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Rishi Gupta, MD

Specialties

Vascular Neurology
Neurology
Neuroradiology

Education & Training

Doctor of Medicine

Rishi Gupta, MD

Vascular Neurologist with Wellstar since 2011.

Specialties

Vascular Neurology
Neurology
Neuroradiology

Education & Training

Doctor of Medicine

Vascular Neurologist with Wellstar since 2011
  • Member of the Wellstar Medical Group A friendly image of Rishi Gupta Rishi Gupta, MD
  • Office Locations
  • Expertise
  • Patient Reviews
  • Publications & Articles

Office Locations


Expertise

About Rishi Gupta, MD

Dr. Gupta earned his bachelor’s degree at Columbia University and earned his medical degree from Meharry Medical College. He completed his internal medicine internship at the University Of Nevada Las Vegas School Of Medicine. He completed his residency in neurology at Columbia Presbyterian Medical Center.


He is a member of the American Neurological Association. Dr. Gupta is in practice with Wellstar Neurosurgery.

Specialties

  • Vascular Neurology
  • Neurology
  • Neuroradiology

Education & Training

  • Meharry Medical College School of Medicine

Degree

  • Doctor of Medicine

Residency

  • New York Presbyterian Medical Center/Columbia

Fellowship

  • UPMC Medical Education Program
  • Cleveland Clinic Hospital

Certifications

  • American Board of Psych/Neurology - Vasc/Neuro
  • American Board of Psych/Neurology - Neuro

Hospital Affiliations

  • Wellstar Kennestone Hospital
  • Wellstar Cobb Hospital
  • Wellstar Douglas Hospital
  • Wellstar Paulding Medical Center
  • Wellstar Windy Hill Hospital
  • Wellstar North Fulton Hospital
  • Wellstar Spalding Regional Hospital
  • Wellstar Sylvan Grove Hospital
  • Wellstar West Georgia Medical Center

Languages spoken

  • English
  • Hindi

Patient Reviews

Overall patient rating

4.8

Based on 301 patient ratings

I'd recommend this practice to family and friends
I'd recommend this provider to family and friends
Listened to me carefully
Earned my trust
Shared the right amount of information

All reviews have been submitted by patients after seeing the provider.For more information about the review system, check out this Learn more about our review system.

Patient Reviews

4

Did not spend much time talking about the stroke or angiogram he has ordered.

May 2, 2025

5

It was very nice all the people were over over the top

April 30, 2025

5

Continue the good work. Excellent doctor

April 27, 2025

5

God sent

April 27, 2025

5

A great doctor. Great bedside manner and knowledge

April 18, 2025

5

We have always had a wonderful experience and everyone is extremely kind and helpful. I have spoken very highly to my friends, family and the professionals I work with concerning the care and treatment we have received.

April 17, 2025

5

Doctor Rishi Gupta Was Very Reassuring , Cause I had Anxiety and Stress before I Met him And he Reassured me about my health So I'm not Stressing

April 14, 2025

5

Everyone as really nice. No long wait time.

April 14, 2025

5

Very nice staff and was considering about my wellbeing

April 10, 2025

5

Dr. Gupta was extremely professional. He listened to what I told him. He listened to everything. And he explained some things to me that helped me a lot. I was extremely pleased with the care while I was in that office. All the nurses, Dr. Gupta, were extremely nice and understanding. I can't say enough about him.

April 6, 2025

5

Totally happy to have Dr GUPTA take care of my husband.

April 6, 2025

3

Yes, it was very professional. All the staff was very nice and listened to all the questions. Very, very professional and got no complaints at all. And yes, I would tell my family about it, prescribe them to anybody I know. Very well done.

April 9, 2025

5

Dr Gupta is in a class all alone! He is SO knowledgeable but he truly cares and it shows!

April 4, 2025

4

First time to talk with Dr Gupta will have more opinion after surgery is completed.

April 4, 2025

5

Everyone was very kind and compassionate towards me. And Dr. Gupta was very, very compassionate with me. And he presented the information in a really nice way. Thank you.

April 2, 2025

5

Excellent experience! Dr and staff were excellent!

March 31, 2025

5

My experience at Marietta hospital has always the best ever, the heart doctors and other staff associated with them are the best that can be . They saved my life so that makes them the best of the best in my book. I thank all of them from the bottom of my heart.

March 26, 2025

5

This is a WELLSTAR issue. I was recommended for cyberknife surgery but was never given my financial responsibility prior. I was then slammed with a bill for 2,000 dollars. If I had known this I would have scheduled the procedure for a few weeks later when my insurance would have paid more of their share. I was so upset about this deceptive decision

March 22, 2025

5

The staff were friendly and very understanding.

March 21, 2025

5

Dr. Gupta was one of the most pleasant doctors that I have had the privilege of being treated by. He is knowledgeable and comforting; just what a patient needs, when facing Neuro conditions.

March 23, 2025

5

Dr. Gupta has great bedside manners and you can tell that he genuinely cares for his patients getting better and recovering. He seems very passionate about his work.

March 23, 2025

5

We were very pleased with the level of compassion and wealth of experience from Dr. Gupta's office.

March 16, 2025

5

It was quick and thourgh

March 17, 2025

5

Good experience. Thank you.

March 15, 2025

5

Excellent Dr.

March 10, 2025

5

I had a wonderful discussion with Anna, the PA for Dr. Gupta. She's very knowledgeable in her field and very well explained the result of my CT-scan. The staff are very nice and caring.

February 27, 2025

5

The Doctor was very good and explaining my situation. The front office was very kind very supportive helpful. I would be glad to recommend anyone to visit this Doctor .

February 24, 2025

5

The only reason I didn't give a 10 is because it was my first visit. The Dr has a great bedside manner. Seems caring and attentive.

February 24, 2025

5

I would like to thank you very much.

February 24, 2025

5

Prompt and courteous

February 17, 2025

5

It was very nice all the people were over over the top

April 30, 2025

5

Continue the good work. Excellent doctor

April 27, 2025

5

God sent

April 27, 2025

5

A great doctor. Great bedside manner and knowledge

April 18, 2025

5

We have always had a wonderful experience and everyone is extremely kind and helpful. I have spoken very highly to my friends, family and the professionals I work with concerning the care and treatment we have received.

April 17, 2025

5

Doctor Rishi Gupta Was Very Reassuring , Cause I had Anxiety and Stress before I Met him And he Reassured me about my health So I'm not Stressing

April 14, 2025

5

Everyone as really nice. No long wait time.

April 14, 2025

5

Very nice staff and was considering about my wellbeing

April 10, 2025

5

Dr. Gupta was extremely professional. He listened to what I told him. He listened to everything. And he explained some things to me that helped me a lot. I was extremely pleased with the care while I was in that office. All the nurses, Dr. Gupta, were extremely nice and understanding. I can't say enough about him.

April 6, 2025

5

Totally happy to have Dr GUPTA take care of my husband.

April 6, 2025

5

Dr Gupta is in a class all alone! He is SO knowledgeable but he truly cares and it shows!

April 4, 2025

5

Everyone was very kind and compassionate towards me. And Dr. Gupta was very, very compassionate with me. And he presented the information in a really nice way. Thank you.

April 2, 2025

5

Excellent experience! Dr and staff were excellent!

March 31, 2025

5

My experience at Marietta hospital has always the best ever, the heart doctors and other staff associated with them are the best that can be . They saved my life so that makes them the best of the best in my book. I thank all of them from the bottom of my heart.

March 26, 2025

5

This is a WELLSTAR issue. I was recommended for cyberknife surgery but was never given my financial responsibility prior. I was then slammed with a bill for 2,000 dollars. If I had known this I would have scheduled the procedure for a few weeks later when my insurance would have paid more of their share. I was so upset about this deceptive decision

March 22, 2025

5

The staff were friendly and very understanding.

March 21, 2025

5

Dr. Gupta was one of the most pleasant doctors that I have had the privilege of being treated by. He is knowledgeable and comforting; just what a patient needs, when facing Neuro conditions.

March 23, 2025

5

Dr. Gupta has great bedside manners and you can tell that he genuinely cares for his patients getting better and recovering. He seems very passionate about his work.

March 23, 2025

5

We were very pleased with the level of compassion and wealth of experience from Dr. Gupta's office.

March 16, 2025

5

It was quick and thourgh

March 17, 2025

5

Good experience. Thank you.

March 15, 2025

5

Excellent Dr.

March 10, 2025

5

I had a wonderful discussion with Anna, the PA for Dr. Gupta. She's very knowledgeable in her field and very well explained the result of my CT-scan. The staff are very nice and caring.

February 27, 2025

5

The Doctor was very good and explaining my situation. The front office was very kind very supportive helpful. I would be glad to recommend anyone to visit this Doctor .

February 24, 2025

5

The only reason I didn't give a 10 is because it was my first visit. The Dr has a great bedside manner. Seems caring and attentive.

February 24, 2025

5

I would like to thank you very much.

February 24, 2025

5

Prompt and courteous

February 17, 2025

4

Did not spend much time talking about the stroke or angiogram he has ordered.

May 2, 2025

4

First time to talk with Dr Gupta will have more opinion after surgery is completed.

April 4, 2025

3

Yes, it was very professional. All the staff was very nice and listened to all the questions. Very, very professional and got no complaints at all. And yes, I would tell my family about it, prescribe them to anybody I know. Very well done.

April 9, 2025

3

Yes, it was very professional. All the staff was very nice and listened to all the questions. Very, very professional and got no complaints at all. And yes, I would tell my family about it, prescribe them to anybody I know. Very well done.

April 9, 2025

4

Did not spend much time talking about the stroke or angiogram he has ordered.

May 2, 2025

4

First time to talk with Dr Gupta will have more opinion after surgery is completed.

April 4, 2025

5

It was very nice all the people were over over the top

April 30, 2025

5

Continue the good work. Excellent doctor

April 27, 2025

5

God sent

April 27, 2025

5

A great doctor. Great bedside manner and knowledge

April 18, 2025

5

We have always had a wonderful experience and everyone is extremely kind and helpful. I have spoken very highly to my friends, family and the professionals I work with concerning the care and treatment we have received.

April 17, 2025

5

Doctor Rishi Gupta Was Very Reassuring , Cause I had Anxiety and Stress before I Met him And he Reassured me about my health So I'm not Stressing

April 14, 2025

5

Everyone as really nice. No long wait time.

April 14, 2025

5

Very nice staff and was considering about my wellbeing

April 10, 2025

5

Dr. Gupta was extremely professional. He listened to what I told him. He listened to everything. And he explained some things to me that helped me a lot. I was extremely pleased with the care while I was in that office. All the nurses, Dr. Gupta, were extremely nice and understanding. I can't say enough about him.

April 6, 2025

5

Totally happy to have Dr GUPTA take care of my husband.

April 6, 2025

5

Dr Gupta is in a class all alone! He is SO knowledgeable but he truly cares and it shows!

April 4, 2025

5

Everyone was very kind and compassionate towards me. And Dr. Gupta was very, very compassionate with me. And he presented the information in a really nice way. Thank you.

April 2, 2025

5

Excellent experience! Dr and staff were excellent!

March 31, 2025

5

My experience at Marietta hospital has always the best ever, the heart doctors and other staff associated with them are the best that can be . They saved my life so that makes them the best of the best in my book. I thank all of them from the bottom of my heart.

March 26, 2025

5

This is a WELLSTAR issue. I was recommended for cyberknife surgery but was never given my financial responsibility prior. I was then slammed with a bill for 2,000 dollars. If I had known this I would have scheduled the procedure for a few weeks later when my insurance would have paid more of their share. I was so upset about this deceptive decision

March 22, 2025

5

The staff were friendly and very understanding.

March 21, 2025

5

Dr. Gupta was one of the most pleasant doctors that I have had the privilege of being treated by. He is knowledgeable and comforting; just what a patient needs, when facing Neuro conditions.

March 23, 2025

5

Dr. Gupta has great bedside manners and you can tell that he genuinely cares for his patients getting better and recovering. He seems very passionate about his work.

March 23, 2025

5

We were very pleased with the level of compassion and wealth of experience from Dr. Gupta's office.

March 16, 2025

5

It was quick and thourgh

March 17, 2025

5

Good experience. Thank you.

March 15, 2025

5

Excellent Dr.

March 10, 2025

5

I had a wonderful discussion with Anna, the PA for Dr. Gupta. She's very knowledgeable in her field and very well explained the result of my CT-scan. The staff are very nice and caring.

February 27, 2025

5

The Doctor was very good and explaining my situation. The front office was very kind very supportive helpful. I would be glad to recommend anyone to visit this Doctor .

February 24, 2025

5

The only reason I didn't give a 10 is because it was my first visit. The Dr has a great bedside manner. Seems caring and attentive.

February 24, 2025

5

I would like to thank you very much.

February 24, 2025

5

Prompt and courteous

February 17, 2025

4

Did not spend much time talking about the stroke or angiogram he has ordered.

May 2, 2025

5

It was very nice all the people were over over the top

April 30, 2025

5

God sent

April 27, 2025

5

Continue the good work. Excellent doctor

April 27, 2025

5

A great doctor. Great bedside manner and knowledge

April 18, 2025

5

We have always had a wonderful experience and everyone is extremely kind and helpful. I have spoken very highly to my friends, family and the professionals I work with concerning the care and treatment we have received.

April 17, 2025

5

Doctor Rishi Gupta Was Very Reassuring , Cause I had Anxiety and Stress before I Met him And he Reassured me about my health So I'm not Stressing

April 14, 2025

5

Everyone as really nice. No long wait time.

April 14, 2025

5

Very nice staff and was considering about my wellbeing

April 10, 2025

3

Yes, it was very professional. All the staff was very nice and listened to all the questions. Very, very professional and got no complaints at all. And yes, I would tell my family about it, prescribe them to anybody I know. Very well done.

April 9, 2025

5

Dr. Gupta was extremely professional. He listened to what I told him. He listened to everything. And he explained some things to me that helped me a lot. I was extremely pleased with the care while I was in that office. All the nurses, Dr. Gupta, were extremely nice and understanding. I can't say enough about him.

April 6, 2025

5

Totally happy to have Dr GUPTA take care of my husband.

April 6, 2025

5

Dr Gupta is in a class all alone! He is SO knowledgeable but he truly cares and it shows!

April 4, 2025

4

First time to talk with Dr Gupta will have more opinion after surgery is completed.

April 4, 2025

5

Everyone was very kind and compassionate towards me. And Dr. Gupta was very, very compassionate with me. And he presented the information in a really nice way. Thank you.

April 2, 2025

5

Excellent experience! Dr and staff were excellent!

March 31, 2025

5

My experience at Marietta hospital has always the best ever, the heart doctors and other staff associated with them are the best that can be . They saved my life so that makes them the best of the best in my book. I thank all of them from the bottom of my heart.

March 26, 2025

5

Dr. Gupta was one of the most pleasant doctors that I have had the privilege of being treated by. He is knowledgeable and comforting; just what a patient needs, when facing Neuro conditions.

March 23, 2025

5

Dr. Gupta has great bedside manners and you can tell that he genuinely cares for his patients getting better and recovering. He seems very passionate about his work.

March 23, 2025

5

This is a WELLSTAR issue. I was recommended for cyberknife surgery but was never given my financial responsibility prior. I was then slammed with a bill for 2,000 dollars. If I had known this I would have scheduled the procedure for a few weeks later when my insurance would have paid more of their share. I was so upset about this deceptive decision

March 22, 2025

5

The staff were friendly and very understanding.

March 21, 2025

5

It was quick and thourgh

March 17, 2025

5

We were very pleased with the level of compassion and wealth of experience from Dr. Gupta's office.

March 16, 2025

5

Good experience. Thank you.

March 15, 2025

5

Excellent Dr.

March 10, 2025

5

I had a wonderful discussion with Anna, the PA for Dr. Gupta. She's very knowledgeable in her field and very well explained the result of my CT-scan. The staff are very nice and caring.

February 27, 2025

5

The Doctor was very good and explaining my situation. The front office was very kind very supportive helpful. I would be glad to recommend anyone to visit this Doctor .

February 24, 2025

5

The only reason I didn't give a 10 is because it was my first visit. The Dr has a great bedside manner. Seems caring and attentive.

February 24, 2025

5

I would like to thank you very much.

February 24, 2025

5

Prompt and courteous

February 17, 2025

5

Prompt and courteous

February 17, 2025

5

I would like to thank you very much.

February 24, 2025

5

The only reason I didn't give a 10 is because it was my first visit. The Dr has a great bedside manner. Seems caring and attentive.

February 24, 2025

5

The Doctor was very good and explaining my situation. The front office was very kind very supportive helpful. I would be glad to recommend anyone to visit this Doctor .

February 24, 2025

5

I had a wonderful discussion with Anna, the PA for Dr. Gupta. She's very knowledgeable in her field and very well explained the result of my CT-scan. The staff are very nice and caring.

February 27, 2025

5

Excellent Dr.

March 10, 2025

5

Good experience. Thank you.

March 15, 2025

5

We were very pleased with the level of compassion and wealth of experience from Dr. Gupta's office.

March 16, 2025

5

It was quick and thourgh

March 17, 2025

5

The staff were friendly and very understanding.

March 21, 2025

5

This is a WELLSTAR issue. I was recommended for cyberknife surgery but was never given my financial responsibility prior. I was then slammed with a bill for 2,000 dollars. If I had known this I would have scheduled the procedure for a few weeks later when my insurance would have paid more of their share. I was so upset about this deceptive decision

March 22, 2025

5

Dr. Gupta has great bedside manners and you can tell that he genuinely cares for his patients getting better and recovering. He seems very passionate about his work.

March 23, 2025

5

Dr. Gupta was one of the most pleasant doctors that I have had the privilege of being treated by. He is knowledgeable and comforting; just what a patient needs, when facing Neuro conditions.

March 23, 2025

5

My experience at Marietta hospital has always the best ever, the heart doctors and other staff associated with them are the best that can be . They saved my life so that makes them the best of the best in my book. I thank all of them from the bottom of my heart.

March 26, 2025

5

Excellent experience! Dr and staff were excellent!

March 31, 2025

5

Everyone was very kind and compassionate towards me. And Dr. Gupta was very, very compassionate with me. And he presented the information in a really nice way. Thank you.

April 2, 2025

4

First time to talk with Dr Gupta will have more opinion after surgery is completed.

April 4, 2025

5

Dr Gupta is in a class all alone! He is SO knowledgeable but he truly cares and it shows!

April 4, 2025

5

Totally happy to have Dr GUPTA take care of my husband.

April 6, 2025

5

Dr. Gupta was extremely professional. He listened to what I told him. He listened to everything. And he explained some things to me that helped me a lot. I was extremely pleased with the care while I was in that office. All the nurses, Dr. Gupta, were extremely nice and understanding. I can't say enough about him.

April 6, 2025

3

Yes, it was very professional. All the staff was very nice and listened to all the questions. Very, very professional and got no complaints at all. And yes, I would tell my family about it, prescribe them to anybody I know. Very well done.

April 9, 2025

5

Very nice staff and was considering about my wellbeing

April 10, 2025

5

Everyone as really nice. No long wait time.

April 14, 2025

5

Doctor Rishi Gupta Was Very Reassuring , Cause I had Anxiety and Stress before I Met him And he Reassured me about my health So I'm not Stressing

April 14, 2025

5

We have always had a wonderful experience and everyone is extremely kind and helpful. I have spoken very highly to my friends, family and the professionals I work with concerning the care and treatment we have received.

April 17, 2025

5

A great doctor. Great bedside manner and knowledge

April 18, 2025

5

Continue the good work. Excellent doctor

April 27, 2025

5

God sent

April 27, 2025

5

It was very nice all the people were over over the top

April 30, 2025

4

Did not spend much time talking about the stroke or angiogram he has ordered.

May 2, 2025

Publications and Articles

Cindy cutting vegetables in her home kitchen

CindyCare

To say Cindy Mejia is “busy” is an understatement. 

She’s constantly crunching numbers as an accounting manager for a large research institute, trying out new recipes in her kitchen at her Roswell home, or trying to keep up with her little granddaughter (who just discovered how much fun it is to run).

But one Wednesday in September, Cindy woke up and reached for her computer, trying to get an early start to her workday. She felt a little groggy and couldn’t remember her password but didn’t immediately realize something was wrong.

Then she stood up. Her right arm and leg weren’t functioning, and that’s when Cindy knew what was happening—she was having a stroke.

“The first thing I thought was, ‘I need to get to Wellstar North Fulton right away,’” Cindy said. “I knew the hospital was nearby and has a good reputation.”

That decision ultimately saved her brain and life.

For Cindy, the critical care she needed was close to home, too—she lives four miles from Wellstar North Fulton Medical Center. There, her care team sprang into action, bringing her the treatment and peace of mind in a moment of crisis.

“From then on, I felt well taken care of,” Cindy said. “I was relieved, and I knew I was going to be OK.”

 

Cindy's close-to-home 'pit crew'

When a patient has a stroke, every second matters. Each minute that ticks by could be the difference between a permanent stroke and a return to routine. So at North Fulton, Cindy’s care team assembled quickly to save her brainpower.

“We’re like the pit crew on a NASCAR team,” said Dr. Ed Malcom, an emergency medicine physician at Wellstar North Fulton. “We have our emergency stroke care response down to a science. Everyone knows their role and works together to act quickly.”

Cindy was one of the first patients at Wellstar North Fulton to benefit from the hospital’s new addition to its stroke program. While the hospital has been a primary stroke center for years, the introduction of thrombectomies at the hospital gives patients a close-to-home, life-saving option for stroke care—saving them both time and brainpower.

A thrombectomy is a minimally invasive procedure used to unclog an artery, restoring blood flow to the brain and preventing further damage. It does not involve cutting of the brain but instead starts with the insertion of a catheter through the patient’s groin.

“Recently, we’ve developed our own capability right here in the North Fulton area to pull the clot out of the brain. That’s a giant leap forward,” Dr. Malcom explained. “It's good for the whole state because there's only a handful of hospitals that do that, and it's good for the residents that live in that North Fulton area to have a hospital so close. They don't have to take a helicopter ride somewhere to get that procedure done. It saves time.”

For Cindy, having that procedure just a few miles from her home, right when she needed it, helped save her brain function.

“If Cindy would have gone to a different hospital that didn't provide this care, then it would have been a long time before she was able to have blood flow restored to the brain,” Wellstar Neurosurgeon Dr. Benjamin Zussman said, explaining how critical each section was when it came to Cindy’s care. “The delay could have been 30 minutes or even an hour, and it's possible that she would have had permanent stroke, permanent damage to her brain instead of making the recovery she did.”

Offering thrombectomies at Wellstar North Fulton has brought long-needed stroke services to the area north of Atlanta, so patients like Cindy don’t have to travel into the city through busy traffic to get the treatment they need. 

Proximity to care is especially important for critical situations like strokes, said Dr. Rishi Gupta, director of stroke care at Wellstar.

“Any disease that is time-sensitive where patients need to get to the hospital quickly, get treated quickly—the geography is everything, particularly in bad weather when helicopters cannot fly,” he said, explaining how logistics can impact life-saving stroke care. “We need to be able to provide services in the communities the patients reside and the North Fulton program is uniquely positioned to do that.”

Signs of a stroke can include a loss of balance, dizziness, blurry vision or sudden vision loss, drooping in the face, arm or leg weakness, and difficulty speaking. Patients who experience any of those symptoms should call 911 and seek medical care right away. 

Cindy said she is glad she got to the hospital as soon as she could—“I am so thankful that I took quick action and that I had Wellstar so close.” At Wellstar North Fulton, she not only received the highest level of stroke care. Wellstar takes a multidisciplinary approach to stroke care, including specialists such as critical care specialists, neurologists, neurointerventionalists and physical therapists on the care team. 

“When you're feeling pretty healthy, you don't think a stroke can happen to you. It happens so quickly. You don't necessarily get a warning,” Cindy said, sharing the importance of listening to your body’s signals when it comes to health. “You can feel one way one day or one minute, and the next minute, it changes.”

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Illustration that reads "BE FAST," depicting balance, eyesight, face, arm, speech and phone to call 911

Spotting a Stroke FAST

When someone has a stroke, it’s crucial that they get treatment right away. 

If you think you or someone else is having a stroke, call 911 immediately. Ambulance crews can start treatment on the way to the hospital, speeding up care and saving brainpower. 

“Many people think that they can sleep it off, or that they can go to bed and they'll be better in the morning,” said Dr. Rishi Gupta, Wellstar director of stroke care. “If you have a loss of sensation, you cannot move your arm or your leg, you have trouble speaking or you have trouble with your vision, the faster you get to the emergency room, the more likely we are to reverse your disability.” 

Learn the warning signs of a stroke, and if you notice any of these in yourself or someone else, BE FAST. 

  • Balance—One sign is a sudden loss of balance or coordination. This can also appear as a sudden, severe headache or dizziness.
  • Eyes—Blurred vision, double vision or loss of vision can be symptoms of a stroke. If you think someone else may be having a stroke, ask if they are having trouble seeing out of one or both eyes.
  • Face—One side of the face may be drooping or feeling numb. Ask the person to smile and see if it appears lopsided or uneven.
  • Arms—Look for sudden arm weakness or numbness. Check if the person can lift both arms without one drifting downward.
  • Speech—Check for slurred speech or difficulty speaking. Ask the person to repeat a simple sentence to determine if they are having trouble talking.
  • Time—The more treatment is delayed, the more the brain is damaged. Don’t wait to seek care. If you notice any of these symptoms, call 911 immediately.
 

Reduce your risk of a stroke by living a healthy lifestyle. Your Wellstar care team can partner with you in creating a treatment plan to stay in good health. To learn more about brain, spine and nerve health services at Wellstar, visit our neuro care page or call (770) 956-STAR (7827). 

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    An artistic representation of stroke experts inspecting a brain with a magnifying glass.

    Stroke prevention and the future of stroke care

    This article was originally published on Atlanta Business Chronicle on May 19, 2023.

    Stroke is the fifth leading cause of death in the United States. The Georgia Department of Public Health reports the state had the 12th highest stroke death rate in the country. Georgia is also part of the “stroke belt,” an area of the southeastern United States with stroke death rates 30% higher than the rest of the nation.

    As the leading — but preventable — cause of disability, stroke can happen at any age.

    Stroke is a medical emergency, meaning the blood flow to an area of the brain is cut off, depriving brain tissue of oxygen and nutrients. When this happens, brain cells start to die and abilities controlled by that area of the brain, such as speech or muscle control, are lost.

    New drugs and new advanced treatments — such as the Tigertriever and Artemis — are helping reduce the death and disability impact of stroke, as well as comprehensive care programs and innovative hospital partnerships that expand stroke services into rural areas.

    Physicians from Wellstar Health System and the CEO of a hospital in northeast Georgia joined Atlanta Business Chronicle to discuss stroke prevention and the future of stroke care.

    Panelists & moderator

    • Dr. Rishi Gupta, Endovascular Neurologist and Co-Medical Director of Neuro Care
    • Dr. Ashis Tayal, Vascular Neurologist, Wellstar, Director of Neuro Care Network
    • Van Loskoski, CEO, Stephens County Hospital
    • David Rubinger, Market President & Publisher, Atlanta Business Chronicle; Moderator

    Pictured: headshots of the panel of experts from Wellstar Health System and the CEO from a rural Georgia hospital discussing advances in stroke care.

    What is stroke, screening and secondary prevention

    David Rubinger: Dr. Tayal, set the stage for us about the definition of stroke.

    Dr. Ashis Tayal: A stroke is a sudden injury of the brain due to blockage or rupture of an artery in the brain. Injuries to the brain and disability can vary significantly.

    The most common, ischemic stroke injury, is due to obstruction of an artery that causes a loss of blood flow to a critical part of the brain which damages the brain rapidly.

    The other type of stroke is hemorrhagic stroke, where there’s a rupture of an artery, bleeding into the brain, or the surfaces of the brain, and that is called an intracerebral hemorrhage or a subarachnoid hemorrhage.

    Rubinger: I think Americans have become a little better educated as to who’s at risk for stroke, but why don’t you walk us through that. Who would be a potential stroke candidate?

    Tayal: High blood pressure, or hypertension, is the most common risk factor for both ischemic and hemorrhagic strokes. High blood pressure is an extremely common but controllable condition. Almost 80% of people have hypertension as they’re getting older.

    Other risk factors include diabetes associated with elevated blood sugars causing accelerated blockage of arteries and high cholesterol, which can be related to diet and genetics.

    Atrial fibrillation, a common heart arrhythmia that occurs as people get older, also places people at risk for the most severe and disabling types of strokes. And plaque buildup in specific arteries of the neck and brain also leads to an increased risk of stroke.

    Smoking is another risk factor. Many adults still smoke despite a lot of progress in stroke treatment, and smoking puts people at risk for different types of stroke.

    Rubinger: What about atmospheric things like stress and other areas like that? How does that play into it? Or do those things manifest themselves because of the other underlying physical conditions?

    Tayal: I don’t view stress, in and of itself, as a risk factor for stroke. I think that’s more related to people’s environments and their own personalities and how they respond to stress. I do think people who are under undue stress can have poor lifestyle habits, and those poor lifestyle habits, whether poor eating habits, smoking, weight gain or lack of exercise, can lead to conditions that increase the risk for stroke.

    Rubinger: So how is the healthcare system doing treating strokes? Do you believe that what’s going on at the primary care provider’s office is helping or do we have a way to go?

    Tayal: In the United States, preventive care has improved the treatment of risk factors that lead to stroke, but communities must maintain routine checkups as many of the risk factors are silent.

    There are improved treatments for hypertension, more aggressive treatment for diabetes, and more efforts at smoking cessation. Just the fact that we treat hypertension better than we did a generation ago has had a great impact on lowering the prevalence of stroke.

    That being said, some of the most exciting work on stroke has often been done in the area of acute treatment of stroke with clot-busting drugs, catheter-based treatments and medications to protect the brain during an acute injury.

    Rubinger: Has pharmacology gotten better in terms of the hypertension medicines that are out there? Have anti-cholesterol medicines improved in recent years?

    Tayal: In the past, healthcare providers were often undertreating people with hyperlipidemia — high cholesterol — and not fully appreciating the benefits of significant reductions in cholesterol levels. For example, we’ve learned that driving cholesterol down into much lower ranges under 55 mg/dL can benefit our patients who have vascular disease as a cause for their stroke.

    In the fight against high cholesterol, newer medications that prevent the absorption of cholesterol are now available. Recent developments have led to the discovery of a new underutilized class of drugs called PCSK-9 inhibitors that are highly effective.

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    Rishi Gupta, MD
    Vascular Neurologist with Wellstar since 2011
    Rating
    4.8
    Specialties
    Vascular Neurology , Neurology, Neuroradiology
    Education
    Doctor of Medicine
    Medical School
    Meharry Medical College School of Medicine
    Residency
    New York Presbyterian Medical Center/Columbia
    Fellowship
    UPMC Medical Education Program
    Cleveland Clinic Hospital
    Certifications
    American Board of Psych/Neurology - Vasc/Neuro
    American Board of Psych/Neurology - Neuro
    Spoken Languages
    English and Hindi
    Hospital Affiliations
    Wellstar Kennestone Hospital
    Wellstar Cobb Hospital
    Wellstar Douglas Hospital
    Wellstar Paulding Medical Center
    Wellstar Windy Hill Hospital
    Wellstar North Fulton Hospital
    Wellstar Spalding Regional Hospital
    Wellstar Sylvan Grove Hospital
    Wellstar West Georgia Medical Center
    Office Locations
    www.wellstar.org/physicians/rishi-gupta-md
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    Contact Us Pay Your Bill Policy & Privacy Information Hospital Transparency Information Price Transparency

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