Stroke

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

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

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

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Can Early Initiation of Direct Oral Anticoagulants Prevent Recurrent AFib-Related Stroke?

Can Early Initiation of Direct Oral Anticoagulants Prevent Recurrent AFib-Related Stroke?

Several randomized controlled trials are underway to confirm the safety and efficacy of early vs late initiation of direct oral anticoagulants in ischemic stroke associated with atrial fibrillation.

Cerebellar Stimulation May Help Improve Gait and Balance Recovery in Stroke

Cerebellar Stimulation May Help Improve Gait and Balance Recovery in Stroke

Investigators examined whether cerebellar magnetic stimulation can improve balance and gait in patients with hemiparesis after ischemic stroke.

Should CHA2DS2-VASc Be Reassessed More Frequently to Improve Stroke Prevention in Afib?

Should CHA2DS2-VASc Be Reassessed More Frequently to Improve Stroke Prevention in Afib?

These results suggest that CHA2DS2-VASc scores should be continually reassessed, perhaps annually, in patients with atrial fibrillation.

Steps to Facilitate Rapid Reperfusion to Improve Poststroke Outcomes

Steps to Facilitate Rapid Reperfusion to Improve Poststroke Outcomes

Investigators recommend more training for emergency physicians and emergency department personnel to treat patients with stroke quickly and efficiently once the acute ischemic stroke protocol has been created.

Increased Stroke Risk Following Surgical vs Transfemoral Aortic Valve Replacement

Increased Stroke Risk Following Surgical vs Transfemoral Aortic Valve Replacement

Researchers evaluated stroke risk and its effect on quality of life after surgical aortic valve replacement vs transfemoral transcatheter aortic valve.

Different Stroke Subtypes Consistently Affect Several Patient-Reported Health Domains

Different Stroke Subtypes Consistently Affect Several Patient-Reported Health Domains

The subtype of stroke had similar effects in multiple health domains, while patients with transient ischemic attack (TIA) had worse adjusted outcomes, suggesting that the mechanisms for outcomes after TIA may differ from those of other cerebrovascular events.

Risk for MCI Up With Progressive Cerebral Small Vessel Disease

Risk for MCI Up With Progressive Cerebral Small Vessel Disease

Patients with hypertension with progression of periventricular white matter hyperintensities have an increased risk for incident mild cognitive impairment.

Alteplase Impedes Progression of Poststroke Ischemic Brain Lesions

Alteplase Impedes Progression of Poststroke Ischemic Brain Lesions

In this randomized controlled trial of IV alteplase for ischemic stroke, researchers evaluated CT or brain MRI scans before treatment and 24 to 48 hours after treatment for acute lesion visibility, extent, and swelling.

Hospital Infections Increase 30-Day Readmission Rates in Patients With Stroke

Hospital Infections Increase 30-Day Readmission Rates in Patients With Stroke

Investigators examined the effect of common infections such as urinary tract infections, sepsis, and pneumonia on >300,000 patients with ischemic stroke.

Very Early Mobilization After Stroke Does Not Improve Survival Over Usual Care

Very Early Mobilization After Stroke Does Not Improve Survival Over Usual Care

Investigators examined whether very early mobilization, started ≤48 hours after onset of stroke symptoms, improves recovery and survival after stroke compared with more delayed mobilization.

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