Stroke

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.

Thromboembolic Events Most Frequent Mechanism in Postoperative Ischemic Stroke

Thromboembolic Events Most Frequent Mechanism in Postoperative Ischemic Stroke

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A better understanding of characteristics of cerebral lesions may help expedite treatment and improve functional outcomes.

Incidence of Seizures and Epilepsy High in Ischemic Stroke

Incidence of Seizures and Epilepsy High in Ischemic Stroke

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Newer antiepileptic drugs were associated with fewer adverse effects in patients with ischemic stroke.

Rivaroxaban, Warfarin Show Similar Efficacy in AFib-Related Ischemic Stroke

Rivaroxaban, Warfarin Show Similar Efficacy in AFib-Related Ischemic Stroke

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The investigators noted that rivaroxaban was associated with significantly reduced length of hospital stay compared with warfarin.

Intravenous Thrombolysis Plus Mechanical Thrombectomy Improves Stroke Outcomes

Intravenous Thrombolysis Plus Mechanical Thrombectomy Improves Stroke Outcomes

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The findings align with current guidelines to administer IV tPA regardless of whether or not a patient with ischemic stroke is set to undergo mechanical thrombectomy.

Early Discharge Services Reduce Hospital Stay, Disability After Stroke

Early Discharge Services Reduce Hospital Stay, Disability After Stroke

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Early supported discharge services may also help care facilities better manage their need for hospital beds and conventional hospital stay costs.

Risk of Stroke, Mortality Reduced With High Stem Cell Factor

Risk of Stroke, Mortality Reduced With High Stem Cell Factor

Participants with high baseline levels of SCF had lower all-cause mortality and reduced risk of heart failure, stroke, and myocardial infarction.

Predicting Cerebral Edema Severity After Stroke

Predicting Cerebral Edema Severity After Stroke

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There is some evidence that suggests intravenous thrombolysis for stroke may impair the blood-brain barrier and cause cerebral edema.

Ischemic Preconditioning: Exploring the Potential to Reduce the Impact of Stroke

Ischemic Preconditioning: Exploring the Potential to Reduce the Impact of Stroke

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Brief periods of oxygen deprivation to the brain have been shown to provide neuroprotective effects that reduce stroke infarct size and improve recovery times.

Noncontrast CT Markers Predict Hematoma Growth Risk in Hemorrhagic Stroke

Noncontrast CT Markers Predict Hematoma Growth Risk in Hemorrhagic Stroke

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Surprisingly, no evidence was found to suggest that patients with these markers benefit from intensive blood pressure reduction.

No Benefit of Contact Aspiration Over Stent Retriever in Ischemic Stroke

No Benefit of Contact Aspiration Over Stent Retriever in Ischemic Stroke

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The findings may be less applicable to low-volume stroke centers who have less experience in this treatment.

Stroke Risk Increased in Methamphetamine Users

Stroke Risk Increased in Methamphetamine Users

Younger adults who use methamphetamine are at a greater risk for stroke.

Stroke Risk Increased in Patients With Hip Fracture

Stroke Risk Increased in Patients With Hip Fracture

The 30-day cumulative incidences of stroke were 2.16% and 0.21% for patients with hip fracture and the general population.

Unprovoked Venous Thromboembolism May Be Sign of Occult Cancer

Unprovoked Venous Thromboembolism May Be Sign of Occult Cancer

About 1 in 20 patients with VTE have occult cancer detected within a year.

Stroke Risk Not Increased With Radioiodine Therapy for Thyroid Cancer

Stroke Risk Not Increased With Radioiodine Therapy for Thyroid Cancer

There is no increased risk for stroke for people with thyroid cancer who receive radioiodine therapy.

Adult Ischemic Stroke Associated With Higher Childhood BMI

Adult Ischemic Stroke Associated With Higher Childhood BMI

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Investigators found a positive association between higher childhood BMI scores and early adult ischemic stroke.

Stroke Risk Increased After Hepatitis C Infection

Stroke Risk Increased After Hepatitis C Infection

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Hepatitis C virus (HCV) infection may also increase the risk of stroke.

Stroke Incidence Down in Men

Stroke Incidence Down in Men

The incidence of intracerebral hemorrhage and subarachnoid hemorrhage was stable in both men and women.

THRIVE Score Accurately Predicts Ischemic Stroke Treatment Outcomes

THRIVE Score Accurately Predicts Ischemic Stroke Treatment Outcomes

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THRIVE scores not only accurately predicted good and poor outcomes in stroke patients following IVT or ET, but also the degree of ischemia following these treatments.

Expert Analysis: Tenecteplase Yet to Prove Itself vs Alteplase

Expert Analysis: Tenecteplase Yet to Prove Itself vs Alteplase

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Despite disappointing results, tenecteplase's story in stroke treatment might not be over.

Poststroke Deficit Recrudescence: Signs and Symptoms to Look For

Poststroke Deficit Recrudescence: Signs and Symptoms to Look For

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Women and patients of African-American race face an increased risk of experiencing poststroke recrudescence.

Recurrent Stroke Risk Increased Without Statin Use

Recurrent Stroke Risk Increased Without Statin Use

There is an increased risk of a recurrent stroke after discontinuing statin therapy 3 to 6 months post initial ischemic stroke.

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