Stroke

Single AbobotulinumtoxinA Injections Safely Reduces Muscle Tone in Chronic Hemiparesis

Single AbobotulinumtoxinA Injections Safely Reduces Muscle Tone in Chronic Hemiparesis

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A double-blind study evaluated whether repeated single abobotulinumtoxinA injections administered over a year reduces spastic muscle tone in patients with chronic hemiparesis.

Ablation Reduces Risk of Recurrent Stroke in Atrial Fibrillation

Ablation Reduces Risk of Recurrent Stroke in Atrial Fibrillation

Ablation is associated with reduced risk of recurrent stroke for patients with artrial fibrillation.

Virtual Reality As Effective As Standard Training for Post-Stroke Rehabilitation

Virtual Reality As Effective As Standard Training for Post-Stroke Rehabilitation

After stroke, virtual reality training may be as effective for upper extremity rehabilitation as standard care.

Stroke Associated With Long-Term Brain Effects, Accelerated Functional Decline

Stroke Associated With Long-Term Brain Effects, Accelerated Functional Decline

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The effects of ischemic stroke on disability trajectories over an extended period of time were examined.

Hypertension Guidelines Updated by AHA/ACA

Hypertension Guidelines Updated by AHA/ACA

The new guidelines for the diagnostic threshold for stage 1 hypertension were lowered from 140/90 to 130/80.

Bone Mineral Density Associated With Intracranial Aneurysm Presence, Size

Bone Mineral Density Associated With Intracranial Aneurysm Presence, Size

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Patients with the lowest bone mineral density had the largest aneurysm size.

Cardiac Index Affects Cerebral Blood Flow Irrespective of CVD

Cardiac Index Affects Cerebral Blood Flow Irrespective of CVD

In older adults, lower cardiac index is linked to lower cerebral blood blow in the temporal lobe.

Thrombectomy Recommended in Stroke Patients With Mismatched Deficit, Infarct Volume

Thrombectomy Recommended in Stroke Patients With Mismatched Deficit, Infarct Volume

Thrombectomy plus standard care is better for patients with acute stroke.

Coffee Consumption May Decrease Stroke Risk

Coffee Consumption May Decrease Stroke Risk

In addition to known risk factors such as blood pressure, age, and cholesterol, coffee and red meat intake were important predictors of heart failure and stroke.

Stroke Risk Reduced With Declining Total Homocysteine Levels

Stroke Risk Reduced With Declining Total Homocysteine Levels

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Patients at risk of stroke may benefit from the total homocysteine-lowering effects of folic acid supplementation.

Stroke Risk Predicted by Dietary Sodium:Potassium Ratio

Stroke Risk Predicted by Dietary Sodium:Potassium Ratio

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The findings highlight the importance of considering dietary intake as a whole, rather than examining micronutrients on an individual basis.

No Clear Benefit for Early Statin Therapy in Acute Ischemic Stroke

No Clear Benefit for Early Statin Therapy in Acute Ischemic Stroke

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Patients enrolled in this study had strokes that were mild in severity, reducing the generalizability of these findings to the broader population.

Race Affects Risk for Intracranial Atherosclerotic Disease

Race Affects Risk for Intracranial Atherosclerotic Disease

There is a higher prevalence of multiple intracranial atherosclerotic plaques in black men.

Combination Treatment Reduces Ischemic Stroke Risk in Acute Coronary Syndrome

Combination Treatment Reduces Ischemic Stroke Risk in Acute Coronary Syndrome

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Patients who experience acute coronary syndrome are at greater risk of recurrent ischemic events, including stroke.

Reperfused Penumbral Volume Predicts Outcomes in Acute Ischemic Stroke

Reperfused Penumbral Volume Predicts Outcomes in Acute Ischemic Stroke

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All patients included in the study underwent a MRI or multimodal CT approximately 24 hours after onset of stroke.

Infective Endocarditis: Best Practices for Treating Neurologic Complications

Infective Endocarditis: Best Practices for Treating Neurologic Complications

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Ischemic and hemorrhagic strokes are a common complication of infective endocarditis, but guidance on intervention is varied.

Ischemic Stroke Risk Increased With Protein Pump Inhibitor Use

Ischemic Stroke Risk Increased With Protein Pump Inhibitor Use

Long-term, high-dose usage of PPIs increases the risk of first-time ischemic stroke and myocardial infarction.

Similar Bleeding Risk for Direct Oral Anticoagulant vs Warfarin in Venous Thromboembolism

Similar Bleeding Risk for Direct Oral Anticoagulant vs Warfarin in Venous Thromboembolism

Direct oral anticoagulant use is not linked with an increase in major bleeding in patients with VTE.

Key Metrics for Defining Optimal Brain Health in Adults: AHA/ASA Guidance

Key Metrics for Defining Optimal Brain Health in Adults: AHA/ASA Guidance

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The American Heart and American Stroke Associations have developed an outline focused on the impact of cognitive impairment on public health, and the maintenance and definition of optimal brain health.

Prevalence of Cardiovascular Risk Factors in Stroke on the Rise

Prevalence of Cardiovascular Risk Factors in Stroke on the Rise

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While the increase in cardiovascular risk factors is at least partially due to the obesity epidemic, the researchers believe the increase is multifactorial.

ENCHANTED Update: No Role for Low-Dose Alteplase After All?

ENCHANTED Update: No Role for Low-Dose Alteplase After All?

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Results from a secondary analysis of the ENCHANTED trial add to a pile of weak data that likely will not affect clinical practice.

Trial Update: Bariatric Surgery vs Dietary Program for Tx of Idiopathic Intracranial Hypertension

Trial Update: Bariatric Surgery vs Dietary Program for Tx of Idiopathic Intracranial Hypertension

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The trial, sponsored by the University of Birmingham, is currently recruiting participants.

Stroke Severity, Collateral Blood Flow Indicate ASPECTS Decay

Stroke Severity, Collateral Blood Flow Indicate ASPECTS Decay

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Significant infarct progression can make patients ineligible for mechanical thrombectomy.

Risk Prediction Models for Bleeding Events in Afib Have Modest Success

Risk Prediction Models for Bleeding Events in Afib Have Modest Success

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Risk scores help identify high-risk patients who may benefit from intervention.

Atrial Fibrillation Associated With Cognitive Decline

Atrial Fibrillation Associated With Cognitive Decline

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Mechanisms including silent cerebral infarct, microemboli, microbleedings, and cerebral hypoperfusion may be responsible for the link between atrial fibrillation and cognitive decline.

After Stroke, High-Intensity Statin Therapy Linked to Fewer Adverse Events

After Stroke, High-Intensity Statin Therapy Linked to Fewer Adverse Events

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The findings support the continuation of high-intensity statin therapy after acute ischemic stroke.

High-Risk Stroke Patients With Insulin Resistance Benefit More From Pioglitazone

High-Risk Stroke Patients With Insulin Resistance Benefit More From Pioglitazone

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Insulin-resistant patients with ischemic stroke or transient ischemic attack and a high risk of myocardial infarction or recurrent stroke are more likely to derive benefit from pioglitazone than those a lower risk.

Personalized Warfarin Dosing Reduces Risk of Adverse Events

Personalized Warfarin Dosing Reduces Risk of Adverse Events

There is a reduced risk of adverse events associated with genotype-guided warfarin dosing.

Cardiovascular Risk Increases With Discontinuation of Low-Dose Aspirin

Cardiovascular Risk Increases With Discontinuation of Low-Dose Aspirin

For long-term low-dose aspirin users, there is a 30% increased risk of CVD events with discontinuation of aspirin.

Stroke Outcomes Not Improved With Low-Dose Oxygen

Stroke Outcomes Not Improved With Low-Dose Oxygen

Low-dose oxygen use does not reduce death or disability at 3 months among patients with acute stroke.

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