{"podcast":{"title":"Emergency Medical Minute","slug":"emergency-medical-minute-972156","podcast_index_feed_id":972156,"rss_url":"https://emergencymedicalminute.libsyn.com/rss","website_url":"https://www.emergencymedicalminute.com","image_url":"https://static.libsyn.com/p/assets/a/1/8/d/a18d8754552711ef/EMM_Logo_w_Black_Background.png","author":"medicalminute","episode_count":1161,"summary":"Our near daily podcasts move quickly to reflect current events, are inspired by real patient care, and speak to the true nature of what it's like to work in the Emergency Room or Pre-Hospital Setting. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty – the ER is our studio and everything is live.","last_synced_at":null,"page_url":"https://stenobird.com/podcast/emergency-medical-minute-972156"},"episode":{"title":"Episode 989: Young Strokes","slug":"episode-989-young-strokes","published_at":"2026-01-05T11:00:00+00:00","page_url":"https://stenobird.com/podcast/emergency-medical-minute-972156/episode-989-young-strokes","show_page_url":"https://stenobird.com/podcast/emergency-medical-minute-972156","url":"https://emergencymedicalminute.libsyn.com/episode-989-young-strokes","audio_url":"https://traffic.libsyn.com/secure/emergencymedicalminute/Young_strokes.mp3?dest-id=465437","summary":"Contributor: Aaron Lessen, MD Educational Pearls: The Case 24F brought in for anxiety. Patient is tearful, not talking, and potentially hyperventilating. History from boyfriend is that she suddenly stopped talking and started crying and it was hard to understand what she was saying. On exam, patient appears anxious and has a gaze preference for the right side and is still having difficulty speaking. Decision is made to stroke alert patient. CT shows early MCA stroke and M2 occlusion. Patient is treated by IR with mechanical thrombectomy. What are the risk factors for strokes in young people ( Traditional risk factors still matter Hypertension Most important modifiable risk factor, present in 30-50% of young stroke patients Diabetes Especially insulin dependent type 1 HLD Smoking Substance use Cocaine Meth Alcohol, especially binge drinking IV drug use Structural heart disease PFO Valvular heart disease like rheumatic disease Hypercoagulable states Factor V Leiden Protein C or S deficiency Antithrombin III deficiency Vertebral dissections Recent trauma References Aigner A, Grittner U, Rolfs A, Norrving B, Siegerink B, Busch MA. Contribution of Established Stroke Risk Factors to the Burden of Stroke in Young Adults. Stroke. 2017 Jul;48(7):1744-1751. doi: 10.1161/STROKEAHA.117.016599. Epub 2017 Jun 15. PMID: 28619986. Ekker MS, Boot EM, Singhal AB, Tan KS, Debette S, Tuladhar AM, de Leeuw FE. Epidemiology, aetiology, and management of ischaemic stroke in young adults. Lancet Neurol. 2018 Sep;17(9):790-801. doi: 10.1016/S1474-4422(18)30233-3. PMID: 30129475. Khan M, Wasay M, O'Donnell MJ, Iqbal R, Langhorne P, Rosengren A, Damasceno A, Oguz A, Lanas F, Pogosova N, Alhussain F, Oveisgharan S, Czlonkowska A, Ryglewicz D, Yusuf S. Risk Factors for Stroke in the Young (18-45 Y…","meta_description":"Contributor: Aaron Lessen, MD Educational Pearls: The Case 24F brought in for anxiety. Patient is tearful, not talking, and potentially hyperventilating.…","key_points":[],"chapters":[],"topics":[],"duration_seconds":212,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/emergency-medical-minute-972156/episodes/episode-989-young-strokes/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/emergency-medical-minute-972156/episode-989-young-strokes.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}