What is a “mini-stroke”?

  Mini-stroke, a term that was unfamiliar a few years ago, is now gaining increasing attention among physicians. This is because it is an extremely important precursor to a stroke. Studies have shown that people who have had a mini-stroke are 16 times more likely to have a stroke than those who have not had a mini-stroke. For every 100 stroke patients, 25 have had a mini-stroke. This shows how closely it is related to stroke.  What is a mini-stroke? Its scientific name is transient ischemic attack, which is a kind of local cerebral microvascular embolism caused by transient cerebral ischemia, or cerebral vascular spasm, or transient reduction of blood displacement due to paroxysmal cardiac arrhythmia, which in turn causes transient transient cerebral ischemia in the already narrowed cerebral arteries.  The clinical manifestations of mini-stroke are: 1. recent numbness or weakness of the hands and feet of unknown origin, and sometimes the objects held in the hands suddenly fall to the ground; 2. sudden and transient blindness or double vision or blurred vision; 3. sudden aphasia or slurred speech or difficulty in speaking, but “clear in mind” (clear consciousness), and quickly return to normal, leaving no trace; 4. 4. frequent headaches, sometimes even sudden fainting, but quickly awake; 5. recent memory problems, especially recent memory; 6. unexplained mental retardation, inattention, reduced work efficiency, and often “mistakes” for no reason; 7. the above manifestations are unconsciously occurring without any causative factors. 7. The above-mentioned manifestations occur unconsciously without any causative factors, and last for a short period of time, only a few seconds or even a few minutes.  Survey statistics show that the following six types of people are more likely to have a mini-stroke than the general population and should be paid special attention to: 1, people with a history of atherosclerosis; 2, people with significantly higher blood lipids, blood pressure and blood viscosity; 3, people who are fat and lack of exercise; 4, hypertensive patients who abuse antihypertensive drugs; 5, people with a family history of stroke, coronary heart disease or diabetes; 6, long-term heavy smokers or alcoholics.  In particular, it should be noted that recent research findings have also found that mini-stroke is not only a precursor to stroke, but also closely related to other diseases, the main ones being acute myocardial infarction and diabetes mellitus. American data reported: in 1982, acute myocardial infarction was 13 times more common in patients with mini-stroke than in the general population. Some people had 225 cases of minor stroke followed up for 6 years, and the result was that 23% of minor stroke patients died of myocardial infarction. At the same time, it was also found in the survey that 19.3% of small stroke patients had diabetes, which is 7-9 times more than the general population. Why are minor stroke patients prone to myocardial infarction and diabetes mellitus? The main reason is that the pathological basis of myocardial infarction and mini-stroke are the same, both being atherosclerosis and alterations in hemodynamics or coagulation mechanisms. Many scholars believe that the alteration of coagulation mechanism and hemodynamic derangement in diabetic patients lead to the slowing down of microvascular blood flow, thus predisposing them to thrombosis and minor stroke or strokes. Some statistics have shown that the occurrence of stroke in diabetic patients is 3-21 times higher than that in the general population. Therefore, many scholars believe that stroke, coronary heart disease and diabetes are sister diseases and belong to the same category.  When people recognize the above truth, they should pay special attention to the attack of small stroke. Middle-aged and elderly people should be more alert to small strokes. Once a small stroke is detected, neither carelessness nor panic should be taken. The right attitude is: immediately go to a larger hospital for further examination, focusing on blood lipids, blood viscosity, cardiovascular condition, blood sugar, urine sugar and other indicators, in order to early detection of disease, for the original disease to carry out serious treatment, and quit smoking, alcohol and other bad habits, to achieve a regular life, a reasonable diet, avoid overwork, pay attention to mental health, to maintain a happy and stable mood. If you can adhere to the above points, you will definitely prevent or reduce the occurrence of stroke, coronary heart disease and diabetes.