Ischemic Stroke

Predicting Major Bleeding in Patients With Stroke on Antiplatelets

Predicting Major Bleeding in Patients With Stroke on Antiplatelets

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There are a limited number of prediction models that identify patients at risk of major bleeding after stroke or TIA.

Primary Stroke Center Protocol Significantly Improves Outcomes

Primary Stroke Center Protocol Significantly Improves Outcomes

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Reduced door-to-needle times have been shown to improve outcomes after stroke.

Higher Risk for Symptomatic Intracranial Hemorrhage After Endovascular Treatment for Stroke

Higher Risk for Symptomatic Intracranial Hemorrhage After Endovascular Treatment for Stroke

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Risk for symptomatic intracranial hemorrhage after endovascular treatment for acute ischemic stroke is significantly higher in real-world practice than rates reported by clinical trials.

Mechanical Thrombectomy Safe in Older Stroke Patients

Mechanical Thrombectomy Safe in Older Stroke Patients

No between-group differences were observed for reperfusion success and mortality, among other measures.

After Stroke, Intensive Antiplatelet Therapy Has Benefits, Drawbacks

After Stroke, Intensive Antiplatelet Therapy Has Benefits, Drawbacks

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Intensive antiplatelet therapy appears to reduce risk of recurrence immediately after stroke, but may pose risks further out.

Stroke Awareness: Do Your Patients Know the Signs?

Stroke Awareness: Do Your Patients Know the Signs?

New research from the American Heart and American Stroke Associations found that many Americans don't know the symptoms of stroke.

Ischemic Stroke Risk Elevated in Systemic Lupus Erythematosus

Ischemic Stroke Risk Elevated in Systemic Lupus Erythematosus

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The relative risk of developing ischemic stroke was increased in patients with systemic lupus erythematosus, especially within the first year after diagnosis.

Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD

Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD

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Neurologists need to engage their emergency medicine colleagues to identify protocols and pathways for when to trigger appropriate neurological consultation or initiate acute stroke therapies.

Endovascular Stroke Treatment Shows Sustained Response Up to 2 Years

Endovascular Stroke Treatment Shows Sustained Response Up to 2 Years

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Over 32% of patients were functionally independent at 90 days and 37.1% were functionally independent at 2 years.

In Ischemic Stroke, Pulse Pressure Predicts Long-Term Risk of Recurrence

In Ischemic Stroke, Pulse Pressure Predicts Long-Term Risk of Recurrence

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Pulse pressure was associated with the risk for ischemic stroke in first-ever ischemic stroke patients old than 60 years.

IV tPA Effective for Stroke in Patients With Increased Body Weight

IV tPA Effective for Stroke in Patients With Increased Body Weight

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Previous research had suggested that the benefits of IV tPA are diminished in patients weighing more than 100 kg.

Migraine Linked to Ischemic Stroke Via Cervical Artery Dissection

Migraine Linked to Ischemic Stroke Via Cervical Artery Dissection

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Up to 20% of stroke cases in young adults occur in those with cervical artery dissection, the leading cause of stroke in this population.

Prestroke CHA2DS2-VASc Score Predicts Stroke Severity, Outcomes

Prestroke CHA2DS2-VASc Score Predicts Stroke Severity, Outcomes

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Clinicians should closely monitor patients with atrial fibrillation, especially if they are female and of increasing age.

Intensive Antiplatelet Therapy and Risk of Recurrent Stroke

Intensive Antiplatelet Therapy and Risk of Recurrent Stroke

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Efficacy of triple antiplatelet therapy compared with current guideline-based therapy for the prevention of recurrent stroke was evaluated in the TARDIS trial.

Contact Aspiration vs Stent Retriever in Acute Ischemic Stroke

Contact Aspiration vs Stent Retriever in Acute Ischemic Stroke

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The results provide good evidence for the use of contact aspiration in ischemic stroke.

Time to Alteplase Treatment Affected by Hospital Delays, Medical Conditions

Time to Alteplase Treatment Affected by Hospital Delays, Medical Conditions

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Delays related to the determination of treatment eligibility increased door-to-needle times by more than 30 minutes compared with patients with no delays.

In Stroke, No Clear Benefit for Head Positioning

In Stroke, No Clear Benefit for Head Positioning

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Neither lying flat nor sitting up appears to alter outcomes in patients presenting with acute stroke.

Location of Childhood Arterial Ischemic Stroke Influences Recurrence

Location of Childhood Arterial Ischemic Stroke Influences Recurrence

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The difference in rate of recurrence of PCAIS may have to do with a difference in mechanism compared with ACAIS.

Predicting Ischemic Stroke Outcomes With Advanced Imaging

Predicting Ischemic Stroke Outcomes With Advanced Imaging

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Use of advanced imaging may help predict which patients will have an optimal response to treatment with intravenous tissue plasminogen activator.

Perioperative Stroke Risk High in Patients With Migraine

Perioperative Stroke Risk High in Patients With Migraine

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Migraine affects approximately 20% of the general population and is associated with an increased risk for ischemic stroke.

No Benefit for IV tPA Before Mechanical Thrombectomy in Ischemic Stroke

No Benefit for IV tPA Before Mechanical Thrombectomy in Ischemic Stroke

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Intravenous thrombolysis prior to mechanical thrombectomy did not benefit patients with acute ischemic stroke due to a large vessel occlusion.

Continued Warfarin Therapy Helps Prevent Stroke After Dementia Dx

Continued Warfarin Therapy Helps Prevent Stroke After Dementia Dx

Warfarin protected against ischemic stroke, major bleeding, and all-cause mortality in patients who continued to take the drug after dementia diagnosis.

A Novel Risk Score for Seizures After Stroke

A Novel Risk Score for Seizures After Stroke

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The triple-validated SeLECT score may help identify patients suited for antiepileptic drug trials.

Migraine History May Double Stroke Risk in Women

Migraine History May Double Stroke Risk in Women

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Women with a history of migraine headache had a more than 2-fold increased risk of stroke over a 6-year follow-up period.

Pushing the Limits of Endovascular Therapy for Acute Ischemic Stroke

Pushing the Limits of Endovascular Therapy for Acute Ischemic Stroke

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Recent research found benefits in outcome outweighed any increase in hemorrhagic complications in patients with large infarcts.

Antacids and Risk of First-Time Stroke

Antacids and Risk of First-Time Stroke

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Another class of antacids, H2 receptor antagonists, had no impact on stroke risk.

Serious Adverse Events, Cardiovascular Health Impact Stroke Risk in RA

Serious Adverse Events, Cardiovascular Health Impact Stroke Risk in RA

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Serious adverse events, especially those requiring hospitalization, may indicate an elevated risk of stroke.

Allopurinol Use May Reduce Risk of Stroke in Elderly

Allopurinol Use May Reduce Risk of Stroke in Elderly

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The neuroprotective effect was evident after at least 6 months of use.

Glyburide Promising for Treatment of Acute Ischemic Stroke

Glyburide Promising for Treatment of Acute Ischemic Stroke

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Although the study did not demonstrate efficacy of glyburide, differences were seen in the amount midline shift at 3-4 days.

Early Endovascular Thrombectomy Reduces Ischemic Stroke Disability

Early Endovascular Thrombectomy Reduces Ischemic Stroke Disability

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Patients with acute ischemic stroke experienced less disability when treated with early endovascular thrombectomy.

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