The Importance of the Golden Hour Moment in Stroke Patients

​​​​​​Stroke is one of the most deadly diseases in the world. Not only is it deadly, stroke can also cause disability in the sufferer. This disability or paralysis is one of the results of the patient's inaccurate arrival time at the hospital, namely a maximum of 4.5 hours after the attack. Disability due to stroke can be prevented and minimized if treated appropriately. The moment when patients are treated with an ischemic stroke is called the golden period. The Golden Hour is the time used to decide on appropriate and immediate treatment for stroke patients, the chance of total recovery for stroke sufferers is higher if treated during this period. The later the patient is taken to hospital, the greater the risk of permanent disability and even death.

Patients who experience a stroke require reperfusion or immediate resupply of oxygen and nutrients to repair damaged tissue. This golden period/Golden Hour treatment aims to restore reperfusion and save brain tissue that has experienced temporary/reversible damage (ischemia) so that it returns to healthy brain tissue, as well as saving penumbral tissue before it develops into dead tissue (infarction). Delay in treatment beyond the Golden Hour can cause permanent neurological disorders or paralysis. This occurs because there has been permanent brain tissue damage or extensive infarction.

During this Golden Hour period, patients must receive thrombolysis drugs which work to destroy blood clots in the brain's blood vessels. This drug is an injection drug that is given via infusion into a blood vessel. The target for administering thrombolysis drugs (door to needle) is 60 minutes from the time the patient arrives at the hospital. If necessary, further action can be carried out, namely thrombectomy. Thrombectomy aims to open blocked blood vessels using interventional methods. In patients who meet the criteria for thrombectomy, thrombolysis must be performed first to increase the success rate of the procedure.

A stroke can happen to anyone. Therefore, it is very important for us to know the moment of the golden period or Golden Hour in stroke sufferers when an attack occurs.

That's all the Golden Hour information for stroke sufferers that Hermina's friends need to know. If you need quick treatment for a stroke, don't hesitate to visit the nearest Hermina Hospital.