Stroke

Opioid Epidemic Tied to Increase in Infection-Related Stroke Hospitalizations

Opioid Epidemic Tied to Increase in Infection-Related Stroke Hospitalizations

The opioid epidemic is driving a steep increase in infection-related stroke hospitalizations.

Does Intensive BP Reduction With Thrombolysis Improve Acute Ischemic Stroke Outcomes?

Does Intensive BP Reduction With Thrombolysis Improve Acute Ischemic Stroke Outcomes?

Stroke patients who receive intensive blood pressure lowering are less likely to suffer brain bleeds when treated with clot-busting therapies.

Potential Biomarker in PAH: RV Stroke Work Divided by Ejection Fraction

Potential Biomarker in PAH: RV Stroke Work Divided by Ejection Fraction

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End-systolic volume index is one of the most significant components of right ventricular stroke work penalized by ejection fraction in patients with worsening states of pulmonary arterial hypertension.

Early Carotid Intervention Linked to Functional Dependence After Stroke

Early Carotid Intervention Linked to Functional Dependence After Stroke

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Patients with moderate to severe stroke (NIHSS score >10) who undergo urgent carotid interventions within 48 hours have worse functional outcomes.

Influenza-Like Illness Associated With Increased Risk for Stroke, Cervical Artery Dissection

Influenza-Like Illness Associated With Increased Risk for Stroke, Cervical Artery Dissection

Influenza-like illness is associated with an increased risk for ischemic stroke and cervical artery dissection.

NOACs Recommended as First-Line Prevention of Stroke in Atrial Fibrlllation

NOACs Recommended as First-Line Prevention of Stroke in Atrial Fibrlllation

For patients with atrial fibrillation, novel oral anticoagulants are recommended over warfarin to prevent stroke and weight loss is recommended for overweight and obese individuals.

Most Stroke Survivors ≥50 Years Report Complete Mental Health

Most Stroke Survivors ≥50 Years Report Complete Mental Health

More than two-thirds of stroke survivors aged 50 years or older report being in complete mental health.

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

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

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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.

Increased Stroke Risk Following Surgical vs Transfemoral Aortic Valve Replacement

Increased Stroke Risk Following Surgical vs Transfemoral Aortic Valve Replacement

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

Shortening Reperfusion Times to Improve Poststroke Outcomes

Shortening Reperfusion Times to Improve Poststroke Outcomes

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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.

Different Stroke Subtypes Consistently Affect Several Patient-Reported Health Domains

Different Stroke Subtypes Consistently Affect Several Patient-Reported Health Domains

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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.

Global Lifetime Risk for Stroke Estimated at 25% in 2016

Global Lifetime Risk for Stroke Estimated at 25% in 2016

The global lifetime risk for stroke was 24.9 percent among adults aged 25 years and older in 2016.

ACA Implementation Decreased Rates of Therapy Nonadherence in Stroke Survivors

ACA Implementation Decreased Rates of Therapy Nonadherence in Stroke Survivors

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A review of data recorded in the National Health Interview Survey showed that cost-related nonadherence with medication decreased in stroke survivors following the implementation of the ACA.

Canagliflozin Approved to Reduce MACE Risk in Adults With Type 2 Diabetes and CVD

Canagliflozin Approved to Reduce MACE Risk in Adults With Type 2 Diabetes and CVD

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The FDA has approved Invokana (canagliflozin) to reduce the risk of major CV events.

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.

Culturally Tailored, Skills-Based Intervention Did Not Reduce Vascular Risk After Stroke

Culturally Tailored, Skills-Based Intervention Did Not Reduce Vascular Risk After Stroke

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

Variations in Published Stroke Rates Confound Net Anticoagulation Benefit Analyses

Variations in Published Stroke Rates Confound Net Anticoagulation Benefit Analyses

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Variations in published stroke rates for patients with AF not receiving anticoagulants result in differences in the calculated net clinical benefit of anticoagulation.

Net Clinical Benefits of Anticoagulants for AF Vary With Stroke Rate

Net Clinical Benefits of Anticoagulants for AF Vary With Stroke Rate

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

Systolic Blood Pressure Variability Linked to Neurologic Outcomes in Intracerebral Hemorrhage

Systolic Blood Pressure Variability Linked to 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.

Statins Improve Long-Term Survival After AAA Repair

Statins Improve Long-Term Survival After AAA Repair

Preoperative statin therapy is associated with higher long-term survival following abdominal aortic aneurysm repair.

Statins, CCBs Confer Long-Term Mortality Benefit in Hypertension

Statins, CCBs Confer Long-Term Mortality Benefit in Hypertension

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Mortality benefits from atorvastatin- and amlodipine-based antihypertensive treatments extend beyond 10 years of treatment.

Psychological Distress Linked to Increased Risk of MI, Stroke

Psychological Distress Linked to Increased Risk of MI, Stroke

Psychological distress had a dose-dependent, positive association with myocardial infarction and stroke in men and women.

In Stroke Survivors, Cost-Related Nonadherence Down After ACA

In Stroke Survivors, Cost-Related Nonadherence Down After ACA

Among adult survivors of stroke, Medicaid costs increased while nonadherence costs decreased after Affordable Care Act implementation.

The Role of Public Education Campaigns in Increasing Patient Response to TIA and Minor Stroke

The Role of Public Education Campaigns in Increasing Patient Response to TIA and Minor Stroke

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The UK FAST campaign attempted to bolster patient response to both transient ischemic attack and minor stroke.

Locally Asymptomatic Ischemic Stroke May Present as Migraine Aura

Locally Asymptomatic Ischemic Stroke May Present as Migraine Aura

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Local ischemia after an acute ischemic stroke may trigger a widely migrating cortical wave of spreading depolarization, which may present as migraine aura.

Breastfeeding Linked to Lower Risk of Stroke After Menopause

Breastfeeding Linked to Lower Risk of Stroke After Menopause

Stroke risk 19% lower with breastfeeding for 1 to 6 months, and there was a stronger link for longer duration.

CHEST Releases Guideline for Antithrombotic Therapy in Atrial Fibrillation

CHEST Releases Guideline for Antithrombotic Therapy in Atrial Fibrillation

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Patients with atrial fibrillation who have ≥1 non-sex CHA2DS2VASc stroke risk factor should receive oral anticoagulation as antithrombotic therapy.

Concomitant NSAID and Anticoagulant Use May Increase Stroke, Bleeding Risk in Afib

Concomitant NSAID and Anticoagulant Use May Increase Stroke, Bleeding Risk in Afib

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Patients with atrial fibrillation who take NSAIDs in addition to oral anticoagulants may have an increased risk for major bleeding and stroke.

Ultra-Early Neurological Deterioration Common in Stroke

Ultra-Early Neurological Deterioration Common in Stroke

Ultra-early neurological deterioration was seen most often in patients with intracranial hemorrhage patients and tied to worse 3-month outcomes.

Apixaban Lowers Bleeding Risk in Afib With End-Stage Kidney Disease

Apixaban Lowers Bleeding Risk in Afib With End-Stage Kidney Disease

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Apixaban demonstrated superiority over warfarin in terms of reducing the risk for major bleeding in patients with atrial fibrillation and end-stage kidney disease who were on dialysis.

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