{"id":11372,"date":"2020-05-11T10:50:25","date_gmt":"2020-05-11T14:50:25","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=11372"},"modified":"2025-05-28T14:53:29","modified_gmt":"2025-05-28T18:53:29","slug":"signs-of-a-stroke","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/signs-of-a-stroke\/","title":{"rendered":"How to recognize the signs of a stroke"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">There\u2019s a good chance you know someone who has had a stroke, or you will in your lifetime\u2014and that\u2019s because strokes are prevalent. More than 795,000 Americans have a stroke every year, according to the<\/span> <span style=\"font-weight: 400;\">Centers for Disease Control and Prevention (CDC)<\/span><span style=\"font-weight: 400;\">. In other figures, someone in the United States has a stroke every 40 seconds. Every 3.5 minutes, someone dies of a stroke. And for those who survive, strokes are the leading cause of significant long-term disability.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Strokes are dangerous and common, but there are still a lot of questions about them\u2014what is a stroke? What are the signs of a stroke? How can you prevent a stroke? Here, find the answers you need.<\/span><\/p>\n<h2 id=\"what-is-a-stroke\"><span style=\"font-weight: 400;\">What is a stroke?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To put it as plainly as possible, \u201ca stroke is damage to the brain caused by not enough blood getting to the brain,\u201d says Stephen Devries, MD, a preventive cardiologist and executive director of the nonprofit<\/span> <span style=\"font-weight: 400;\">Gaples Institute for Integrative Cardiology<\/span><span style=\"font-weight: 400;\">. \u201cA stroke is caused by a problem with the blood vessels that go to the brain, which can happen either because the blood vessel becomes clogged from a cholesterol plaque or blood clot, or when a blood vessel in the brain bursts open due to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/blood-pressure-treatment-and-medications\/\"><span style=\"font-weight: 400;\">high blood pressure<\/span><\/a><span style=\"font-weight: 400;\"> or an inherited weakness in the artery.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You often hear \u201cstroke\u201d in the same sentence as \u201cheart attack\u201d because they may have a related cause, but they are not the same thing. \u201c<\/span><span style=\"font-weight: 400;\">Stroke occurs as a result of a blockage in the vessels that supply the brain with oxygenated blood, while a heart attack occurs due to a blockage that develops in the vessels that supply the heart muscle,\u201d explains Regina S. Druz, MD, FACC, a cardiologist with Catholic Health Services of Long Island and Chief Medical Officer with the Holistic Heart Centers of America (HHCA). \u201cWhile the organs are very different, the vascular and systemic events that involve stroke and heart attack are closely related, as are the underlying risk conditions.\u201d<\/span><\/p>\n<h2 id=\"what-are-the-risk-factors-of-a-stroke\"><span style=\"font-weight: 400;\">What are the risk factors of a stroke?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.nhlbi.nih.gov\/health\/stroke\/causes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">National Heart, Lung, and Blood Institute<\/span><\/a><span style=\"font-weight: 400;\">, some major risk factors that increase your chances of having a stroke include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diabetes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Smoking (either current of a history of smoking)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High LDL cholesterol levels<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Atrial fibrillation (abnormal heart rhythm)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Brain aneurysms or arteriovenous malformations (AVMs)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Viral Infections such as COVID-19\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Autoimmune conditions (like lupus or rheumatoid arthritis) that cause inflammation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Family history of stroke<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Female sex (<\/span><a href=\"https:\/\/www.stroke.org\/en\/about-stroke\/stroke-risk-factors\/women-have-a-higher-risk-of-stroke\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">women are more likely<\/span><\/a><span style=\"font-weight: 400;\"> to have a stroke)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Race (In the United States, <\/span><span style=\"font-weight: 400;\">African American, Alaska Native, American Indian, and Hispanic adults are more likely than white adults to have a stroke)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prior stroke or Transient Ischemic Attack (TIA) also known as a mini-stroke\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other, lesser-known stroke risk factors include anxiety, depression, high stress levels, frequent illicit drug use, excessive drinking, being overweight or obese, getting too much sleep (more than nine hours regularly), not getting enough exercise, estrogen replacement, oral contraceptive pills, blood thinners, and living in areas with air pollution.<\/span><\/p>\n<h2 id=\"what-are-the-first-signs-of-a-stroke\"><span style=\"font-weight: 400;\">What are the first signs of a stroke?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cFace drooping, arm weakness, and speech difficulty are all indicators of a stroke,\u201d Dr. Druz says. <\/span><a href=\"https:\/\/www.cdc.gov\/stroke\/signs_symptoms.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">According to the CDC<\/span><\/a><span style=\"font-weight: 400;\">, early symptoms of a stroke also include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden numbness or weakness in the face, arm, or leg, especially when it occurs on only one side of the body<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden confusion, trouble speaking\/word finding, or mumbled speech<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden trouble seeing in one or both eyes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden trouble walking, dizziness, loss of balance, or lack of coordination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden severe headache with no known cause<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Stroke symptoms can be different in women than they are in men. <\/span><a href=\"https:\/\/www.goredforwomen.org\/en\/about-heart-disease-in-women\/signs-and-symptoms-in-women\/symptoms-of-a-stroke\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">According to the American Stroke Association<\/span><\/a><span style=\"font-weight: 400;\">, women may report symptoms such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">General weakness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty breathing or shortness of breath<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confusion, unresponsiveness, or disorientation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden behavioral change<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Agitation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hallucination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea or vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seizures<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Loss of consciousness or fainting<\/span><\/li>\n<\/ul>\n<h3 id=\"how-long-do-you-have-symptoms-before-a-stroke\"><span style=\"font-weight: 400;\">How long do you have symptoms before a stroke?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Stroke warning signs may present several days, or up to a week before a stroke, according to research published in <\/span><a href=\"https:\/\/doi.org\/10.1212\/01.WNL.0000152985.32732.EE\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400;\">Neurology<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">. <\/span><\/i><span style=\"font-weight: 400;\">\u201cWarning signs of a stroke are the same as the stroke itself (like headache, difficulty with speech, numbness, and tingling)\u2014but the difference is that, prior to the actual stroke, the warning symptoms resolve quickly, sometimes in a manner of a few minutes,\u201d <a href=\"https:\/\/www.gaplesinstitute.org\/team\/stephen-devries-md\/\">Dr. Devries<\/a> explains. \u201cToo often, these alarms are disregarded and people don\u2019t seek the medical attention that could be life-saving.\u201d<\/span> <span style=\"font-weight: 400;\">Seeking immediate urgent medical help at the first hint of a symptom can help prevent brain damage.<\/span><\/p>\n<h2 id=\"what-should-you-do-if-you-recognize-signs-of-a-stroke\"><span style=\"font-weight: 400;\">What should you do if you recognize signs of a stroke?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cIf these are new conditions then you should immediately call 911,\u201d Dr. Druz explains. \u201cThis constellation of symptoms and signs is known as the acronym \u2018FAST\u2019\u2014helping you to remember these three symptoms, with an added \u2018T\u2019 indicating that time is of the essence.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.heart.org\/-\/media\/Stroke-Files\/FAST-Resources\/ucm_467905.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">American Stroke Association<\/span><\/a><span style=\"font-weight: 400;\"> breaks down FAST with the symptoms and the action you should take to confirm a possible stroke patient\u2019s condition like this:<\/span><\/p>\n<p><b>F\u2014Face:<\/b><span style=\"font-weight: 400;\"> Ask the person to smile. Does one side of the face droop?<\/span><br \/>\n<b>A\u2014Arms:<\/b><span style=\"font-weight: 400;\"> Ask the person to raise both arms. Does one arm drift downward? Is either arm weak or numb?<\/span><br \/>\n<b>S\u2014Speech:<\/b><span style=\"font-weight: 400;\"> Ask the person to repeat a simple phrase. Is speech slurred or hard to understand, or are they unable to speak?<\/span><br \/>\n<b>T\u2014Time:<\/b><span style=\"font-weight: 400;\"> If you observe any of these signs, call 9-1-1 right away. Early treatment is essential.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you think you or someone else is having a transient ischemic attack (TIA) or stroke, don\u2019t drive to the hospital or let someone else drive you. Call an ambulance. Medical personnel often begin life-saving treatment en-route to the emergency room. During a stroke, every minute counts.<\/span><\/p>\n<h2 id=\"can-a-stroke-go-unnoticed\"><span style=\"font-weight: 400;\">Can a stroke go unnoticed?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There is such a thing as a<\/span>\u00a0<a href=\"https:\/\/www.health.harvard.edu\/heart-health\/mini-stroke-what-should-you-do\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">mini stroke<\/span><\/a><span style=\"font-weight: 400;\">\u2014or a TIA\u2014which can go unnoticed by both the person experiencing it and bystanders. A TIA is a problem in the blood vessels of the brain that causes a temporary decrease in blood flow to a certain brain region, according to<\/span> <a href=\"https:\/\/www.health.harvard.edu\/stroke\/dont-be-fooled-by-tia-symptoms\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Harvard Health<\/span><\/a><span style=\"font-weight: 400;\">. Dr. Louis Caplan, professor of neurology at Harvard-affiliated Beth Israel Deaconess Medical Center says that these episodes are very brief, lasting less than an hour to up to 24 hours.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In fact, most TIAs have neurologic symptoms that resolve spontaneously within a few minutes. The chain of events that leads to a TIA is the same that leads to a stroke, but on a smaller scale. This is dangerous because a TIA is very likely to cause a stroke in the near future.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our heart health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Wordpress Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2 id=\"what-conditions-can-mimic-a-stroke\"><span style=\"font-weight: 400;\">What conditions can mimic a stroke?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5596193\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\">, there are many medical conditions that can mimic the signs and symptoms of a stroke, such as: brain tumors, metabolic disorders (like hypoglycemia or hyperthyroidism), brain infections (like meningoencephalitis), and neurologic disorders (like migraine, muscular sclerosis, or seizures).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This makes recognizing a stroke even more difficult, but waiting on treatment can cause irreversible deficits. If you think there\u2019s any chance it could be a stroke, call 911. Go to the hospital. Even if it is not a stroke, it\u2019s better to be safe than sorry.<\/span><\/p>\n<h2 id=\"how-to-prevent-a-stroke\"><span style=\"font-weight: 400;\">How to prevent a stroke<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While there are many risk factors that are out of our control (such as family history and genetics), there are many ways to significantly reduce your risk of stroke. \u201cPeople have much more power over their health with diet and lifestyle than they often realize,\u201d Dr. Devries says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients who have diabetes, atrial fibrillation, high cholesterol, and hypertension are at increased risk of developing a stroke. Controlling these underlying conditions will decrease the chance of a stroke.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These<\/span> <a href=\"https:\/\/health.gov\/myhealthfinder\/health-conditions\/heart-health\/reduce-your-risk-stroke\"><span style=\"font-weight: 400;\">eight steps<\/span><\/a><span style=\"font-weight: 400;\"> can help to prevent a stroke:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Control your blood sugar. <\/b><span style=\"font-weight: 400;\">Keeping your blood glucose levels in the normal range can help reduce your risk of stroke. Make sure your physician checks your hemoglobin A1c blood work every three months to confirm that your diabetes is well controlled.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Quit smoking<\/b><span style=\"font-weight: 400;\">. \u201cSmoking is a big risk factor, and nothing could be a more positive step toward better health than to quit,\u201d says Dr. Devries. There are medications and nicotine replacement and free hotlines to help you quit and stay quit.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reduce salt in your diet, and consume less processed foods<\/b><span style=\"font-weight: 400;\">. \u201cHigh blood pressure is also one of the strongest risk factors for stroke,\u201d says Dr. Devries. \u201cDietary changes can go a long way to help with blood pressure\u2014especially limiting the salt in your diet (found in many packaged processed foods, as well as in bread, processed meats like bacon and sausage, and pizza).\u201d<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Eat fruits, beans, and greens<\/b><span style=\"font-weight: 400;\">. \u201cOn the positive side, foods high in potassium, like many fruits, beans, and greens, actually help to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ways-to-manage-high-blood-pressure-medication\/\"><span style=\"font-weight: 400;\">lower blood pressure<\/span><\/a><span style=\"font-weight: 400;\">,\u201d says Dr. Devries.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Limit alcohol<\/b><span style=\"font-weight: 400;\">. \u201cExcess alcohol can also raise blood pressure\u2014a fact that many people are not aware of,\u201d notes Dr. Devries.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Treat heart disease.<\/b><span style=\"font-weight: 400;\"> People with coronary heart disease, problems with a heart valve, or irregular heartbeat are at increased risk of stroke.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Get regular exercise<\/b><span style=\"font-weight: 400;\">. \u201cOther lifestyle changes that can help prevent stroke include regular exercise, including sustained walking, and stress management with tools like meditation,\u201d says Dr. Devries. Thirty minutes of moderate exercise daily is the goal.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Maintain a healthy weight.<\/b><span style=\"font-weight: 400;\"> Keep your weight under a <\/span><a href=\"https:\/\/www.nhlbi.nih.gov\/health\/educational\/lose_wt\/BMI\/bmicalc.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">BMI<\/span><\/a><span style=\"font-weight: 400;\"> of 25. Being overweight or obese is associated with an increased risk of stroke.\u00a0<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">If you\u2019ve already had a TIA or heart attack or stroke, your doctor may prescribe <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/aspirin-low-dose\"><span style=\"font-weight: 400;\">aspirin<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/clopidogrel-bisulfate\"><span style=\"font-weight: 400;\">clopidogrel<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/plavix\"><span style=\"font-weight: 400;\">Plavix<\/span><\/a><span style=\"font-weight: 400;\">), and cholesterol-lowering medications to help prevent a second stroke.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe two-pronged approach to avoiding a recurrence of stroke is to get regular medical checkups and to do all you can to optimize your lifestyle opportunities,\u201d Dr. Devries says. \u201cRegular medical checkups are essential to keep blood pressure, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/high-triglycerides-treatment-options\/\"><span style=\"font-weight: 400;\">cholesterol<\/span><\/a><span style=\"font-weight: 400;\">, and sugar levels in check. But even with the right medicine, making lifestyle changes remains essential.\u201d Stroke patients are treated with aspirin, clopidogrel (Plavix) as well as statin medications to prevent a second stroke.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There\u2019s a good chance you know someone who has had a stroke, or you will in your lifetime\u2014and that\u2019s because strokes are prevalent. More than 795,000 Americans have a stroke every year, according to the Centers for Disease Control and Prevention (CDC). In other figures, someone in the United States has a stroke every 40 [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":54353,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[15765,737,11278],"coauthors":[8722],"class_list":["post-11372","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-first-aid","tag-heart-health","tag-singlecare-for-seniors","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Signs of a stroke and how to prevent one<\/title>\n<meta name=\"description\" content=\"Family history is a risk factor, but you can prevent a stroke with lifestyle changes. 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