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    Home » stroke

    Articles Tagged with ''stroke''

    Elderly BP Check

    Survey Reveals Gaps in Blood Pressure Measurement Training

    November 21, 2019
    No Comments

    Professional associations develop e-learning tool to help refresh these skills.


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    SHORT REPORT

    Vegetarians and Stroke

    November 19, 2019
    No Comments

    A prospective cohort study in the United Kingdom demonstrated that vegetarians have a 22% lower incidence of ischemic heart disease, but a 20% increased incidence of total stroke, mostly related to hemorrhagic stroke, when compared to meat eaters. No difference in ischemic stroke or acute myocardial infarction was found.


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    STROKE ALERT

    Duel Antiplatelet Therapy Results in Increase in Serious Hemorrhages Following TIA or Minor Stroke

    November 19, 2019
    No Comments
    The POINT trial showed a 25% reduction in the composite outcome of ischemic stroke, myocardial infarction, or ischemic vascular death in patients treated with clopidogrel plus aspirin for 90 days, immediately following a transient ischemic attack (TIA) or minor acute ischemic stroke. The investigators performed a secondary analysis and found the risk of major hemorrhages was low in both groups, although treatment with clopidogrel and aspirin together increased the risk of major hemorrhages over aspirin alone. Caution should be taken and very close observation of patients maintained when treating with dual antiplatelet therapies.

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    STROKE ALERT

    Smartwatches for the Diagnosis of Atrial Fibrillation

    November 19, 2019
    No Comments
    The Apple Heart Study participants were people without atrial fibrillation who purchased a smart phone app and consented to monitoring using a smartwatch-based irregular pulse notification algorithm, which identified possible atrial fibrillation. If notification occurred, the person was mailed an electrocardiography (ECG) patch to be worn for seven days to confirm the findings first identified by the smartwatch. The age distribution of this group is different than the usual cohort at risk for atrial fibrillation: 52% were between the ages of 22 and 39 years of age, and only 5.9% were 65 years or older. A much more useful study would have included an older cohort that carries a higher risk of atrial fibrillation.

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    STROKE ALERT

    What Is the Optimal Blood Pressure for Secondary Prevention of Stroke?

    November 19, 2019
    No Comments
    High blood pressure is the most prevalent and important risk factor for stroke, and great efforts have been made to reduce blood pressure for both primary and secondary stroke prevention. However, at this time, we do not have evidence to support a firm recommendation for optimal blood pressure management for secondary stroke prevention.

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    STROKE ALERT

    Patients With Stable Coronary Disease and Atrial Fibrillation Are Best Treated With Rivaroxaban, Alone

    November 19, 2019
    No Comments
    Optimal antithrombotic therapy for stroke prevention in patients with atrial fibrillation continues to evolve.Monotherapy with rivaroxiban was noninferior to combination therapy for the primary efficacy endpoint.

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    Brain Scan

    Blood Pressure and Brain Lesions: Is There a Connection?

    October 17, 2019
    No Comments

    Reducing blood pressure in elderly patients could lower risk for development of lesions.


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    STROKE ALERT

    Intravenous Thrombolysis Prior to Mechanical Thrombectomy Improves Outcome

    September 18, 2019
    No Comments
    Bridging therapy with intravenous thrombolysis appears to be associated with improved functional outcome without any additional complications compared to direct mechanical thrombectomy for patients with acute ischemic stroke who have LVOs.

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    Plant Diet

    Plant-Based Diet Linked to Better Heart Health

    August 19, 2019
    No Comments

    New research suggests minimizing animal-based foods in favor of vegetables and fruit could lower risks for heart attacks and strokes.


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    STROKE ALERT

    After Ischemic Stroke Related to Atrial Fibrillation, Direct Oral Anticoagulants Are Superior to Vitamin K Antagonists

    August 14, 2019
    No Comments
    The authors of this trial investigated the benefits and risks of early anticoagulation following acute ischemic stroke, and compared the effects of direct oral anticoagulants vs. vitamin K antagonists. Overall, treatment with direct oral anticoagulants resulted in a reduced risk of poor clinical outcomes, primarily due to reduced risk of intracerebral hemorrhage.

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