{"id":1128,"date":"2025-04-26T19:52:16","date_gmt":"2025-04-26T23:52:16","guid":{"rendered":"https:\/\/guiamedicavirtual.com\/?p=1128"},"modified":"2025-07-29T12:09:16","modified_gmt":"2025-07-29T16:09:16","slug":"acv-isquemico","status":"publish","type":"post","link":"https:\/\/guiamedicavirtual.com\/english\/especialidades-medicas\/cardiologia-corazon\/acv-isquemico\/","title":{"rendered":"Ischemic and Hemorrhagic Stroke: Differences, Causes, and Warning Signs"},"content":{"rendered":"<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"623\" src=\"https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/shutterstock_2182391429-1024x623.jpg\" alt=\"\" class=\"wp-image-1516\" srcset=\"https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/shutterstock_2182391429-1024x623.jpg 1024w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/shutterstock_2182391429-300x183.jpg 300w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/shutterstock_2182391429-768x467.jpg 768w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/shutterstock_2182391429-1536x935.jpg 1536w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/shutterstock_2182391429-2048x1246.jpg 2048w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/shutterstock_2182391429-18x12.jpg 18w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>The <strong>cerebrovascular accidents (CVA)<\/strong> are medical emergencies that can leave permanent after-effects or even cause death if not treated promptly. There are two main types: <strong>Ischemic stroke<\/strong> and the <strong>Hemorrhagic stroke<\/strong>, and although the symptoms may be similar, their causes, treatments and prognoses are very different.<\/p>\n\n\n\n<p>\ud83d\udccc In this guide we explain in a simple way what the <strong>Differences between an ischemic and a hemorrhagic stroke<\/strong>, what causes them, what their warning signs are, and how to prevent them.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udccc What is a stroke?<\/h2>\n\n\n\n<p>A <strong>stroke<\/strong>, also called <strong>stroke<\/strong>, occurs when a part of the brain stops receiving oxygen-rich blood. This causes the affected neurons to die, rendering them unable to regenerate, which can affect vital functions such as speech, movement, or memory.<\/p>\n\n\n\n<p>In the medical field it is also called <strong>cerebral vascular event (CVE)<\/strong> either <strong>cerebral infarction<\/strong>, depending on its nature.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udccc What is an ischemic stroke?<\/h2>\n\n\n\n<p>He <strong>Ischemic stroke<\/strong> It is the most common type of stroke, accounting for nearly <strong>85% of the cases<\/strong>. It occurs when an artery that carries blood to the brain is blocked. <strong>blocked by a clot<\/strong>, preventing the passage of oxygen to brain tissue.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc49 And what is cerebral thromboembolism?<\/h3>\n\n\n\n<p>He <strong>cerebral thromboembolism<\/strong> It is one of the main causes of ischemic stroke. It occurs when a <strong>thrombus (blood clot)<\/strong> in another part of the body\u2014usually the heart or arteries in the neck\u2014and travels to the brain, blocking a brain artery. This is called <strong>cerebral embolism<\/strong>.<\/p>\n\n\n\n<p>This type of event is considered a <strong>acute cerebral ischemia<\/strong> and requires immediate attention. According to the <a class=\"\" href=\"https:\/\/www.mayoclinic.org\/es\/diseases-conditions\/stroke\/symptoms-causes\/syc-20350113\" target=\"_blank\" rel=\"noopener\">Mayo Clinic<\/a>, most ischemic strokes are caused by <strong>atherosclerosis<\/strong> (accumulation of fat in the arteries) or by <strong>atrial fibrillation<\/strong>, a cardiac arrhythmia that promotes the formation of clots.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udccc What is a hemorrhagic stroke?<\/h2>\n\n\n\n<p>He <strong>Hemorrhagic stroke<\/strong> accounts for the remaining 15% cases, but its lethality is higher. It occurs when a <strong>blood vessel ruptures<\/strong> inside the brain, causing bleeding that damages brain tissue.<\/p>\n\n\n\n<p>Among its most common causes are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/guiamedicavirtual.com\/english\/enfermedades-cronicas\/hipertension-arterial\/hipertension-arterial-guia-completa-de-prevencion\/\" data-type=\"link\" data-id=\"https:\/\/guiamedicavirtual.com\/enfermedades-cronicas\/hipertension-arterial\/hipertension-arterial-guia-completa-de-prevencion\/\">Untreated chronic high blood pressure<\/a><\/li>\n\n\n\n<li>Brain aneurysms<\/li>\n\n\n\n<li>Head injuries or head trauma<\/li>\n\n\n\n<li>Coagulation disorders or use of anticoagulants<\/li>\n<\/ul>\n\n\n\n<p>Unlike ischemic stroke, which requires clot-dissolving drugs, <strong>Hemorrhagic stroke requires stabilizing the patient<\/strong>, control blood pressure and, in many cases, surgery to stop the bleeding.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"731\" src=\"https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Cabeza-humana-con-enfermedad-cerebral-aterosclerosis-hemorragia-y-dolor-1024x731.jpg\" alt=\"acv isquemico y hemorragico\" class=\"wp-image-1517\" srcset=\"https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Cabeza-humana-con-enfermedad-cerebral-aterosclerosis-hemorragia-y-dolor-1024x731.jpg 1024w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Cabeza-humana-con-enfermedad-cerebral-aterosclerosis-hemorragia-y-dolor-300x214.jpg 300w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Cabeza-humana-con-enfermedad-cerebral-aterosclerosis-hemorragia-y-dolor-768x549.jpg 768w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Cabeza-humana-con-enfermedad-cerebral-aterosclerosis-hemorragia-y-dolor-1536x1097.jpg 1536w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Cabeza-humana-con-enfermedad-cerebral-aterosclerosis-hemorragia-y-dolor-2048x1463.jpg 2048w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Cabeza-humana-con-enfermedad-cerebral-aterosclerosis-hemorragia-y-dolor-18x12.jpg 18w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Feature<\/th><th>Ischemic stroke<\/th><th>Hemorrhagic stroke<\/th><\/tr><\/thead><tbody><tr><td><strong>Cause<\/strong><\/td><td>Obstruction by clot or embolism<\/td><td>Rupture of a blood vessel<\/td><\/tr><tr><td><strong>Frequency<\/strong><\/td><td>Very common (85% cases)<\/td><td>Less common (15%)<\/td><\/tr><tr><td><strong>Onset of symptoms<\/strong><\/td><td>It can be progressive or sudden<\/td><td>Sudden, with severe symptoms<\/td><\/tr><tr><td><strong>Headache<\/strong><\/td><td>Infrequent<\/td><td>Intense and sudden<\/td><\/tr><tr><td><strong>Initial treatment<\/strong><\/td><td>Anticoagulants, thrombolytics<\/td><td>Blood pressure control and surgery<\/td><\/tr><tr><td><strong>Forecast<\/strong><\/td><td>It is better to act in time<\/td><td>High risk of death or sequelae<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Understanding this difference is critical, as treatment will depend on the type of stroke and the timing of medical care.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udccc Warning signs of a stroke<\/h2>\n\n\n\n<p>Acting quickly is key. Some symptoms may indicate that someone is suffering from a <strong>cerebrovascular event<\/strong>, whether ischemic or hemorrhagic:<\/p>\n\n\n\n<p>\u2705 Sudden weakness in the face, arm, or leg (especially on one side of the body)<br>\u2705 Difficulty speaking or understanding<br>\u2705 Visual problems in one or both eyes<br>\u2705 Dizziness, loss of balance or coordination<br>\u2705 Sudden, severe headache (more common in hemorrhagic stroke)<\/p>\n\n\n\n<p>\ud83e\udde0 As explained by the <a class=\"\" href=\"https:\/\/www.cdc.gov\/stroke\/spanish.htm\" target=\"_blank\" rel=\"noopener\">CDC<\/a>, use the acronym <strong>FAST<\/strong> can help you remember the basic steps to detect a stroke:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>F<\/strong>ace: Is the face drooping on one side?<\/li>\n\n\n\n<li><strong>TO<\/strong>rms: Can you raise both arms?<\/li>\n\n\n\n<li><strong>S<\/strong>peech: Is speech slurred or incoherent?<\/li>\n\n\n\n<li><strong>T<\/strong>time: <strong>Call emergency services immediately<\/strong>.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udccc Stroke diagnosis and treatment<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"826\" src=\"https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Concepto-de-dano-cerebral-humano-y-tratamiento-1024x826.jpg\" alt=\"\" class=\"wp-image-1518\" style=\"aspect-ratio:4\/3;object-fit:cover\" srcset=\"https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Concepto-de-dano-cerebral-humano-y-tratamiento-1024x826.jpg 1024w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Concepto-de-dano-cerebral-humano-y-tratamiento-300x242.jpg 300w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Concepto-de-dano-cerebral-humano-y-tratamiento-768x620.jpg 768w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Concepto-de-dano-cerebral-humano-y-tratamiento-1536x1239.jpg 1536w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Concepto-de-dano-cerebral-humano-y-tratamiento-2048x1652.jpg 2048w, https:\/\/guiamedicavirtual.com\/wp-content\/uploads\/2025\/04\/Concepto-de-dano-cerebral-humano-y-tratamiento-15x12.jpg 15w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>To confirm whether it is an ischemic or hemorrhagic stroke, doctors often use tests such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Computed tomography (CT)<\/strong><\/li>\n\n\n\n<li><strong>Magnetic resonance imaging (MRI)<\/strong><\/li>\n\n\n\n<li><strong>Cerebral angiography<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">In case of ischemic stroke:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>It can be administered <strong>thrombolytics<\/strong>, such as tissue plasminogen activator (tPA), if the patient arrives within the first 3 to 4.5 hours.<\/li>\n\n\n\n<li>In some cases, a <strong>mechanical thrombectomy<\/strong> to remove the clot.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">In case of hemorrhagic stroke:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The patient is stabilized by controlling blood pressure.<\/li>\n\n\n\n<li>The effect of anticoagulants can be discontinued or reversed.<\/li>\n\n\n\n<li>In severe cases, it is performed <strong>surgery to drain blood<\/strong> or repair the broken glass.<\/li>\n<\/ul>\n\n\n\n<p>The choice of appropriate treatment depends on an accurate and rapid diagnosis.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udccc Prevention: Can a stroke be avoided?<\/h2>\n\n\n\n<p>The good news is that <strong>More than 80% of strokes can be prevented<\/strong>, according to data from the <a>American Stroke Association<\/a>.<\/p>\n\n\n\n<p>Here are some essential recommendations:<\/p>\n\n\n\n<p>\u2714\ufe0f Keep your blood pressure under control<br>\u2714\ufe0f Exercise regularly<br>\u2714\ufe0f Avoid smoking and excessive alcohol consumption<br>\u2714\ufe0f Follow a healthy diet, low in fat and salt<br>\u2714\ufe0f Controls diseases such as diabetes and high cholesterol<br>\u2714\ufe0f Consult your doctor if you have arrhythmias, such as <strong>atrial fibrillation<\/strong>, to prevent the formation of clots<\/p>\n\n\n\n<p>Also, if you have already had a stroke or are at high risk, you will probably need to take medications such as <strong>aspirin<\/strong> either <strong>anticoagulants<\/strong> to prevent further events.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\ud83d\udca1Make decisions now to protect your brain tomorrow<\/h2>\n\n\n\n<p>Both the <strong>Ischemic stroke<\/strong> like the <strong>hemorrhagic<\/strong> They can change your life in seconds. But with information, prevention, and a quick response, they can also be prevented or their impact reduced.<\/p>\n\n\n\n<p>Knowing the warning signs, acting quickly, and maintaining a healthy lifestyle are your best bets to avoid complications. <strong>Share this information, it could save a life.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Frequently Asked Questions (FAQ)<\/h3>\n\n\n\n<p><strong>1. Is cerebral thromboembolism the same as an ischemic stroke?<\/strong><br>Not exactly. It&#039;s one of the main causes of ischemic stroke, but not all cases involve it. A thromboembolism occurs when a clot travels and blocks an artery in the brain.<\/p>\n\n\n\n<p><strong>2. How do you distinguish a hemorrhagic stroke from an ischemic stroke?<\/strong><br>Imaging studies only. Although hemorrhagic stroke often presents with severe headache, it&#039;s not possible to distinguish them with certainty without a CT scan or MRI.<\/p>\n\n\n\n<p><strong>3. How quickly should I act on symptoms?<\/strong><br>Immediately. The sooner the patient arrives at the hospital, the greater the chances of recovery, especially in ischemic stroke.<\/p>\n\n\n\n<p><strong>4. Is a stroke reversible?<\/strong><br>Some patients recover completely, especially if they receive medical care within the therapeutic window. Others may be left with permanent after-effects.<\/p>\n\n\n\n<p><strong>5. Can you live a normal life after a stroke?<\/strong><br>Yes, many people do. However, it depends on the type of stroke, the severity of the damage, and access to physical, speech, or cognitive rehabilitation.<\/p>","protected":false},"excerpt":{"rendered":"<p>Los accidentes cerebrovasculares (ACV) son emergencias m\u00e9dicas que pueden dejar secuelas permanentes o incluso causar la muerte si no se tratan a tiempo. Existen dos tipos principales: el ACV isqu\u00e9mico y el ACV hemorr\u00e1gico, y aunque los s\u00edntomas pueden ser similares, sus causas, tratamientos y pron\u00f3stico son muy distintos. \ud83d\udccc En esta gu\u00eda te explicamos [&hellip;]<\/p>\n","protected":false},"author":17,"featured_media":1518,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[223,225,224],"class_list":["post-1128","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiologia-corazon","tag-acv","tag-acv-hemorragico","tag-acv-isquemico"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/posts\/1128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/comments?post=1128"}],"version-history":[{"count":5,"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/posts\/1128\/revisions"}],"predecessor-version":[{"id":1525,"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/posts\/1128\/revisions\/1525"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/media\/1518"}],"wp:attachment":[{"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/media?parent=1128"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/categories?post=1128"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/guiamedicavirtual.com\/english\/wp-json\/wp\/v2\/tags?post=1128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}