• Stroke

    BE FAST Graphic

    Warning Signs of Stroke

    A helpful way to remember the warning signs is to BE FAST:

    • Balance - Does the person have a sudden loss of balance or coordination?
    • Eyes – Has the person lost vision in one or both eyes? Does the person have a visual change?
    • Face – Does one side of the face droop or is it numb? Ask the person to smile. Is the smile uneven?
    • Arms – Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
    • Speech – Is speech slurred? Ask the person to repeat a simple phrase. Is the speech hard to understand or strange?
    • Time - If you notice one or more of these signs, call 9-1-1 immediately. This is an emergency.

    About Stroke

    Minutes matter when dealing with a stroke. Stroke is the third-leading cause of death in the United States and the first-leading cause of disability. At Lahey Hospital & Medical Center, our rapid response, expert intervention and highly skilled Stroke Neurologists, Interventional Neuroradiologists, and Neurosurgeons have saved countless lives and made a very real difference in their recovery.

    Similar to a heart attack, a stroke is a “brain attack” – an interruption of blood flow to the brain. There are two types of stroke:

    • Ischemic stroke, the most common type, happens when a blood vessel in the brain becomes blocked by a clot or cholesterol buildup and cuts off blood flow to the brain.
    • Hemorrhagic stroke happens when a weakened or bulging wall of a blood vessel in the brain gives way, causing bleeding within the brain.

    A stroke is a serious emergency, and most people don’t have a choice of where to go for emergency treatment. But if you or someone you love has the opportunity to choose – or is stabilized elsewhere and needs immediate, specialized care – Lahey has the team and the technology to provide the best care possible.

    It’s vital to know the warning signs of stroke and what you can do to reduce your risk of stroke.


    Stroke has three treatment pathways: prevention, immediately after a stroke, and post stroke:  

    • Prevention treatment is about controlling your risk factors for stroke. Some risk factors such as age and family history can’t be controlled, so controlling the risk factors you have an influence over will lessen your chances of having a stroke to begin with.
    • Immediately after a stroke we have a short window of opportunity to be able to quickly dissolve the clot with medication that is causing the stroke and/or remove the clot through a procedure called a thrombectomy. It is so important that since we only have this small window of opportunity to treat to call 9-1-1 if you have one or more symptoms of a stroke as soon as they occur. Do not hesitate!
    • Post stroke our primary goal is prevention of a reoccurrence by controlling of the risk factors that may have contributed to the stroke. Rehabilitation is also a consideration to help the survivor regain strength, movement, and/or speech.

     Risk Factors for Stroke

    • High blood pressure – High blood pressure is the most important risk factor for stroke. Work with your doctor on a plan to lower your blood pressure. It may include taking medications as prescribed, watching your diet, quitting smoking and getting regular exercise.
    • Tobacco use – Tobacco use doubles the risk for another stroke. If you smoke, try to quit. For help, call 781-744-QUIT (7848) or visit Lahey.org/TobaccoTreatment.
    • High cholesterol – Cholesterol that builds up in the arteries can block normal blood flow to the brain. This can cause a stroke and also increases the risk of heart disease. Work with your doctor to keep your cholesterol levels in a healthy range.
    • Diabetes – People with diabetes are up to four times more likely to have a stroke. By controlling your diabetes, you can help lower your risk of stroke.
    • Atrial fibrillation – Atrial fibrillation (a type of abnormal heart rhythm) increases your stroke risk five times, so it’s important to work with a doctor to control it. Most people have to take a blood thinner to do so.
    • Diet – Eat a healthy diet. Watch the amount of calories, saturated fat, trans fat, cholesterol and salt intake . This will help you manage your weight and cholesterol levels in your blood, which also can reduce the risk for stroke.
    • Physical activity – Physical activity reduces the risk of stroke. Try to increase your physical activity and get some exercise each day.
    • Alcohol use – Drinking too much alcohol may increase your blood pressure and risk of stroke. Alcohol can also affect how certain medications work. Talk with your doctor to learn whether drinking is safe for you and how much is too much.

    Our Achievements

    The American Heart Association and American Stroke Association recognize this hospital for achieving 85% or higher compliance with all Get With The Guidelines – Stroke Achievement Measures and 75% or higher compliance with five or more Get With The Guidelines – Stroke Quality Measures for two or more consecutive years and achieving Time to Intravenous Thrombolytic Therapy ≤ 60 minutes in 50% or more of applicable acute ischemic stroke patients to improve quality of patient care and outcomes.

    Learn More

    For more information about the Department of Neurology at Lahey Hospital & Medical Center, or to make an appointment, please call 781.744.1270.

    We also invite you to visit our Neurology homepage and see links below for more information and treatments for stroke.

    Learn about state-of-the-art aneurysm treatment and other treatments offered at Lahey which are among the most advanced in the region for the treatment of strokes.

    If you are a survivor of stroke, Lahey offers a Stroke Survivor group free of charge to both the survivor and family. You do not need to be a Lahey patient to attend a group meeting. The group meetings are held the third Tuesday of each month at the hospital from 6pm to 7:30pm. For more information- contact Jayna Kraslin at Jayne.Kraslin@Lahey.org  

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