Menu


Dr. Naveed AhmedPikeville Medical Center’s Primary Stroke Center is among the top stroke treatment centers in KY. Our goal is to deliver the most effective care with cutting edge technology. Our Stroke Center aligns with the mission of PMC to provide world-class health care in a Christian environment.

Dr. Naveed Ahmed, a Board-Certified Neurologist and Stroke Specialist, is Medical Director of PMC’s Primary Stroke Center. The hospital’s neurology staff also includes Neurosurgeons Dr. Duane Densler and Dr. Norman Mayer. In addition, Physiatrists (physical medicine specialist) Dr. Milton Calima and Dr. Sankar Chirumamilla  help stroke patients recover through physical rehabilitation.

To provide patients with quality care, PMC works with Emergency Medical Service providers from across the region to ensure acute stroke care starts from the moment of patient contact.

PMC’s Emergency Department is highly trained for immediate identification of early stroke symptoms and equipped to provide intervention. The hospital has assembled a Stroke Team which has been trained to respond to stroke emergencies and provide expert neurological care.

PMC Stroke Center Logo

What is a Stroke?

what_is_a_strokeStroke is a disease that affects the arteries of the brain. A stroke occurs when a blood vessel bringing blood and oxygen to the brain becomes blocked or ruptured and brain cells don’t receive the blood needed. Deprived if oxygen, nerve cells can’t function and die within minutes. The part of the body those cells control can’t function either.

The devastating effects of stroke are often permanent since dead brain cells can’t be replaced. The degree of disability depends on the size of the stroke and location in the brain.

Types of Strokes

Ischemic

Most strokes are ischemic, caused by a lack of blood supply to part of the brain.

Hemorrhagic

A hemorrhagic stroke occurs when the brain ruptures an artery. Brain cells beyond the rupture are also deprived of blood and damaged. High blood pressure is the most common cause of hemorrhagic stroke. The constant force of high blood pressure can weaken blood vessel walls, resulting in bleeding in the brain or brain hemorrhage.

Transient Ischemic Attack (TIA)

  • A Transient Ischemic Attack (TIA) is a temporary interruption of blood flow to part of the brain.
  • The symptoms for a TIA are the same as for a stroke, but appear for a shorter period of time (several minutes to 24 hours) and then disappear.
  • A TIA indicates a serious underlying rick that a stroke may follow.
  • About one-third of all people who have suffered a stroke have experienced a TIA previously.
  • Medical attention and evaluation are needed immediately.

After the underlying cause of the TIA are determined, medication, surgery or lifestyle changes may reduce the risk of having a fatal or disabling stroke.

PMC Stroke Center Logo

Risk factors for stroke

Brain graphicKnowing your risk factors is the key to prevention. You can learn about your risk factors by having regular medical checkups. Some rick factors can be changed or treated. It is critical for those who have experienced a stroke or TIA to manage risk factors and be compliant with prescribed medications. The rick of a stroke is 10 times greater in patients who have already had a stroke or TIA than it is in those who have never experienced one.

 What risk factors can I change or treat?

  • High blood pressure
  • Tobacco use
  • Diabetes mellitus
  • Carotid or other artery disease
  • TIAs
  • Atrial fibrillation or other heart disease
  • Certain blood disorders
  • High blood cholesterol
  • Physical inactivity and obesity
  • Excessive alcohol intake
  • Illegal drug use

What are the risk factors I can’t control?

  • Increasing age
  • Gender
  • Heredity
  • Race
  • Prior Stroke

What can I do to control my risk factors?

  • Lower blood pressure
  • Quit smoking
  • Control diabetes
  • Be physically active
  • Ask your physician about narrowing of the carotid artery (asymptomatic)
  • Reduce alcohol use
  • Do not use illegal drugs
  • Manage stress
  • Monitor heart disease  with your physician
  • Fight obesity
  • Avoid high cholesterol

To lower your cholesterol you should:

  • Eat a low-fat, low cholesterol diet
  • Eat more fruits, vegetables and grains
  • Eliminate or reduce meat intake, particularly red meat
  • Eat only lean cuts of red meat
  • Limit whole eggs to no more than two to three times a week
  • Choose dairy products made with skim milk or low-fat milk substitute
  • Reduce your saturated fat intake
  • Use monounsaturated oils (such as canola, olive or peanut) or polyunsaturated oils (such as corn, sunflower or soybean) instead of saturated fat (butter and lard)
  • Avoid hydrogenated oils
  • Exercise regularly

If your blood cholesterol level does not improve with lifestyle changes alone, your physician may prescribe cholesterol-lowering medication.

PMC Strock Center Logo
ACT F.A.S.T. to increase recognition and response to stroke symptoms

time_is_brain_stopwatchtime_lost_banner

FACE: Ask the person to smile.
Does one side of the face droop?

ARM: Ask the person to raise both arms.
Does one arm drift downward?

SPEECH: Ask the person to repeat a simple sentence.
Does the speech sound slurred of strange?

TIME: If you observe any of these signs, it is time to call 911.
Go to the nearest emergency department immediately for treatment.

 

 

 

PMC Stroke Center Logo

Effects of a Stroke

  • Uncontrolled crying and/or laughing
  • Slow adjustment to new things
  • Bowel & bladder control problems
  • Sexual concerns
  • Intermittent distress
  • Major depression
  • Grief
  • Fatigue
  • Difficulty swallowing
  • Disturbed sleep or appetite

Severity of Physical Effects depends on the following:

  • Type of Stroke
  • The extent and location of the damaged brain cells
  • How well the body repairs the blood supply to the brain
  • How quickly other areas of the brain tissue take over the work of the damaged cells

When a stroke occurs, it usually takes place in a single area in one hemisphere.

left_right_hemispheres

A stroke in the left hemisphere affects the right side of the body and a stroke in the right hemisphere affects the left side of the body.

PMC Strock Center Logo

warningtime_lost_banner
To diagnose a stroke, information on the type of stroke, source of the stroke and location of the brain injury is needed.

Once in the emergency room, your doctor or stroke emergency team may do the following:

  • Inquire about your medical history
  • Perform a physical and neurological exam
  • Conduct laboratory (blood) tests
  • Perform imaging tests on your brain

time_is_brain_stopwatch

PMC Strock Center Logo

Where can I learn more?

Mayo Clinic > Diseases & Conditions > Stroke

American Stroke Association’s “Warmline”: 1-888-4-STROKE (1-888-478-7865)

www.americanstroke.org

Strokes of Support: www.strokecenter.org

Stroke support groups in Pike County: 218-1046

For a free publication for stroke survivors and caregivers:

Stroke Connection Magazine: 1-888-478-7653

Stroke Smart Magazine: 1-800-787-6537

  • AFIB patients at higher risk for stroke

    AFIB patients at higher risk for stroke

    The Pikeville Medical Primary Stroke Center recognizes that American Heart Month is the perfect opportunity to educate the public about the dangers of high blood pressure and atrial fibrillation (AFib), both serious risk factors for stroke. “Eighty percent of strokes are preventable,” explained Dr. Naveed Ahmed, Primary Stroke Center Medical Director. “It is the leading