Stroke

Anodal tDCS Offers Possible Benefit for Improving Item Recall in Post-Stroke Aphasia

Anodal tDCS Offers Possible Benefit for Improving Item Recall in Post-Stroke Aphasia

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Following adjustment, the mean change in correctly naming common objects was greater in patients undergoing A-tDCS vs sham tDCS.

Skills-Based Intervention Did Not Cut Systolic BP After Stroke, TIA

Skills-Based Intervention Did Not Cut Systolic BP After Stroke, TIA

A culturally tailored, skills-based educational intervention did not reduce systolic blood pressure at one year after stroke/transient ischemic attack.

Aggressive Blood Pressure Lowering in Intracerebral Hemorrhage May Be Harmful

Aggressive Blood Pressure Lowering in Intracerebral Hemorrhage May Be Harmful

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The avoidance of SBP <120 mm Hg in individuals with acute ICH may help prevent cerebral ischemia and neurologic deterioration.

Oxidized Low-Density Lipoprotein May Predict Risk for Recurrent Stroke

Oxidized Low-Density Lipoprotein May Predict Risk for Recurrent Stroke

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There are currently no other biomarkers that can predict the risk for recurrent stroke.

Models Predict Intracerebral Hemorrhage Growth

Models Predict Intracerebral Hemorrhage Growth

Models using 4 or 5 predictors have acceptable to good discrimination for determining additional intracerebral hemorrhage growth in patients with acute intracerebral hemorrhage.

Oxygen Desaturation Index Predicts AFib Risk in Ischemic Stroke

Oxygen Desaturation Index Predicts AFib Risk in Ischemic Stroke

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Investigators observed a significant association between atrial fibrillation and increasing oxygen desaturation index.

Sleep Duration, Stroke Link Varies With Race, Sex

Sleep Duration, Stroke Link Varies With Race, Sex

The association of sleep duration with incident stroke varies by race and sex.

Risk of Venous Thromboembolism Recurrence High

Risk of Venous Thromboembolism Recurrence High

The risk of recurrence after incident venous thromboembolism is high, particularly among patients with cancer-related venous thromboembolism.

Does Stroke Mechanism in HIV Vary According to Preceding CD4 Counts?

Does Stroke Mechanism in HIV Vary According to Preceding CD4 Counts?

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Strokes in people living with HIV are most frequently caused by large artery atherosclerosis.

Hospitals Using Get With the Guidelines-Stroke Program Offer Better Quality Care in Ischemic Stroke

Hospitals Using Get With the Guidelines-Stroke Program Offer Better Quality Care in Ischemic Stroke

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The Get With the Guidelines-Stroke program includes measures such as neurologist assessment, rehabilitation evaluation, and education on stroke risk factors.

Net Benefit of Anticoagulants for A-Fib Varies With Stroke Rate

Net Benefit of Anticoagulants for A-Fib Varies With Stroke Rate

There is variation in the net clinical benefit of anticoagulants based on variation in published atrial fibrillation stroke rates.

Electrical Exoskeleton-Assisted Gait Training Effective for Improving Ambulation After Stroke

Electrical Exoskeleton-Assisted Gait Training Effective for Improving Ambulation After Stroke

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Patients in the intervention group were fitted with an ambulatory exoskeleton, which works in accordance with the movements of the patient.

No Clear Benefit for Rivaroxaban After Hospital Discharge

No Clear Benefit for Rivaroxaban After Hospital Discharge

Rivaroxaban does not lower risk of symptomatic venous thromboembolism and related death in medical patients after hospital discharge, compared to placebo.

Magnesium Has No Effect on Cognitive Outcomes Following Aneurysmal Subarachnoid Hemorrhage

Magnesium Has No Effect on Cognitive Outcomes Following Aneurysmal Subarachnoid Hemorrhage

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In the linear analysis, study investigators found no significant effect of magnesium on cognition.

Thrombolysis With Tenecteplase Is as Safe as Alteplase in Stroke Mimics

Thrombolysis With Tenecteplase Is as Safe as Alteplase in Stroke Mimics

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The most frequent stroke mimic diagnoses included migraine and peripheral vertigo.

Transcranial direct current stimulation linked to improved object naming post-stroke

In patients with aphasia, use of anodal transcranial direct current stimulation demonstrated improved object naming compared to sham procedure.

Early Lactic Acidemia Common in Aneurysmal Subarachnoid Hemorrhage

Early Lactic Acidemia Common in Aneurysmal Subarachnoid Hemorrhage

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Serum lactate at admission did not correlate with vasospasm or delayed cerebral ischemia development.

Increased Systolic Blood Pressure Variability Linked to Worse Neurologic Outcomes in Intracerebral Hemorrhage

Increased Systolic Blood Pressure Variability Linked to Worse Neurologic Outcomes in Intracerebral Hemorrhage

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The primary outcome was an unfavorable neurologic outcome, which was defined as a modified Rankin Scale score of 3 to 6 at 3 months following randomization.

Psychological Distress Linked to Increased Risk of MI, Stroke

Psychological Distress Linked to Increased Risk of MI, Stroke

Psychological distress is associated with myocardial infarction and stroke in men and women.

Early Neurological Deterioration in Intracranial Hemorrhage Linked to Worse Outcomes

Early Neurological Deterioration in Intracranial Hemorrhage Linked to Worse Outcomes

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One in 8 patients with ACI experience ultra-early neurological deterioration during ambulance transport and initial evaluation at the emergency department.

Late-Life Blood Pressure Associated With Alzheimer Disease Brain Pathology

Late-Life Blood Pressure Associated With Alzheimer Disease Brain Pathology

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Patients with a higher mean systolic blood pressure during follow-up had increased odds for brain infarcts compared with those with lower levels.

Breastfeeding Linked to Lower Risk of Stroke Post-Menopause

Breastfeeding Linked to Lower Risk of Stroke Post-Menopause

Breastfeeding is associated with a lower risk of stroke among older women, with a stronger correlation for longer duration of breastfeeding.

Stroke-Code Patients With Low NIHSS Score, No Acute Imaging Findings Often Misdiagnosed

Stroke-Code Patients With Low NIHSS Score, No Acute Imaging Findings Often Misdiagnosed

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The investigators observed a high rate of accurate diagnosis for acute cerebral ischemia, hemorrhagic stroke, and stroke mimics in the cohort.

Poststroke Statin Therapy Associated With Lower Risk for Osteoporosis, Fractures

Poststroke Statin Therapy Associated With Lower Risk for Osteoporosis, Fractures

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A variety of underlying mechanisms may be attributed to the role of statins in preventing bone-related disorders.

Lower Socioeconomic Status Linked to Worse Outcomes in Pediatric Arterial Ischemic Stroke

Lower Socioeconomic Status Linked to Worse Outcomes in Pediatric Arterial Ischemic Stroke

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The root causes of the disparity reported among families of different income levels are unclear and deserve additional investigation.

Alteplase Non-Superior to Aspirin for Improving 90-Day Functional Outcome in Acute Ischemic Stroke

Alteplase Non-Superior to Aspirin for Improving 90-Day Functional Outcome in Acute Ischemic Stroke

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Alteplase may increase the risk for symptomatic intracranial hemorrhage vs aspirin.

Associations Identified Between Stroke Severity, Recovery of Visuospatial Neglect

Associations Identified Between Stroke Severity, Recovery of Visuospatial Neglect

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Data from patients with first-ever ischemic right-hemisphere stroke and visuospatial neglect were included.

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.

Alteplase unlikely to reduce disability after mild stroke without disabling deficits

In this randomized controlled trial, administration of alteplase within 3 hours of mild stoke did not lead to a reduction in disability at 90 days post-stroke compared to aspirin.

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