Stroke cases rising in Himachal largely due to hypertension, diabetes

Dr Kalyan Singh, Head of the Department of Medicine at the Regional Hospital, Kullu, emphasised the urgency of stroke awareness on World Stroke Day yesterday. “In stroke cases, every minute truly counts,” he said. “Timely action can mean the difference between recovery and lifelong disability,” he added.

This year’s global theme set by the World Stroke Organisation — Every Minute Counts — reinforces the critical message: Act FAST — Time Saves Brain. Stroke remains the second leading cause of death and disability worldwide. Dr Kalyan Singh said, “Every year, 11.9 million people suffer strokes globally, and 7.3 million of them die. India alone accounts for over 1.25 million new cases every year — nearly 10 per cent of the global burden.”

He said, “Himachal Pradesh is witnessing a rise in stroke cases, largely due to hypertension and diabetes — the two leading risk factors. Stroke is not just paralysis, it’s a medical emergency inside the brain. Symptoms like facial drooping, limb weakness or slurred speech demand immediate hospital care.”

He stressed the importance of rapid diagnosis using CT or MRI scans to distinguish between ischemic (blockage) and hemorrhagic (bleed) strokes. “Treatment varies significantly and time is the most crucial factor. Ideally, scanning should occur within 20 minutes of arrival, with treatment starting within the first hour — the golden window that can prevent permanent damage.”

Dr Kalyan said that strokes rarely occur without warning. He added, “They’re often the result of years of silent damage from unhealthy habits and unmanaged conditions. High blood pressure tops the list of causes, followed by diabetes, high cholesterol, smoking, alcohol use, obesity, stress and inactivity.” He added that the good news was that up to 80 per cent of strokes were preventable.

He said, “Simple lifestyle changes — daily walk, reduced salt and oil intake, more fruit and vegetables, avoiding tobacco and alcohol, regular health checks, stress management and proper sleep — can significantly reduce risk. For stroke survivors, strict blood pressure control, prescribed medications and physiotherapy are key to regaining independence.”