Stroke
RSSArticles
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Pattern of Atrial Fibrillation Is Associated with Outcomes After Stroke
In a Japanese stroke registry, permanent as opposed to paroxysmal atrial fibrillation was associated with higher in-hospital mortality after stroke.
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Blood Pressure Lowering After Acute Stroke: Can It Kill You?
Patients with chronically elevated blood pressure are at increased risk of all-cause and cardiovascular death, with a particularly increased risk of ischemic and hemorrhagic stroke. Treatment to lower systolic BP decreases stroke risk, without an apparent lower threshold down to 120 mmHg. However, lowered SBP (≤ 120 mmHg) in the 5 years after a stroke may be associated with increased mortality. Lower SBP over a shorter period of time after a stroke in chronically hypertensive patients could potentially increase mortality as well.
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Incidental Cerebral Microbleeds and Cerebral Blood Flow in Elderly Individuals
Cerebral microbleeds in non-demented elderly people are associated with a global reduction in cerebral blood flow and a high prevalence of beta-amyloid deposition in the brain.
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Idarucizumab: A Promising New Drug that Reverses the Anticoagulant Effects of Dabigatran
A recent study found that idarucizumab rapidly reverses the effects of dabigatran and is likely to have important clinical benefits for patients with intracerebral hemorrhage and other disease processes in which reversal of anticoagulation is important.
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Convexal Subarachnoid Hemorrhage and Amyloid Angiopathy
Cerebral amyloid angiopathy is emerging as a major cause of spontaneous intracerebral hemorrhage in the elderly. The authors of this study undertook a careful review of all of the patients in their database over a 9-year period who had spontaneous convexal subarachnoid hemorrhage, and they performed a careful longitudinal analysis of clinical and neuroimaging data.
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Consequences of Intracerebral Hemorrhage in Young Adults
Intracerebral hemorrhage accounts for 10-20% of all strokes in North America and Europe, with an overall incidence of 25 cases per 100,000 population annually. In this study, the authors evaluated the long-term survival and recovery of 268 1-month survivors ages 16-49 years to assess the prognosis of intracerebral hemorrhage in the younger group.
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Natriuretic Peptide Measurements May Help Diagnose Cardioembolic Stroke
The accurate diagnosis of cardioembolic stroke is extremely important since secondary prevention for this disorder, with antithrombotic therapy, is different than for other patients who might be treated with antiplatelet therapy. -
Cryptogenic Stroke and Atrial Fibrillation
In large prospective databases of ischemic stroke, cryptogenic stroke occurs in as many as 30% of all ischemic stroke patients. -
Endovascular Intracranial Clot Extraction Benefits Are Confirmed in Two More Clinical Trials
On April 17, 2015, the New England Journal of Medicine published the results of two randomized clinical trials of endovascular stent-retriever clot extraction for ischemic stroke, simultaneous with their presentation at the European Stroke Conference. These two studies, added to those presented and published at the International Stroke Conference in February, bring the total number of studies to five that have shown dramatic benefits of this therapy in appropriately selected patients with acute ischemic stroke.
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Intracranial Clot Extraction Results in Better Outcomes than Intravenous Thrombolysis Alone
This article will discuss three studies that have been recently published in the New England Journal of Medicine — MR CLEAN, ESCAPE, and EXTEND — regarding intracranial clot extraction for acute ischemic stroke