Stroke

Clinical, Radiologic Markers Predictive of Cortical Superficial Siderosis in ICH Identified

Clinical, Radiologic Markers Predictive of Cortical Superficial Siderosis in ICH Identified

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Investigators identify clinical and neuroimaging markers associated with the presence of cortical superficial siderosis and the risk for recurrent ICH.

Increase in Hypertensive Stroke Survivors After Implementation of New Hypertension Guidelines

Increase in Hypertensive Stroke Survivors After Implementation of New Hypertension Guidelines

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Investigators assessed the number of stroke survivors in the US taking antihypertensive medications to treat high blood pressure according to the 2017 ACC/AHA guidelines.

Ultra-Early Neurological Deterioration Common in Stroke

Ultra-Early Neurological Deterioration Common in Stroke

Ultra-early neurological deterioration occurs in one in eight ambulance-transported patients with acute cerebrovascular disease.

Patent Foramen Ovale Closure for Stroke Prevention: Key Principles for Clinical Practice

Patent Foramen Ovale Closure for Stroke Prevention: Key Principles for Clinical Practice

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Even with thorough testing, declaring a patent foramen ovale as the most likely culprit responsible for a cryptogenic stroke remains a challenge.

High-Sensitivity Blood Test May Help Rule Out Intracranial Injury

High-Sensitivity Blood Test May Help Rule Out Intracranial Injury

A combined test of ubiquitin C-terminal hydrolase-L1 and glial fibrillary acidic protein assay results has high sensitivity for detection of intracranial injury among patients with TBI.

PFO Closure Plus Antiplatelet Tx Advised for Cryptogenic Stroke

PFO Closure Plus Antiplatelet Tx Advised for Cryptogenic Stroke

PFO closure plus antiplatelets recommended over antiplatelet therapy alone for patients younger than 60.

Adhesive Interaction Between Thrombus and Stent Retriever Predominate in Ischemic Stroke

Adhesive Interaction Between Thrombus and Stent Retriever Predominate in Ischemic Stroke

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More adhesive-type interactions were observed between the thrombus and stent-retriever after thrombectomy in patients with acute ischemic stroke.

World Trade Center-Related PTSD May Up Risk for Stroke, MI in Clean-Up Crew

World Trade Center-Related PTSD May Up Risk for Stroke, MI in Clean-Up Crew

World Trade Center-related PTSD is a risk factor for myocardial infarction and stroke among workers involved in cleaning up the debris.

Intracerebral Hemorrhage Risk Decreased With Increasing Cholesterol, Statin Use

Intracerebral Hemorrhage Risk Decreased With Increasing Cholesterol, Statin Use

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An inverse relationship was discovered between rising cholesterol levels and decreased risk for intracerebral hemorrhage in new statin users.

Five-Year Stroke Rates Lower After PCI Versus CABG

Five-Year Stroke Rates Lower After PCI Versus CABG

Stroke rates are lower at 30 days and five years after percutaneous coronary intervention than after coronary artery bypass grafting.

Bubble-Transcranial Doppler Detects PFOs in Elderly With Cryptogenic TIA

Bubble-Transcranial Doppler Detects PFOs in Elderly With Cryptogenic TIA

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Contrast-enhanced transcranial Doppler sonography is a useful noninvasive bedside technique for detecting PFOs among elderly patients with TIA or nondisabling stroke.

Conscious Sedation Increases Risk of Poor Functional Outcome, Mortality Following Stroke Treatment

Conscious Sedation Increases Risk of Poor Functional Outcome, Mortality Following Stroke Treatment

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Investigators assessed the impact of conscious sedation on outcomes in patients undergoing intra-arterial treatment for acute ischemic stroke.

Apixaban Is Safest Direct Oral Anticoagulant Versus Warfarin

Apixaban Is Safest Direct Oral Anticoagulant Versus Warfarin

Apixaban seems to be the safest direct oral anticoagulant compared with warfarin.

Taking Multivitamins/Minerals Doesn't Improve CVD Outcomes

Taking Multivitamins/Minerals Doesn't Improve CVD Outcomes

Multivitamin/mineral supplementation seems not to be associated with cardiovascular disease outcomes.

Transfeminine Persons Have Increased VTE Incidence

Transfeminine Persons Have Increased VTE Incidence

Transfeminine individuals have increased rates of VTE compared with cisgender men and cisgender women, with more pronounced differences for those initiating hormone therapy.

Cerebral Infarction in Meningitis Linked to Genetic Variant

Cerebral Infarction in Meningitis Linked to Genetic Variant

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The prospective study was performed in patients ≥16 years of age with community-acquired bacterial meningitis.

Half of Cardiovascular Events Occur 2 to 5 Years After Transient Ischemic Attack, Stroke

Half of Cardiovascular Events Occur 2 to 5 Years After Transient Ischemic Attack, Stroke

For patients who experienced a TIA or minor stroke, the rate of a composite of stroke, acute coronary syndrome, or death from cardiovascular causes is 12.9 percent at five years.

Combo Therapy With Probucol May Prevent Cardiovascular Events in Stroke Patients at Risk for ICH

Combo Therapy With Probucol May Prevent Cardiovascular Events in Stroke Patients at Risk for ICH

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A team of investigators sought to assess the efficacy and safety of cilostazol vs aspirin, both with and without probucol, a cholesterol-lowering agent, in Asian patients with ischemic stroke.

Transcranial Doppler Ultrasound Timing Critical for Beneficial Outcomes Following Stroke Thrombolysis

Transcranial Doppler Ultrasound Timing Critical for Beneficial Outcomes Following Stroke Thrombolysis

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A team of investigators sought to assess whether the use of diagnostic transcranial Doppler ultrasound may delay initiation of intravenous thrombolysis in patients experiencing acute stroke.

LA Appendage Occlusion Reduces Post-Cardiac Surgery Thromboembolism Risk

LA Appendage Occlusion Reduces Post-Cardiac Surgery Thromboembolism Risk

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A retrospective cohort study was conducted to assess the effect of surgical left atrial appendage occlusion on risk for readmission due to thromboembolism in older patients.

Cerebral Microbleeds as Biomarker for Hemorrhage Risk in Anticoagulated AFib

Cerebral Microbleeds as Biomarker for Hemorrhage Risk in Anticoagulated AFib

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Investigators assessed the presence of cerebral microbleeds as a biomarker for identifying patients at increased risk for intracranial hemorrhage as a result of anticoagulation for atrial fibrillation.

Rivaroxaban Use in Older Patients: Does Age Influence Safety, Efficacy?

Rivaroxaban Use in Older Patients: Does Age Influence Safety, Efficacy?

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Data from large Phase 3 studies showed that treatment with rivaroxaban was found to be safe and effective in older patients.

Post-Stroke Oral Anticoagulation Reduces Recurrent Stroke Risk in Atrial Fibrillation

Post-Stroke Oral Anticoagulation Reduces Recurrent Stroke Risk in Atrial Fibrillation

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Investigators retrospectively reviewed treatment patterns and long-term outcomes in 30,626 patients with ischemic stroke and AF who had these data recorded in 4 Danish healthcare registries.

Tranexamic Acid Provides Short-Term, But Not Long-Term, Benefits Following Intracerebral Hemorrhage

Tranexamic Acid Provides Short-Term, But Not Long-Term, Benefits Following Intracerebral Hemorrhage

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Patients with intracerebral hemorrhage who were admitted to acute stroke units were randomly assigned to either 1 gram intravenous tranexamic acid followed by an 8-hour infusion of 1 gram tranexamic acid or matched placebo.

Dual Therapy With Clopidogrel, Aspirin Reduces Risk for Major Ischemic Events

Dual Therapy With Clopidogrel, Aspirin Reduces Risk for Major Ischemic Events

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At 90-day follow-up, the data and safety monitoring board halted the trial after it found that approximately 84% of patients had experienced both a lower risk and higher risk for major ischemic events and major hemorrhage compared with aspirin only, respectively.

Prevention of Recurrent Stroke Similar With Rivaroxaban, Aspirin

Prevention of Recurrent Stroke Similar With Rivaroxaban, Aspirin

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During a median follow-up period of 11 months, a total of 172 and 160 patients in the rivaroxaban and aspirin groups, respectively, experienced a recurrent stroke of any type or a systemic embolism.

Cardiovascular Risks Persist Following Transient Ischemic Attack or Minor Stroke

Cardiovascular Risks Persist Following Transient Ischemic Attack or Minor Stroke

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Approximately half of composite outcome events and up to half of the stroke events occurred during the second through fifth years of the analysis.

Lack of superiority of rivaroxaban for secondary prevention of embolic stroke of undetermined source

At a median follow-up of eleven months, rivaroxaban was not superior to aspirin for prevention of secondary stroke after an initial primary embolic stroke of undetermined source.

Continued Anticoagulation in Resolved AFib May Help Reduce Stroke Risk

Continued Anticoagulation in Resolved AFib May Help Reduce Stroke Risk

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Investigators conducted 2 retrospective cohort studies to determine whether patients with resolved AF were at an increased risk for stroke or TIA and all-cause mortality compared with matched controls with unresolved AF.

New Coagulation Monitoring Device Allows for Wireless Reporting of INR Results

New Coagulation Monitoring Device Allows for Wireless Reporting of INR Results

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Roche is expected to launch the CoaguChek Vantus system, the first Bluetooth-enabled, self-testing device for coagulation monitoring, this summer.

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