Stroke
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Pulmonary Embolism Common Cause for Syncope in Hospitalized Patients
A recent review of clinical features of patients with syncope found that pulmonary embolism may be one of the most common causes, and thus should be considered by all physicians who are evaluating such patients.
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Time to Treatment with Endovascular Thrombectomy Remains a Critical Variable
this meta-analysis of thrombectomy in patients with large vessel ischemic stroke demonstrated that earlier treatment compared with medical therapy alone was associated with lower degrees of disability at three months.
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Headaches in the Elderly: A Non-specific Marker for Stroke Risk
Non-migrainous headaches, for which there are many causes, appear to be a risk factor for stroke in an elderly population, but the mechanism is uncertain.
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Triage to a Certified Stroke Center Reduces Early Mortality
In an analysis of the effect of additional travel time, receiving treatment in a primary stroke center was associated with a survival benefit for stroke patients who traveled less than 90 minutes. Traveling more than 90 minutes to reach a primary stroke center offset any benefit.
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Ticagrelor vs. Aspirin for Secondary Stroke Prevention — About the Same!
Ticagrelor was not found to be superior to aspirin in reducing the rate of stroke, myocardial infarction, or death within 90 days, but there was a trend toward a reduced rate of ischemic stroke, that did not reach statistical significance.
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Arterial Ischemic Stroke Prevention and Risk Factor Management
MONOGRAPH: Here is the best evidence-based practice for stroke diagnosis, prevention, and risk factor management.
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A Brief Report of Clinical Trials Results from the 2016 International Stroke Conference
This article provides an overview of the research presented at the 2016 International Stroke Conference.
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Treatment of Acute Ischemic Stroke
MONOGRAPH: The faster definitive stroke treatment is administered, the better the outcomes. Unfortunately, most patients arrive too late.
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Intracerebral Hemorrhages Associated with Non-vitamin K Oral Anticoagulants Appear to Be Smaller than Those Associated with Warfarin
This small prospective observational study suggests that warfarin-associated intracerebral hemorrhages may be larger and have worse clinical outcomes then hemorrhages associated with the newer anticoagulant agents.
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Symptomatic Carotid Artery Stenosis Requires Urgent Revascularization
Johansson et al identified a significant early risk of recurrent stroke in patients with symptomatic carotid artery stenosis, and advise a prospective randomized trial to determine when the optimal time for revascularization should take place.