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REVIEW ARTICLE
Year : 2020  |  Volume : 13  |  Issue : 5  |  Page : 431-436

Is India ready to be “stroke ready”? An appraisal of our stroke preparedness


1 Department of Neurology, Narayana Hrudayalaya, Bengaluru, Karnataka, India
2 Department of Critical Care, Narayana Hrudayalaya, Bengaluru, Karnataka, India
3 Department of Medicine, Hemraj Jain Hospital, New Delhi, India

Correspondence Address:
Sachin Ajitkumar Adukia
Department of Neurology, Narayana Hrudayalaya, Plot - 258/A Bommasandra Industrial Area, Hosur Road, Anekal Taluk, Bengaluru - 560 099, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mjdrdypu.mjdrdypu_332_19

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A recent trend of being a “stroke ready center” has been finding roots. But such centers are too far and few to reach many beneficiaries. And so, like all else, the burden of stroke preparedness also falls on the physician to brace and embrace. This review will address the physician's role in early assessment and management of acute stroke. Therapeutics such as thrombolysis with alteplase and tenecteplase will be appraised. Indian statistics on acute stroke management in comparison to Western standards will be discussed. Issues such as public education forums and cost considerations will be addressed. Government initiatives for the facelift of the Indian medical infrastructure will be mentioned wherever relevant. But an idea not coupled with action will never get any bigger than the brain cell it occupied. Therefore, we will conclude with actionable key points for physicians.


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