Stroke

Post-Recanalization Stroke Score More Effective Than Baseline Score for Predicting 3-Month Outcome

Post-Recanalization Stroke Score More Effective Than Baseline Score for Predicting 3-Month Outcome

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The investigators of this study evaluated patients who received care between 2008 and 2015, so findings may differ from those receiving care under the current EVT guideline from the American Heart Association Council published in 2015.

Hypercapnic Acidosis Associated With Increased Mortality Risk in Acute Cerebral Injury

Hypercapnic Acidosis Associated With Increased Mortality Risk in Acute Cerebral Injury

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Hypercapnic acidosis may be associated with increased mortality in mechanically ventilated patients with acute cerebral injury.

Successful Reperfusion Linked to Reduced Edema in Acute Ischemic Stroke

Successful Reperfusion Linked to Reduced Edema in Acute Ischemic Stroke

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Reperfusion was associated with reduced brain edema in patients presenting with acute ischemic stroke.

Rate of MI, Stroke Higher After Respiratory Infection

Rate of MI, Stroke Higher After Respiratory Infection

The risk for myocardial infarction or stroke remains higher after laboratory-confirmed Streptococcus pneumoniae or influenza.

Physical, Executive Function Most Affected After Ischemic Stroke

Physical, Executive Function Most Affected After Ischemic Stroke

Worse scores in multiple domains were tied to lower income, female sex, and disability.

CPAP Effective for Sleep Apnea Treatment Following Stroke

CPAP Effective for Sleep Apnea Treatment Following Stroke

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The combined analysis of the neurofunctional scales demonstrated an overall neurofunctional improvement with CPAP.

Assessing and Treating Cognitive, Mood Impairments in Patients With Stroke

Assessing and Treating Cognitive, Mood Impairments in Patients With Stroke

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The ultimate goal of stroke assessment is to enable physicians to make treatment decisions that are individualized and appropriate to the patient's needs, thereby improving patient outcomes.

Social Isolation, Loneliness May Increase AMI, Stroke Risk

Social Isolation, Loneliness May Increase AMI, Stroke Risk

Isolation and loneliness may be associated with increased risk of acute myocardial infarction and stroke.

Biomarker Indicates Brain Tissue at Risk for Stroke in Sickle Cell Disease

Biomarker Indicates Brain Tissue at Risk for Stroke in Sickle Cell Disease

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Using the infarct heat map, the investigators determined that infarct density was higher in the deep white matter and co-localized with the elevated OEF region in the independent prospective cohort.

Code Stroke System Reduces Post-Stroke Epilepsy Risk in Older Adults

Code Stroke System Reduces Post-Stroke Epilepsy Risk in Older Adults

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The adjusted analysis also demonstrated that the code stroke system was associated with a decreased risk for post-stroke epilepsy within 5 years of stroke.

Intensive Blood Pressure Lowering Provides No Mortality Benefit in Acute Intracerebral Hemorrhage

Intensive Blood Pressure Lowering Provides No Mortality Benefit in Acute Intracerebral Hemorrhage

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Investigators conducted a meta-analysis of trials that reported functional outcomes and mortality rates among patients with intracerebral hemorrhage following intensive blood pressure lowering.

Predicting Intracerebral Hemorrhage Outcomes With Peak Perihemorrhagic Edema

Predicting Intracerebral Hemorrhage Outcomes With Peak Perihemorrhagic Edema

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Further research may be necessary to better understand the pathophysiologic mechanisms involved in perihemorrhagic edema evolution and ICH.

Nurse-Supported Post-Stroke Voiding Program Appears Helpful

Nurse-Supported Post-Stroke Voiding Program Appears Helpful

Stroke survivors report the program helped them regain autonomy and re-establish pattern of micturition.

Ticagrelor and clopidogrel have similar major bleeding rates following thrombolytic therapy

Use of ticagrelor resulted in similar rates of major bleeding compared to clopidogrel in patients with ST elevation myocardial infarction treated with thrombolysis.

Intensive blood pressure control not linked to changes in cerebral perfusion in patients with cerebral small vessel disease

In patients with severe cerebral small vessel disease, a strategy of intensive blood pressure control did not significantly alter whole brain blood flow when compared to standard blood pressure control.

Thrombectomy improves functional outcomes for imaging screened patients 6 to 16 hours after stroke: The DEFUSE 3 trial

Patients presenting with ischemic stroke 6 to 16 hours after they were last known to be well had improved functional outcomes at 90 days if treated with thrombectomy and medical therapy compared to medical therapy alone.

No Reduction in Cerebral Perfusion With Intensive Blood Pressure Lowering

No Reduction in Cerebral Perfusion With Intensive Blood Pressure Lowering

Intensive blood pressure lowering does not reduce cerebral perfusion for patients with severe small vessel disease.

Incidence of Delayed Traumatic Intracranial Hemorrhage Low in Older Adults With Blunt Head Trauma

Incidence of Delayed Traumatic Intracranial Hemorrhage Low in Older Adults With Blunt Head Trauma

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Only patients transported via EMS were enrolled, suggesting that these findings are limited to those with more severe blunt head injury vs those who self-present to the emergency department.

Novel Risk Score Evaluates Stroke Risk After Myocardial Infarction

Novel Risk Score Evaluates Stroke Risk After Myocardial Infarction

A new risk score incorporates readily accessible risk factors linked with stroke in patients after myocardial infarction.

Stroke in Women: Risk, Prevention, and Treatment

Stroke in Women: Risk, Prevention, and Treatment

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For more details about differences in stroke risk, prevention, and treatment in women, Neurology Advisor spoke with Elisabeth B. Marsh, MD, from Johns Hopkins School of Medicine and Kristy Yuan, MD, from the University of Pennsylvania.

ADAMTS13 Concentration Predictive of Recanalization Response in Acute Ischemic Stroke

ADAMTS13 Concentration Predictive of Recanalization Response in Acute Ischemic Stroke

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Participants with documented arterial occlusion treated with IV tissue plasminogen activator were included in this study.

Predicting Seizure Risk Following Ischemic Stroke With SeLECT Score

Predicting Seizure Risk Following Ischemic Stroke With SeLECT Score

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Investigators sought to validate a tool to identify post-stroke seizure risk.

Cerebral Blood Flow Significantly Reduced After Hemodialysis

Cerebral Blood Flow Significantly Reduced After Hemodialysis

In older patients, conventional hemodialysis induces a reduction in cerebral blood flow.

Stroke, ICH Risk Elevated in Seniors With AFib Taking Anticoagulants

Stroke, ICH Risk Elevated in Seniors With AFib Taking Anticoagulants

For patients with CKD and atrial fibrillation, anticoagulants are linked with an increased risk of ischemic stroke.

Use of Antihypertensives During Delivery in Women With Preeclampsia On the Rise

Use of Antihypertensives During Delivery in Women With Preeclampsia On the Rise

Antihypertensive treatments during delivery hospitalizations in women with preeclampsia have increased.

Race May Affect Stroke Risk in Atrial Fibrillation

Race May Affect Stroke Risk in Atrial Fibrillation

Blacks are at an increased risk of developing ischemic stroke, before or after atrial fibrillation diagnosis.

Stroke Risk in Adulthood Associated With Short Stature in Childhood

Stroke Risk in Adulthood Associated With Short Stature in Childhood

Short stature at age 7 to 13 is linked with an increased risk for ischemic stroke in adulthood.

Improved Stroke Survival Outcomes With Antihypertensive Prescription at Discharge

Improved Stroke Survival Outcomes With Antihypertensive Prescription at Discharge

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It is possible that many patients who were not prescribed antihypertensive medications at discharge had contraindications to these agents, limiting the findings.

Ischemic Stroke, Myocardial Infarction Both Tied to Lipoproteins, Lipids

Ischemic Stroke, Myocardial Infarction Both Tied to Lipoproteins, Lipids

Lipoproteins and lipids are associated with ischemic stroke and myocardial infarction.

Quality of care for transient ischemic attack and minor stroke vary across country

In this study about quality of care for patients with TIA or minor stroke, there was substantial variation in adherence to guidelines for patients treated at Veteran's Affairs (VA) hospitals across the country.

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