!

 "

!"#$%&'()*+,-
.-/$01/1*23+1$0+/1451$66$7!8(13+915-$:*
!;-&8-$5:$<=<=>?

@$!"#+$-($!,+5:48:$"1&,(31/$#:/:A/13
%&'()*+,-B$2$-$*:&*-$'(:$(*1$+&'(:*+1
,:/:A/13B$-($5://1*:?

C$-$8+D-$5:$!"#$*1+&$,-*(*B$'(:$1,-48:,:
D-/$,1(&1$51$-A&8/(EF-$5:$(*$G1&-$71/82/+1>
5:48/-$5-$,2/:A/-B$+48://-*D:45-$-$H(I-$5:
&14;(:$41'(:3:$3-,13B$:$J19:45-$,-*$'(:$1
K/:1$,:/:A/13$+//+;151LD-/$1'(:3:$G1&-$*-//1B
3:G145-$1-&$&+48-*1&$5:$!"#?

@$!"#+$D-5:$8:/$(*$81*14M-$D:'(:4-B$,-*
&+48-*1&$/:G:/&NG:+&$D1/1$13;(4&B$-($D-5:$&:/
(*1$8/1;25+1$41$G+51$5:$-(8/1$D:&&-1B$:$5-&
J1*+3+1/:&$5:&8:$+45+GN5(-$1J:815-B$*(5145-
,-*D3:81*:48:$1$G+51$:$1$/:13+515:$51'(:31
D:&&-1$:$5:$&(1$J1*N3+1O

Fatores de risco para o AVC

Isquêmico
@&$J18-/:&$5:$/+&,-$*1+&$,-4M:,+5-&$&F-P
+515:$7*1+&$J/:'(:48:$'(148-L*1+-/$1$+515:>B
;:428+,1$7M+&8Q/+1$J1*+3+1/$5:$*(+8-&$,1&-&$5:
!,+5:48:$"1&,(31/$#:/:A/13$RL!"#
!,+5:48:$"1&,(31/$#:/:A/13$RL!"#$-(
5-:4E1$,1/5N1,1>B$81A1;+&*-B$&:5:481/+&*-B
5+1A:8:&B$1(*:48-$5:$,-3:&8:/-3$-(
8/+;3+,2/+5:&B$&:/$D-/815-/$5:$5-:4E1&
,1/5N1,1&B$1//+8*+1$,1/5N1,1$-($+4J1/8-$5-
,-/1EF-$D/2G+-?

S48/:8148-B$-&$T-G:4&$:$15(38-&$*1+&$T-G:4&
'(:$4F-$8:*$4151$5+&&-B$:$182$*:&*-
,/+14E1&B$81*A2*$D-5:*$8:/$(*$!"#+?$U:&8:&
,1&-&$75-&$T-G:4&$:$,/+14E1&>B$1$D:&'(+&1$5-
'(:$,1(&-(L-L!"#+$5:G:$&:/$*(+8-$*1+&
5:813M151?

!&$,1(&1&$*1+&$J/:'(:48:&$5:$!"#+$:*$T-G:4&
&F-$1&$5+&&:,EV:&$1/8:/+1+&$41&$1/82/+1&$5-
D:&,-E-B$-$J-/1*:$-G13$D18:48:B$(&-$5:
*:5+,1EV:&$8QI+,1&$-($5/-;1&$+3N,+81&B$:$,1&-&
5:$!"#$/:31,+-415-&$1$,/+&:&$5:$:4I1'(:,1?

S48/:$-&$J18-/:&$5:$/+&,-$*1+&$+*D-/8148:&
D1/1$(*1$D:&&-1$&:/$1D-48151$,-*-$5:$/+&,-
D1/1$8:/$(*$!"#B$13;(4&$D-5:*$&:/
,-48/-315-&$:$-(8/-&$4F-W

Fatores de risco que não podem

ser mudados…
X+&8Q/+1$J1*+3+1/$5:$!"#B$,1/5+-D18+1B
+4J1/8-Y$-($-$D/QD/+-$+45+GN5(-$8:/$8+5-$(*
!"#$-($!%Z$4-$D1&&15-
%515:P$*1+-/:&$5:$[[$14-&Y$'(148-$*1+-/
1$+515:B$*1+-/$-$/+&,-$5:$8:/$!"#Y
S84+1P$13;(*1&$/1E1&$:*$:&D:,+13$&F-
*1+&$D/-D:4&1&$1$8:/$!"#$7-/+:481+&B
M+&D\4+,-&B$1J/-]5:&,:45:48:&B$/1E1
4:;/1>Y$:*$A/14,-&B$*1+-/$/+&,-$5:
-A&8/(EV:&$51&$,1/Q8+51&$D-/$D31,1&$5:
;-/5(/1?
^:I-P$&1A:]&:$'(:$-&$M-*:4&$8:*$/+&,-
*1+-/$5-$'(:$*(3M:/:&Y$:48/:8148-B
*(3M:/:&$*1+&$G:3M1&$D-5:*$8:/$*1+-/:&
,-*D3+,1EV:&$5:,-//:48:&$5:$!"#$:
D/-,:5+*:48-&$5:$&8:48&$41&$,1/Q8+51&?

Fatores de risco que podem ser

tratados (podemos interceder,
tratando, prevenindo doenças ou
mudando estilo de vida)
@A:&+515:
^:5:481/+&*-
_&-$:I,:&&+G-$5:$K3,--3
Z1A1;+&*-$718+G-$-($D1&&+G->
#-3:&8:/-3$138-$74NG:+&$&(D:/+-/:&$1
<==*;`5a$5:$,-3:&8:/-3$8-813>
b+1A:8:&
^N45/-*:$51$1D4:+1$5-$&-4-
!//+8*+1$,1/5N1,1B$:*$:&D:,+13$1$cA/+31EF-
18/+13
_&-$5:$5/-;1&B$,-*-$,-,1N41$-(
*:814J:81*+41&
X+D:/8:4&F-$1/8:/+13?$":T1*$&QP$S&8:$2$-
D/+4,+D13$J18-/$5:$/+&,-$-45:$D-5:*-&
+48:/G+/B$:$5:$*1+-/$+*D1,8-$D1/1$D/:G:4+/
!"#&?$#151$/:5(EF-$:*$[**X;$51$.!
&+&8Q3+,1$74d*:/-$*1+-/$5-$N45+,:$5:$.!>
/:5(9$:*$,:/,1$5:$<[e$-$/+&,-$5:$&:$8:/
(*$!"#?$@($&:T1B$&:$G-,)$,-&8(*1$8:/$.!
5:$fg`h$**X;B$:$&:($*25+,-$1T(&81/$-&
&:(&$/:*25+-&$51$D/:&&F-$D1/1$*148:/
:*$fi[**X;$5:$.!$*KI+*1B
8:-/+,1*:48:$:&8K$/:5(9+45-$&:($/+&,-$5:
(*$!"#$:*$<[eOOO$C$A1&8148:$,-+&1OOOO

Sintomas
@$*1+&$+*D-/8148:PPPP$@&$&+48-*1&$5-$!"#
%&'()*+,-L&:*D/:B$-($'(1&:$&:*D/:B$-,-//:*
&(A+81*:48:B$5:$(*$*+4(8-$D1/1$-$-(8/-B$&:*
1G+&1/?

j:/13*:48:$1$D:&&-1$-($J1*+3+1/$&1A:
:I181*:48:$:*$'(:$M-/K/+-$,-*:E-(B$-$'(:
:&81G1$J19:45-$41$M-/1$5-$+4N,+-$7:I,:8-$4-&
,1&-&$:*$-$D1,+:48:$8:*$-$!"#$-($!%Z
:&8145-$&-9+4M-$:$2$:4,-48/15-$5:&*1+15-
D-/$8:&8:*(4M1&>?$k&$G:9:&B$-$!"#+$2
D/:,:5+5-$5:$&+48-*1&$8/14&+8Q/+-&B$-$'(:
,M1*1*-&$5:$!%Z$-($+&'(:*+1$8/14&+8Q/+1?
!%Z$-($+&'(:*+1$8/14&+8Q/+1?

!$&:;(+/B$:4(*:/-$-&$D/+4,+D1+&$&+48-*1&$5:
(*$!%Z$7:$81*A2*$5-$!"#>PPP

!38:/1EF-$&dA+81$51$J131B$,-*$5+c,(3515:
D1/1$,-*D3:81/$1&$D131G/1&$-($J/1&:&B$-(
,-*:E1/$1$8:/$1$J131$:4/-3151Y
!38:/1EF-$&dA+81$51$J-/E1$4(*$*:*A/-
7A/1E-$-($D:/41>$-($:*$(*$315-$5-$,-/D-
7A/1E-$:$D:/41$5-$*:&*-$315->B$-($41&
D:/41&B$,-*$J/1'(:91$:$5+J:/:4E1$5:$J-/E1
:*$/:31EF-$1-$315-$4-/*13Y
!38:/1EF-$&dA+81$51$&:4&+A+3+515:$:*$(*
315-$5-$,-/D-Y
b:&G+-$51$A-,1$D1/1$(*$5-&$315-&$71$A-,1
,-*:E1$1$l:48-/81/m>B$5:$+4N,+-$&dA+8-Y
!38:/1EF-$&dA+81$:$+48:4&1$5-$:'(+3NA/+-B
,-*$5+c,(3515:$5:$1451/B$4K(&:1&$:
Gn*+8-&$T(48-$1-$&+48-*1$5-$1451/Y
!38:/1EF-$G+&(13$5:$+4N,+-$&dA+8-$R$D-5:
&:/$(*1$G+&F-$:*A1E151B$8/:*+51B$G+&F-
5(D31B$G+&F-$1/5:45-$5:$/:D:48:B$D:/51
-($:*A1E1*:48-$5:$(*$5-&$315-&$51
G+&F-Y
!38:/1EF-$&dA+81$51$1(5+EF-B$T(48-$,-*
4K(&:1&B$D:/51$5-$:'(+3NA/+-$:$5+c,(3515:
5:$1451/Y
^-4-3)4,+1$5:$+4N,+-$&dA+8-B$,-*$D1/151
51$J131Y
#-4G(3&V:&$:$&-4-3)4,+1$:I,:&&+G1$G+45-
T(481&$:$5:$J-/*1$&dA+81Y

O que fazer na suspeita de um

AVC Isquêmico
@$*1+&$+*D-/8148:P$4F-$c,1/$:*$,1&1B
:&D:/145-$-&$&+48-*1&$D1&&1/:*$7D-+&$G-,)
D-5:$:&81/$D:/5:45-$8:*D-$:$#CoSpo@B$,-*
:&&1$5:*-/1$4-$8/181*:48->OOOOOO?

@$D1,+:48:$,-*$:&81$&(&D:+81$5:G:$&:/
3:G15-$+*:5+181*:48:$D1/1$(*$M-&D+813B
5:$D/:J:/)4,+1$'(:$8:4M1$(*$&:8-/$5:
:*:/;)4,+1$,-*$*25+,-$:$8-*-;/1c1
5+&D-4NG:3$<g$M-/1&$D-/$5+1
5+&D-4NG:3$<g$M-/1&$D-/$5+1?$%&&-$J19$8-51$1
5+J:/:4E1B$D-+&$,1&-$&:T1$+45+,151$1$8/-*AQ3+&:
78+D-$5:$8/181*:48-$D1/1$5+&&-3G:/$-$,-K;(3-
:*$!"#$+&'()*+,->B$2$+*D-/8148:$8:/$D:3-
*:4-&$1$8-*-;/1c1$/:13+9151$182$i]gB[$M-/1&
5-$+4N,+-$5-&$&+48-*1&?

@(8/-$*-5-$5:$1EF-$'(:$D-5:$&:/$:J:8+G-
75:D:45:45-$51$,+515:$:$:c,+)4,+1$5-
^!0_W>$2$,M1*1/$-$&:/G+E-$5:$:*:/;)4,+1$5-
;-G:/4-$R$^!0_B$D:3-$J-4:$fh<?$01&$8-*:*
,(+515-$D-/'(:$13;(*1&$,+515:&$D-&&(:*
:&8:$&:/G+E-$*(+8-$:c,+:48:B$'(:$,M:;1*
/1D+51*:48:$4-$3-,13$5-$,M1*15-B$:$-(8/1&
4F-?

.-/8148-B$,1&-$G-,)$,M1*:$-$^!0_$:$:&8:T1
5:*-/145-B$4F-$D:/,1$8:*D-P$1//(*:$(*
,1//-$-($8/14&D-/8:$:$3:G:$1$D:&&-1
%0Sb%!Z!0SUZS$1-$M-&D+813?

Exames Necessários no AVC

Isquêmico
^:*D/:$41$&(&D:+81$5:$(*$!%Z$-($!"#B$41
:*:/;)4,+1B$5:G:$&:/$J:+81$(*1$8-*-;/1c1$5:
,/\4+-B$D1/1$:I,3(+/$&:$M-(G:$-($4F-
M:*-//1;+1?$b:D-+&B$5:D:45:45-$5:$,1&-$1
,1&-B$-$D1,+:48:$D-5:$&:/$+48:/415-$D1/1
-A&:/G1EF-$4-&$D/+*:+/-&$5+1&B$:$8:/*+41$5:
J19:/$-(8/-&$:I1*:&$4-$M-&D+813$:$5:D-+&$:*
31A-/18Q/+-&?$!32*$51$1G13+1EF-$D:3-$*25+,-
4:(/-3-;+&81B$D1/1$1G13+1/$&:$MK$13;(*1
138:/1EF-$4:(/-3Q;+,1B$-&$:I1*:&$*1+&
,-*(*:48:$D:5+5-&$D1/1$:&8:&$,1&-&$&F-P

SI1*:$JN&+,-?
SI1*:$JN&+,-?$q:+8-$D:3-$*25+,-$D1/1
1G13+1/$-&$52c,+8&$4:(/-3Q;+,-&$7D1/13+&+1&>
D/:&:48:&B$4NG:3$5:$;3+,:*+1B$4NG:+&$5:
D/1&&F-$1/8:/+13B$8:*D:/18(/1B$:8,W
SI1*:&$5:$&14;(:?L
SI1*:&$5:$&14;(:?LU1$:48/151$5-
M-&D+813B$-&$D/+4,+D1+&$&F-$-&$:I1*:&$5:
;3+,:*+1$71Ed,1/>$4-$&14;(:$:$8:&8:&$5:
,-1;(31EF-?$b:D-+&B$1$5:D:45:/$5:$,1&-$1
,1&-B$-(8/-&$8:&8:&$&F-$D:5+5-&$D:3-
4:(/-$1&&+&8:48:?
Z-*-;/1c1$5-$,/\4+-?$
Z-*-;/1c1$5-$,/\4+-?$S&8:$2B$&:*
5dG+51B$-$D/+4,+D13$:I1*:$41$J1&:$*1+&
1;(51$7D/+*:+/1&$M-/1&>$5-$!"#?$S3:$2$-
d4+,-$'(:$D-5:$5+J:/:4,+1/$&:$:&81*-&
5+148:$5:$(*$!"#$+&'()*+,-$-(
M:*-//K;+,-B$:$:&81$5+J:/:4,+1EF-$41&
D/+*:+/1&$M-/1&$2$,/(,+13$:$*(51
8-813*:48:$1$1A-/51;:*$*25+,1?
o:&&-4\4,+1$U(,3:1/$01;428+,1$5-
,/\4+-?
,/\4+-?$Z/181]&:$5:$(*$:I1*:$*1+&
&:4&NG:3$:$1D(/15-$5-$'(:$1$Z-*-;/1c1B
'(:$1413+&1$:$5K$1$:I8:4&F-$:$3-,1+&
:I18-&$5:$-45:$-,-//:($-$!"#?$S*A-/1
&:T1$*:3M-/$5-$'(:$1$8-*-B$D:31$3-;N&8+,1
5:$&(1$/:13+91EF-$:$D-/$4F-$:&81/
5+&D-4NG:3$:*$'(13'(:/$3(;1/B$4F-$2$-
:I1*:$5:$:&,-3M1$D1/1$8-5-&$-&$,1&-&?
_38/1&&-4-;/1c1$51&$,1/Q8+51&?
_38/1&&-4-;/1c1$51&$,1/Q8+51&?$!G13+1
&:$MK$13;(*1$-A&8/(EF-$-($D31,1
18:/-&,3:/Q8+,1B$4:&81&$1/82/+1&$'(:
D1&&1*$4-$D:&,-E-B$:$'(:$&F-$1&
/:&D-4&KG:+&$D-/$3:G1/$&14;(:$1-$4-&&-
,2/:A/-?
!4;+-;/1c1$D-/$8-*-$-(
/:&&-4\4,+1B$5-&$G1&-&$,:/:A/1+&$:
5-$D:&,-E-?
5-$D:&,-E-?$S&8:$:I1*:$2$*(+8-
+*D-/8148:$D1/1$G:/+c,1/$1$D18)4,+1B$&:
:&8:&$G1&-&$:&8F-$3+G/:&B$-($&:
1D/:&:481*$13;(*1$-A&8/(EF-$1-$3-4;-
5-$&:($8/1T:8-$5-$,-/1EF-$1-$,2/:A/-?
.-5:*$&:/$J:+81&$D:3-&$*28-5-&$5:
14;+-8-*-;/1c1B$14;+-/:&&-4\4,+1$-(
D:3-$,-4G:4,+-413$7*1+&$+4G1&+G->B$1
1/8:/+-;/1c1$,:/:A/13$5+;+813?
S,-,1/5+-;/1*1?L
S,-,1/5+-;/1*1?LS&8:$2$(*$(38/1&&-*
5-$,-/1EF-B$'(:$1G13+1$&:$1&$,1G+515:&
,1/5N1,1&$:&8F-$4-/*1+&$-($1D/:&:481*
138:/1EF-?
X-38:/$5:$<g$M-/1&?
X-38:/$5:$<g$M-/1&?$S&8:$:I1*:$2
+*D-/8148:$4-&$D1,+:48:&$*1+&$+5-&-&B
'(145-$MK$(*1$&(&D:+81$5:$!"#
+&'()*+,-$D-/$,1(&1$5:$13;(*1$1//+8*+1
,1/5N1,1B$D/+4,+D13*:48:$1$8:*+51
cA/+31EF-$18/+13?

b:D:45:45-$51$+515:B$5-&$J18-/:&$5:$/+&,-$5:
,151$D1,+:48:B$5:$,-*-$J-/1*$-&$&+48-*1&$5:
,151$,1&-B$-$4:(/-3-;+&81$D-5:$D/:,+&1/$5:
-(8/-&L:I1*:&$D1/1$+4G:&8+;1/$,151$,1&-?

Tratamento do AVC Isquêmico

U1&$D/+*:+/1&$M-/1&$:$5+1&$R$q1&:$1;(51

!$D/+*:+/1$,-+&1P$1$J1*N3+1$-($-$D1,+:48:$4F-
D-5:*$c,1/$:&D:/145-$-&$&+48-*1&$'(:
D1/:,:*$(*$!"#$D1&&1/?$S*$,1&1?$01/,145-
A-A:+/1?

a-;-$'(:$&:48+/$13;-$D1/:,+5-$-($&(&D:+8-$5:
(*$!"#B$,-//1$1-$M-&D+813OOOOO$r(148-$*1+&
/KD+5-$J-/$/:,-4M:,+5-B$*1+&$/KD+5-$D-5:/K
&:/$8/1815-?

U1$:*:/;)4,+1B$-($&:T1B$4-&$D/+*:+/-&$*+4(8-&
:$M-/1&$5:$(*$!"#B$-$,:/8-$2$,-//:/$1-
M-&D+813B$:48/1/$D:31$:*:/;)4,+1$:$3-;-B$:*
D:3-$*:4-&$<=]i=$*+4(8-&$51$:48/151$5-
M-&D+813B$TK$8:/$J:+8-$1$8-*-;/1c1$5:$,/\4+-$:
8:/$&+5-$1G13+15-$D:3-$*25+,-?$%&&-$2$(*1
:*:/;)4,+1$*25+,1B$D-+&$1&$8:/1D+1&$J:+81&$41&
D/+*:+/1&$i]s$M-/1&$5:$(*$!"#$D-5:*
*+4+*+91/B$-($182$*:&*-$/:G:/8:/$8-813*:48:
&:'(:31&$4:(/-3Q;+,1&?

!$/:13+91EF-$/KD+51$51$8-*-;/1c1$2
D/+*-/5+13B$D-+&$:&8:$:I1*:L2$-$D/+4,+D13$D1/1
&:D1/1/B$5+J:/:4,+1/$&:$-$!"#$J-+$+&'()*+,-$-(
M:*-//K;+,-?$%&&-$*(51$J/-4813*:48:$-
8/181*:48-?

U-$,1&-$5-L!"#$%&'()*+,-B$1$8:/1D+1$,-//:81
t$+&&-$&:$-$D1,+:48:$,M:;1/$182$g]gB[$M-/1&
5-$+4N,+-$5-&$&+48-*1&$t$2$51/$-
*:5+,1*:48-$138:D31&:B$'(:$2$(*$8+D-$5:
8/-*A-3N8+,-$'(:$5+&&-3G:$-$,-K;(3-$:
/:&81A:3:,:$-$H(I-$5:$&14;(:$4-$,2/:A/-?

b:&5:$J:G:/:+/-$5:$<=f[B$1DQ&$GK/+1&
:G+5)4,+1&$,-48(45:48:&$5:$:&8(5-&$,3N4+,-&
,-*$8/-*A:,8-*+1B$&:$-$D1,+:48:L,-*
&+48-*1&$5:$!"#+L8+G:/$(*1$-A&8/(EF-$5:$(*1
;/145:$1/82/+1$4-$,/\4+-B$,-*-$1$,:/:A/13
*25+1$-($,1/Q8+51$+48:/41B$132*$5-$138:D31&:B
-$,-//:8-$2$3:G1/$:&8:$D1,+:48:
%0Sb%!Z!0SUZS$D1/1$1$M:*-5+4\*+,1B$D1/1
J19:/$(*$,18:8:/+&*-$:$5:&-A&8/(+/$3-,13*:48:
-$G1&-?$S&8:$D/-,:5+*:48-B$,M1*15-$5:
8/-*A:,8-*+1B$&:$*-&8/-($(*$&13G15-/$5:
G+51&$:$/:5(8-/$+*D-/8148:$5:$+4,1D1,+515:&$:
&:'(:31&B$8F-$,-*(4&$4-$!"#+?$%4J:3+9*:48:B
1+451$4F-$5+&D-*-&$51$8/-*A:,8-*+1
18(13*:48:$7u(4M-$5:$<=fv>$4-&$M-&D+81+&$5:
18:45+*:48-$D:3-$^_^?$!D:41&$D1/1$D1,+:48:&
18:45+5-&$:*$M-&D+81+&$D/+G15-&$718:45+*:48-
D-/$D314-&$5:$&1d5:$-($5:$J-/*1$D1/8+,(31/>?

WLb:D-+&$'(:$&:$5:&,-A/:$1$,1(&1$5-
!"#+W

r(145-$TK$&:$+4G:&8+;-($:$5:&,-A/+($1$,1(&1
5-$!"#$+&'()*+,-B$-$*:5+,1*:48-$1$3-4;-
D/19-$5:D:45:/K$D/+4,+D13*:48:$51$,1(&1$5-
!"#%L-,-//+5-?$b1N$1$+*D-/8\4,+1$5:$&:$8:/
+5:+1$5-$'(:$,1(&-($1'(:3:$:G:48-$:$5-
D1,+:48:$&:/$A:*$+4G:&8+;15-?

@$D+31/$D/+4,+D13$5:$8/181*:48-$51$*1+-/+1$5-&
,1&-&$5:L!"#$+&'()*+,-$2$,-48/-31/$A:*$-&
J18-/:&$5:$/+&,-$'(:$D-5:*$&:/$,-48/-315-&
7A1+I1/$,-3:&8:/-3B$5+1A:8:&B$/:8+/1/$-$,+;1//-B
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18/07/2021 às 17:31

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17/07/2021 às 12:05

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13/07/2021 às 17:33

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