Stroke News Archive

Stroke Prevention May Help Reduce Dementia Risk

Stroke Prevention May Help Reduce Dementia Risk

Delays in anticoagulation treatment resulted in increased risk for dementia.

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 Onset, Prehospital ECG Helps Detect Atrial Fibrillation

After Stroke Onset, Prehospital ECG Helps Detect Atrial Fibrillation

Neglecting abnormalities in ECG readings could result in serious acute cardiac events in patients presenting with stroke.

After Stroke, Intensive Antiplatelet Therapy Has Benefits, Drawbacks

After Stroke, Intensive Antiplatelet Therapy Has Benefits, Drawbacks

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.

Stroke Prevention Strategies May Help Prevent Dementia

Stroke Prevention Strategies May Help Prevent Dementia

Findings from a new study suggest that engaging in stroke prevention strategies may help reduce the risk of dementia.

In Hypogonadism, Stroke May Be Prevented With Testosterone Replacement Therapy

In Hypogonadism, Stroke May Be Prevented With Testosterone Replacement Therapy

Men who received testosterone replacement therapy had lower odds of cardiovascular events.

In Endovascular Therapy for Stroke, Monitored Anesthesia Is Safe, Effective

In Endovascular Therapy for Stroke, Monitored Anesthesia Is Safe, Effective

Monitored anesthesia was found to be as safe and effective as general anesthesia in patients undergoing endovascular therapy for stroke.

Using E-Management to Improve Oral Anticoagulation Tx

Using E-Management to Improve Oral Anticoagulation Tx

E-health-based coagulation service was linked to lower frequency of adverse events, including thromboembolism, bleeding, and death.

Ischemic Stroke Risk Elevated in Systemic Lupus Erythematosus

Ischemic Stroke Risk Elevated in Systemic Lupus Erythematosus

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

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.

Prevalence of Ischemic Stroke Increasing in Young Adults

Prevalence of Ischemic Stroke Increasing in Young Adults

During the study period, the percentage of people with 3 or more stroke risk factors roughly doubled for all age groups.

Stroke Risk and Serum Uric Acid Levels: Does Gender Play a Role?

Stroke Risk and Serum Uric Acid Levels: Does Gender Play a Role?

Previous studies have produced contradictory evidence of a link between serum UA and stroke risk, with some pointing to greater risks in women compared with men.

Endovascular Stroke Treatment Shows Sustained Response Up to 2 Years

Endovascular Stroke Treatment Shows Sustained Response Up to 2 Years

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

Telestroke Treatment With IV tPA: How Long Is the Window of Opportunity?

Telestroke Treatment With IV tPA: How Long Is the Window of Opportunity?

There is little data to support telestroke for IV thrombolysis administration in the extended time window of 3 to 4.5 hours after stroke onset.

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

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

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

Intracerebral Hemorrhage Outcomes Improved With Anticoagulants

Intracerebral Hemorrhage Outcomes Improved With Anticoagulants

Resumption of oral anticoagulants after intracerebral hemorrhage was found to improve outcomes at 1 year.

Stroke During, After Pregnancy Linked to Preeclampsia

Stroke During, After Pregnancy Linked to Preeclampsia

Mortality among women with preeclampsia and pregnancy-associated stroke was significantly higher than in controls.

IV tPA Effective for Stroke in Patients With Increased Body Weight

IV tPA Effective for Stroke in Patients With Increased Body Weight

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

Hyperglycemia Impacts Functional Outcomes After Endovascular Thrombectomy

Hyperglycemia Impacts Functional Outcomes After Endovascular Thrombectomy

Higher glucose levels reduce likelihood of good outcome among stroke patients with good collaterals.

Is tPA Safe for Sickle Cell Patients in Acute Ischemic Stroke?

Is tPA Safe for Sickle Cell Patients in Acute Ischemic Stroke?

Having sickle cell disease did not adversely affect any of the indicators the researchers measured.

Intracranial Bleed Risk Compared for Warfarin, Apixaban in Afib Patients

Intracranial Bleed Risk Compared for Warfarin, Apixaban in Afib Patients

Patients taking apixaban showed significantly less intracranial hemorrhage (0.33% per year) vs patients taking warfarin (0.80% per year), no matter the type and location.

Pre-Stroke Exercise, Not BMI, Predicts Stroke Outcomes

Pre-Stroke Exercise, Not BMI, Predicts Stroke Outcomes

Patients who exercised prior to their stroke were more likely to be able to perform basic and complex tasks after the stroke event.

In Intracerebral Hemorrhage, Intensive BP Lowering Has Little Impact on Outcomes

In Intracerebral Hemorrhage, Intensive BP Lowering Has Little Impact on Outcomes

The investigators reported no difference in 3-month mortality rates across all 5 studies included in the meta-analysis.

Mobile Stroke Unit Tied to Decreased Time to Imaging, Treatment

Mobile Stroke Unit Tied to Decreased Time to Imaging, Treatment

Use of mobile stroke units is associated with reduced time to imaging and thrombolysis compared with traditional care.

After Acute Stroke, No Rush to Continue Antihypertensive Therapy

After Acute Stroke, No Rush to Continue Antihypertensive Therapy

There is no urgency to administer preexisting antihypertensive therapy in the first few hours or days after stroke, unless indicated for other comorbid conditions.

Link Between Stroke Severity, Anticoagulation in Atrial Fibrillation

Link Between Stroke Severity, Anticoagulation in Atrial Fibrillation

A substantial number of strokes may be due to underuse of or inadequate anticoagulation in Afib.

Hyperglycemia Linked to Infection, Worse Outcomes After Stroke

Hyperglycemia Linked to Infection, Worse Outcomes After Stroke

Admission hyperglycemia was associated with poststroke infection, as well as 3-month functional outcome and mortality.

Long-Term Thrombolytic Tx Does Not Benefit Intermediate-Risk PE

Long-Term Thrombolytic Tx Does Not Benefit Intermediate-Risk PE

Results at 3 years for tenecteplase vs placebo in patients with intermediate-risk pulmonary embolism.

VTE Recurrence Decreased With Rivaroxaban

VTE Recurrence Decreased With Rivaroxaban

Recurrent fatal or nonfatal VTE occurred in 1.5% of patients who took 20 mg of rivaroxaban, 1.2% of patients who took 10 mg, and 4.4% who took aspirin.

Patent Foramen Ovale Closure Reduces Stroke Risk in Patients With Inherited Thrombophilias

Patent Foramen Ovale Closure Reduces Stroke Risk in Patients With Inherited Thrombophilias

Patients with inherited thrombophilias who did not undergo patent foramen ovale closure faced a significantly increased risk of stroke.

Many A-Fib Patients Not Getting Appropriate Anticoagulation Therapy

Many A-Fib Patients Not Getting Appropriate Anticoagulation Therapy

More than 80% of ischemic stroke patients weren't getting adequate anticoagulation therapy.

Migraine Linked to Ischemic Stroke Via Cervical Artery Dissection

Migraine Linked to Ischemic Stroke Via Cervical Artery Dissection

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

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

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

Increased Use of Antithrombotics Driving Subdural Hematoma Prevalence

Increased Use of Antithrombotics Driving Subdural Hematoma Prevalence

The increase in usage of antithrombotics, especially vitamin K antagonists, has been linked to an increase in prevalence of subdural hematomas.

Vagus Nerve Stimulation May Improve Stroke Recovery

Vagus Nerve Stimulation May Improve Stroke Recovery

More patients receiving VNS experienced enhanced arm movement over a 90-day period.

Oral Anticoagulation After ICH: Risks and Outcomes

Oral Anticoagulation After ICH: Risks and Outcomes

Restarting anticoagulation after both nonlobar and lobar ICH was associated with decreased mortality.

Is There Gender Bias in Stroke Care?

Is There Gender Bias in Stroke Care?

Men were more likely than women to be treated with IV tPA within 30 minutes of arrival at a hospital.

Medical Complications After ICH: Changes in the Last Decade

Medical Complications After ICH: Changes in the Last Decade

As more patients survive ICH, emphasis is slowly shifting from survival to improving ICH-related morbidity and optimization of functional recovery.

Contact Aspiration vs Stent Retriever in Acute Ischemic Stroke

Contact Aspiration vs Stent Retriever in Acute Ischemic Stroke

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

Cilostazol Helps Prevent Secondary Stroke But Not Without Risk

Cilostazol Helps Prevent Secondary Stroke But Not Without Risk

Optimal antiplatelet treatment has yet to be determined for stroke survivors with prior intracerebral hemorrhage.

Comorbid Headache, Stroke Common in Pediatric Patients

Comorbid Headache, Stroke Common in Pediatric Patients

The co-presentation of headache at stroke onset in children may provide clues to underlying pathophysiologic mechanisms.

Acute Stroke Risk Elevated in Patients With Psychiatric Illness

Acute Stroke Risk Elevated in Patients With Psychiatric Illness

Psychological distress may cause changes within cells that trigger inflammation and oxidative stress, both of which are believed to increase stroke risk.

Time to Alteplase Treatment Affected by Hospital Delays, Medical Conditions

Time to Alteplase Treatment Affected by Hospital Delays, Medical Conditions

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

Assessing Risk of Pulmonary Embolism After Venous Thromboembolism

Assessing Risk of Pulmonary Embolism After Venous Thromboembolism

Pulmonary embolism risk was lowest in patients with cerebral venous thromboembolism during the index hospitalization.

In Stroke, No Clear Benefit for Head Positioning

In Stroke, No Clear Benefit for Head Positioning

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

Dementia, Depression Common After Intracerebral Hemorrhage

Dementia, Depression Common After Intracerebral Hemorrhage

Among ICH survivors, 63% developed both depression and dementia during a 5-year follow-up study.

Establishing Clinical Trail End Points for Neurologic Injury in Cardiac Procedures

Establishing Clinical Trail End Points for Neurologic Injury in Cardiac Procedures

Standardized definitions were proposed for stroke, hypoxic-ischemic injury, and cerebral hemorrhage.

Heart Failure, AFib May Precede Mild Alzheimer's Disease

Heart Failure, AFib May Precede Mild Alzheimer's Disease

Early intervention in patients with heart failure or atrial fibrillation may help delay or prevent the onset of mild dementia.

Antiplatelet Pretreatment Linked to Intracranial Hemorrhage Mortality

Antiplatelet Pretreatment Linked to Intracranial Hemorrhage Mortality

Patients receiving treatment with vitamin K antagonists (VKA) or antiplatelet agents face a significantly increased risk of mortality within 24 hours of intracranial hemorrhage.

Location of Childhood Arterial Ischemic Stroke Influences Recurrence

Location of Childhood Arterial Ischemic Stroke Influences Recurrence

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

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

Stroke May Be the First Sign of Atrial Fibrillation

Stroke May Be the First Sign of Atrial Fibrillation

It is not clear if identifying atrial fibrillation in an effort to prevent stroke would be an effective preventive strategy.

Neonatal Hemorrhagic Stroke: Prevalence and Outcomes

Neonatal Hemorrhagic Stroke: Prevalence and Outcomes

Despite being more common than thought, many cases of neonatal hemorrhagic stroke remain idiopathic.

Hormonal Contraceptive Use Linked to Stroke in Migraine With Aura

Hormonal Contraceptive Use Linked to Stroke in Migraine With Aura

The use of combined hormonal contraceptives significantly increases the risk of ischemic stroke in women with migraine with aura but not in women with migraine without aura.

Perioperative Stroke Risk High in Patients With Migraine

Perioperative Stroke Risk High in Patients With Migraine

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

Insulin-Controlled Diabetes Linked to Increased Stroke Risk in AFib

Insulin-Controlled Diabetes Linked to Increased Stroke Risk in AFib

The increased risk of stroke was only observed among patients with diabetes controlled by insulin.

New Policy for Using Telemedicine in Stroke, Cardiovascular Care

New Policy for Using Telemedicine in Stroke, Cardiovascular Care

Using telestroke to evaluate patients with acute ischemic stroke eligible for thrombolysis provided access to acute stroke care in underserved areas.

Nordic Diet Linked to Reduced Risk of Stroke

Nordic Diet Linked to Reduced Risk of Stroke

A significant inverse trend was observed between the Healthy Nordic Food Index and risk of stroke.

Amygdala Activity Linked to Cardiovascular Events

Amygdala Activity Linked to Cardiovascular Events

Patients with elevated levels of activity in the amygdala were at higher risk for cardiovascular events.

No Benefit for IV tPA Before Mechanical Thrombectomy in Ischemic Stroke

No Benefit for IV tPA Before Mechanical Thrombectomy in Ischemic Stroke

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.

Oral Bacteria May Cause Cerebral Microbleeds, Stroke

Oral Bacteria May Cause Cerebral Microbleeds, Stroke

Streptococcus mutans may raise the risk of cerebral microbleeds and stroke.

SSRI Use Tied to Risk of Intracranial Hemorrhage

SSRI Use Tied to Risk of Intracranial Hemorrhage

Concomitant use of oral anticoagulants contributed to a significantly higher increased risk for ICH.

Increased Stroke Risk Following Percutaneous Coronary Intervention

Increased Stroke Risk Following Percutaneous Coronary Intervention

Risk of stroke is greatest in the first 2 days after the intervention, then gradually decreases.

Catheter Ablation of Atrial Fibrillation Associated With Strokes in Elderly

Catheter Ablation of Atrial Fibrillation Associated With Strokes in Elderly

At 1 year, no difference in complications was observed between the 2 age groups.

Stroke Recurrence Risk Low After Atrial Fibrillation Ablation

Stroke Recurrence Risk Low After Atrial Fibrillation Ablation

Twelve months after AFib ablation, risk of recurrent stroke or AFib is low.

VIDEO: Identifying Risk Factors for Post-Stroke Epilepsy

VIDEO: Identifying Risk Factors for Post-Stroke Epilepsy

Beate Diehl, MD, PhD, FRCP, discusses her research on post-stroke epilepsy.

A Novel Risk Score for Seizures After Stroke

A Novel Risk Score for Seizures After Stroke

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

Age, Lesion Volume Influence Epilepsy Risk After Stroke

Age, Lesion Volume Influence Epilepsy Risk After Stroke

Patients with lesions in the left basal ganglia were more likely to have post-stroke epilepsy.

Migraine History May Double Stroke Risk in Women

Migraine History May Double Stroke Risk in Women

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

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

CT Scans May Help Identify Stroke

CT Scans May Help Identify Stroke

CT scans may guide the decision to use thrombolysis in patients with unknown time of stroke onset.

Competing Risks Impact Warfarin's Effect on Thromboembolism Risk

Competing Risks Impact Warfarin's Effect on Thromboembolism Risk

Warfarin-linked reduction in VTEis attenuated after accounting for competing death events.

Many AFib Patients Not Taking Oral Anticoagulants Despite Stroke Risk

Many AFib Patients Not Taking Oral Anticoagulants Despite Stroke Risk

Only 46% of patients with indications received OACs at discharge from the hospital.

Effect of Antihypertensives, Statins on Cognitive Decline Uncertain

Effect of Antihypertensives, Statins on Cognitive Decline Uncertain

The effect of antihypertensive drugs and stains on cognition is uncertain.

Many AFib Patients Unaware of Stroke Risk

Many AFib Patients Unaware of Stroke Risk

32.1% believed that heart attack is a major risk factor of AF, which is incorrect.

Antacids and Risk of First-Time Stroke

Antacids and Risk of First-Time Stroke

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

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

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

Pregnancy Increases Stroke Risk in Younger, But Not Older, Women

Pregnancy Increases Stroke Risk in Younger, But Not Older, Women

Pregnancy is a major risk factor for stroke in younger women, but not in older women.

Antiplatelet Use Linked to Hematoma Growth, Outcomes in Intracerebral Hemorrhage

Antiplatelet Use Linked to Hematoma Growth, Outcomes in Intracerebral Hemorrhage

Notably, the location of ICH influenced the association with hematoma volume and growth in patients with prior antiplatelet use.

FDA Approves Patent Foramen Ovale Occluder for Prevention of Recurrent Stroke

FDA Approves Patent Foramen Ovale Occluder for Prevention of Recurrent Stroke

Careful evaluation is required to rule out any other known causes of stroke in patients with PFO.

Factors Associated With Hydrocephalus After Pediatric Intraventricular Hemorrhage

Factors Associated With Hydrocephalus After Pediatric Intraventricular Hemorrhage

Risks associated with certain NSAIDS and steroids warrant further investigation.

MRI More Sensitive, Specific Than Ultrasound in Diagnosing Fetal Stroke

MRI More Sensitive, Specific Than Ultrasound in Diagnosing Fetal Stroke

Out of 34 cases of MRI-detected fetal stroke, ultrasound was only able to identify 5 cases.

Short Episodes of Tachycardia, AFib Have Little to No Effect on Stroke Risk

Short Episodes of Tachycardia, AFib Have Little to No Effect on Stroke Risk

Long episodes of AT/AF were more likely to be associated with clinical events than short episodes.

Elevated Cardiac Troponin T Levels May Be Associated With Cerebral Microbleeds

Elevated Cardiac Troponin T Levels May Be Associated With Cerebral Microbleeds

In the future, hs-cTnT may be a possible risk marker upfront of treatment decisions, especially in patients combined with detected CMBs.

Embolic Protection Improves Neurological Outcomes During TAVR

Embolic Protection Improves Neurological Outcomes During TAVR

The study was underpowered to detect differences in all-cause mortality and stroke.

Sleep Apnea Boosts Risk of Atrial Fibrillation, Blood Clots Post-Op

Sleep Apnea Boosts Risk of Atrial Fibrillation, Blood Clots Post-Op

Patients with untreated OSA face an increased risk of complications.

Glyburide Promising for Treatment of Acute Ischemic Stroke

Glyburide Promising for Treatment of Acute Ischemic Stroke

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

Challenges Remain in Understanding Role of Hypertension in Cognition

Challenges Remain in Understanding Role of Hypertension in Cognition

A committee from the American Heart Association failed to make specific clinical recommendations for the management of hypertension related to cognitive impairment.

Complications That Disrupt Rehabilitation Usually Avoidable

Complications That Disrupt Rehabilitation Usually Avoidable

Preventable causes include dehydration, heart failure, pneumonia, and UTIs.

Early Endovascular Thrombectomy Reduces Ischemic Stroke Disability

Early Endovascular Thrombectomy Reduces Ischemic Stroke Disability

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

Cerebral Microbleeds and Risk of Intracerebral Hemorrhage After Stroke

Cerebral Microbleeds and Risk of Intracerebral Hemorrhage After Stroke

Cerebral microbleeds increase the risk for symptomatic ICH after thrombolysis for acute ischemic stroke.

Semaglutide Reduces Stroke, Mortality in Patients With Diabetes

Semaglutide Reduces Stroke, Mortality in Patients With Diabetes

At baseline, 83% of the patients had established cardiovascular disease, chronic kidney disease, or both.

Increased Stroke Risk Among Pts With Autoimmune Disease, Herpes Zoster

Increased Stroke Risk Among Pts With Autoimmune Disease, Herpes Zoster

Strategies to decrease risk of contracting varicella zoster virus need to be addressed in populations with autoimmune disease.

Contralaterally Controlled Functional Stimulation Improves Dexterity After Stroke

Contralaterally Controlled Functional Stimulation Improves Dexterity After Stroke

Ninety-seven percent of people who received CCFES reported improved use of their hands.

Weight Linked to Ischemic, But Not Hemorrhagic Stroke in Women

Weight Linked to Ischemic, But Not Hemorrhagic Stroke in Women

Being overweight may slightly lower chances for hemorrhagic stroke, the study found.

Clot Retrieval Devices Given Expanded Marketing Approval

Clot Retrieval Devices Given Expanded Marketing Approval

The Trevo devices are the first to be indicated for use in conjunction with IV tPA.

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