Understanding Stroke in the Indian Context
Stroke—a brain attack cutting off blood supply—is the second leading cause of death and disability in India. Hyderabad's urban population faces rising stroke rates due to hypertension, diabetes, and sedentary lifestyles. At Ajuda Hospitals, our 24/7 Code Stroke protocol ensures rapid diagnosis, treatment, and rehabilitation for maximum recovery.
Indians experience stroke 10 years earlier than Western populations, often with more severe outcomes. Early recognition using the F.A.S.T. method (Face drooping, Arm weakness, Speech difficulty, Time to call) and immediate ER arrival unlock life-saving treatments—IV thrombolysis within 4.5 hours or thrombectomy up to 24 hours.
Every 15-minute delay destroys 120 million brain cells. Our streamlined pathways—priority CT, specialist evaluation, and coordinated neurology-cardiology-rehab teams—give patients the best chance at independent recovery.
When to Consult Our Stroke Specialists
🚨 Call 9010550550 Immediately If:
- ✓ Sudden face drooping or uneven smile
- ✓ Arm weakness or numbness on one side
- ✓ Slurred speech or inability to speak
- ✓ Sudden vision loss, severe headache, or confusion
Do NOT wait or "see if it gets better." Stroke is a time-critical emergency—treatment within the first hours prevents permanent disability.
Our Diagnostic Approach
Code Stroke Activation
Emergency team assembles within 10 minutes. Rapid triage includes NIHSS neurological scoring, blood glucose check (hypoglycemia mimics stroke), and brief history from patient/family.
Rapid CT/CTA Imaging
Non-contrast CT scan rules out hemorrhage (bleeding stroke needs different care). CT angiography maps vessel anatomy to identify blockage location. Target: imaging-to-decision in under 25 minutes.
Thrombolysis Decision
If ischemic stroke (clot-caused) and within 4.5 hours, IV alteplase (tPA) is administered after checklist for contraindications (recent surgery, bleeding risk, uncontrolled BP >185/110). Continuous monitoring for 24 hours.
Thrombectomy Coordination
For large vessel occlusions (M1 MCA, ICA), coordinate mechanical clot removal with interventional team. Transfer to thrombectomy center if needed; our telemedicine links enable real-time specialist consult.
Treatment Pathways
Acute Phase (0-72 Hours)
- IV Thrombolysis: Clot-dissolving medication for eligible patients; started within 60 minutes of arrival (our median 45 minutes).
- Mechanical Thrombectomy: Catheter retrieves clot from large arteries; effective up to 24 hours in selected cases.
- Stroke Unit Care: Dedicated nurses monitor vitals, neurological status, swallow safety; early mobilization reduces complications.
Secondary Prevention (Day 2 Onward)
- Antiplatelet Therapy: Aspirin 75-150mg or dual therapy (aspirin + clopidogrel) for 21 days in minor strokes.
- Statin: High-intensity atorvastatin 80mg regardless of cholesterol (reduces recurrence by 20%).
- BP Control: Target <130/80 with ACE inhibitors or ARBs; careful titration post-acute phase.
- Diabetes Management: HbA1c <7%; glucose control during acute phase (140-180 mg/dL target).
- Atrial Fibrillation Screening: 72-hour Holter or ECG monitoring; anticoagulation if AF detected.
Rehabilitation (Day 1 to 6 Months)
- Physiotherapy: Gait training, balance exercises, strength building; started within 24 hours if stable.
- Occupational Therapy: ADL retraining (dressing, eating, bathing); adaptive equipment for home safety.
- Speech Therapy: For aphasia (language) or dysarthria (articulation); augmentative communication if severe.
- Cognitive Rehab: Memory, attention, executive function training; neuropsychology support.
Telemedicine Follow-up
- Weekly Video Consults: First month for medication adherence, BP/glucose logs, red flag symptoms.
- Remote Neuro Checks: Caregiver-assisted via smartphone; monitor for recurrence or complications.
- Annual Reviews: Carotid Doppler, echo, lipid panel; adjust prevention strategy.
What to Expect: Your Care Journey
Emergency (Hour 0-6)
Arrival → triage → CT scan → thrombolysis decision → treatment → ICU/stroke unit admission. Family briefed on prognosis and next 24-hour plan.
Acute Monitoring (Day 1-3)
Hourly neuro checks, swallow assessment before oral intake, DVT prevention (compression stockings, early mobilization), secondary prevention started.
Early Rehab (Day 2-7)
Therapists assess baseline function; set goals with patient/family. Discharge planning begins—home modifications, caregiver training, equipment needs.
Post-Discharge (Week 2-12)
Intensive outpatient rehab 3-5 days/week. Medication titration via telemedicine. Driving assessment if cognitive/motor deficits.
Long-Term (3-12 Months)
Plateau phase—most recovery complete by 6 months. Maintenance exercises, support groups, caregiver respite planning. Annual stroke risk reassessment.
Technology & Innovation
Code Stroke Digital Ecosystem
PACS-integrated CT: Radiology reports auto-alert neurology team within 5 minutes. Telemedicine Hub: Video consult with thrombectomy specialists at partner centers for transfer decisions. Mobile Stroke App: Patient/family education on F.A.S.T., nearest stroke-ready ER, emergency contact.
Rehabilitation Technology
Constraint-Induced Therapy: Force use of affected limb to rewire brain. Mirror Therapy: Visual feedback for motor recovery. Virtual Reality Rehab: Gamified exercises for engagement and functional gains.
Preventing Complications
Recurrent Stroke (15% risk in first year):
- Dual antiplatelet therapy for 21 days, then long-term single agent.
- Carotid endarterectomy if >70% stenosis.
- Anticoagulation for AF; warfarin or DOACs (apixaban, rivaroxaban).
Post-Stroke Depression (30% incidence):
- Routine screening; SSRIs if diagnosed.
- Counseling, support groups, caregiver mental health.
Aspiration Pneumonia:
- Swallow screening before oral intake; NG tube or PEG if unsafe.
- Speech therapy for dysphagia rehab.
Deep Vein Thrombosis/Pulmonary Embolism:
- Compression stockings, early mobilization, prophylactic heparin in high-risk patients.
Why Ajuda for Stroke Care?
⏱️ Speed Saves Brains
Median 45-minute door-to-needle; priority imaging 24/7; no delays for insurance approvals in emergencies.
🧠 Expert Protocols
AHA/ASA-aligned pathways; neurology-cardiology-rehab coordination; thrombectomy network access.
🏥 Comprehensive Recovery
From acute ICU to outpatient rehab—physio, OT, speech, psychology—all under one roof.
Take the First Step
If stroke symptoms occur: Call 9010550550 or reach nearest ER immediately. Do NOT drive yourself—ambulance ensures en-route notification and faster treatment.
For prevention/post-stroke care: Book a neurology consult. We assess your risk (BP, diabetes, cholesterol, AF) and design a personalized prevention plan. Early intervention can prevent 80% of strokes.
Ajuda Hospitals: Where every minute counts, and every brain cell matters.