Stroke

Intracerebral Hemorrhage Outcomes Improved With Anticoagulants

Intracerebral Hemorrhage Outcomes Improved With Anticoagulants

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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

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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

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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

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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?

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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.

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

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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

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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

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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

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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

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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

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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

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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.

Assessing Risk of Pulmonary Embolism After Venous Thromboembolism

Assessing Risk of Pulmonary Embolism After Venous Thromboembolism

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

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