarction if I have carotid plaque? Does Plavix need to eat all the time after cerebral infarction?In the 123rd edition of the Peninsula Famous Doctor Lecture on how to prevent stroke in winter, the enthusiasm of the "fans" of Peninsula Friends for health knowledge contrasted sharply with the cold weather outside. In this live broadcast, we invited Lin Jianwen, director of the Department of Neurology of Dalian Central Hospital, to start from the management of various risk factors of stroke, and gave an in-depth health lecture for the majority of fans, so that everyone had a deeper understanding of stroke.
There is a high incidence of cerebrovascular disease in winter, and it is more important to prevent it.
Winter is a period of high incidence of many diseases, such as the recent trend of respiratory infections, in fact, the increase in respiratory infections may also cause cerebrovascular problems.
According to Director Lin Jianwen, respiratory tract infections can lead to systemic inflammatory reactions, increasing the risk of blood hypercoagulation, thereby increasing the probability of stroke. The high incidence of cerebrovascular disease in winter has a lot to do with the climate, cold weather will increase the oxygen consumption of the human body, and in order to maintain the body temperature, the blood vessels of the whole body will constrict, resulting in an increase in blood pressure, a faster heart rate, and an increase in cardio-cerebral load. In addition, cold-weather people tend to reduce outdoor activities and increase sedentary time. Prolonged sedentary lifestyles can lead to poor blood circulation and increase the risk of blood clots. As a result, blood flow slows down, which can easily induce thrombosis and increase the risk of stroke. "Therefore, people should pay special attention to stroke prevention in winter. Risk factors for stroke are well managed. Director Lin Jianwen said that more than 80% of strokes can be prevented, mainly by taking appropriate measures to control the risk factors of stroke, such as high blood pressure, hyperlipidemia, high blood sugar, smoking, alcoholism, lack of exercise and obesity. In view of these risk factors, during the live broadcast, Director Lin explained the methods and ways of effective control one by one, so as to minimize the probability of stroke.
Carotid plaque causes the "best killer" of stroke
High blood pressure, hyperlipidemia, hyperglycemia, obesity...Among the many risk factors for stroke, one factor that is overlooked by most people due to early asymptomatic is carotid plaque. In 2008, stroke became the first cause of death in China's third cause of death sample survey, and it was further clarified that carotid artery stenosis is one of the important causes of cerebral infarction, and the main cause of stenosis is carotid plaque. "Statistics show that carotid plaque increases the risk of stroke and cerebral infarction death in older adults15 times. Director Lin Jianwen said that there is atherosclerosis in the carotid artery, and the most directly affected is the brain. Therefore, carotid plaque should attract everyone's attention. "It is recommended that people over 40 years old should do carotid ultrasound examination every year, and after the carotid plaque is detected, everyone should not take it seriously, and must go to the neurology department for early management of carotid plaque. Director Lin Jianwen said that doctors will identify the plaque according to factors such as size, thickness, morphology, and stability, whether it is regular follow-up, or need to take medication, or intervention** and surgery, and will make professional evaluations and recommendations. "Early management of carotid plaque is one of the specialties of our department, and we are actively preparing for a dedicated carotid plaque clinic. Director Lin Jianwen said that special diseases need special treatment, but also need professional management, in order to accurately prevent and treat stroke, the scientific management of carotid plaque is of great significance.
The Neurological Center has built a one-stop stroke prevention and treatment platform.
What should I do if I find severe stenosis or unstable plaque during carotid artery management? "In this case, the carotid plaque needs surgery**. Director Lin Jianwen said that this is the significance of regular follow-up and scientific management of carotid plaque, and timely and effective ** can prevent the occurrence of cerebral infarction to the greatest extent.
Surgical methods include neurointervention and surgical carotid artery discorsionation, which need to be selected according to the specific situation of the patient and the different parts of the plaque. Director Lin Jianwen said that in the Neurological Center of the Central Hospital, there is the first neurointerventional ward in Liaoning Province, and there is a neurosurgery team that is the first to carry out carotid endarterectomy surgery in Northeast China, so for patients with neurological diseases such as carotid artery stenosis, they can get the most scientific diagnosis and treatment plan without leaving the "center".
The reporter learned that in order to improve the diagnosis and treatment level of neurological diseases, meet the higher-level diagnosis and treatment needs of the public in all aspects, and build a one-stop and integrated diagnosis and treatment platform, Dalian Central Hospital established the first neurological center in Dalian and became the only regional sub-center of the National Clinical Research Center for Neurological Diseases in Liaoning Province. The center is a huge discipline group with a total of 19 subspecialties, including 9 wards including neurology, neurosurgery, neurology, neurocritical care, and neuroelectrophysiology. In 2021, in the selection of the "Peak Plan" of key medical specialties implemented by Dalian, the Neurology Center of the Central Hospital became the only "peak" project approved by the center. This year, the Department of Neurology of Dalian Central Hospital successfully entered the "national team" and was approved as a national key clinical specialty construction project. Therefore, in the diagnosis and treatment of neurological diseases, Dalian patients can enjoy the first-class diagnosis and treatment services in China without leaving the city.
As the largest public hospital directly under the Dalian Municipal Health Commission, Dalian Central Hospital took the lead in launching the stroke screening and prevention project in the city. Since the establishment of the stroke center in 2011, after 12 years of deep cultivation and accumulation, it has successively become the city's first "National Advanced Stroke Center", the first "National Stroke Prevention and Control Project Demonstration Base Hospital" in Liaoning Province, and the first batch of "Demonstration Advanced Stroke Center Units" in the country. With advanced technology and complete processes, it has created a national standard stroke treatment system for the people of Bincheng.
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