43,857 results match your criteria Acute Stroke Management


Head and Neck Pain in Patients Presenting with Acute Aortic Dissection.

Aorta (Stamford) 2018 Dec 24;6(6):130-138. Epub 2019 Apr 24.

Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan.

Background:  Head and neck pain is an atypical presentation of acute aortic dissection. Classic teaching associates this pain with proximal dissections, but this has not been extensively studied.

Methods:  Patients enrolled in the International Registry of Acute Aortic Dissection from January 1996 to March 2015 were included in this study. Read More

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http://dx.doi.org/10.1055/s-0039-18388DOI Listing
December 2018

Outcomes of Inpatient Versus Outpatient Elective Foot and Ankle Surgery.

Cureus 2019 Feb 12;11(2):e4058. Epub 2019 Feb 12.

Orthopaedics, University of Alabama School of Medicine, Birmingham, USA.

Background Complications following orthopedic surgeries are undesirable and costly. A potential method to reduce these costs is to perform traditionally inpatient surgical procedures in the outpatient setting. The purpose of this study is to compare outcomes between inpatient and outpatient settings for elective foot and ankle surgeries using the National Surgical Quality Improvement Program (NSQIP) database. Read More

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http://dx.doi.org/10.7759/cureus.4058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464278PMC
February 2019

The incremental value of neuropsychological assessment: a critical review.

Authors:
Jacobus Donders

Clin Neuropsychol 2019 Apr 23:1-32. Epub 2019 Apr 23.

a Department of Psychology , Mary Free Bed Rehabilitation Hospital , Grand Rapids , MI , USA.

Objective: The purpose of this critical review was to evaluate the current state of research regarding the incremental value of neuropsychological assessment in clinical practice, above and beyond what can be accounted for on the basis of demographic, medical, and other diagnostic variables. The focus was on neurological and other medical conditions across the lifespan where there is known risk for presence or future development of cognitive impairment.

Method: Eligible investigations were group studies that had been published after 01/01/2000 in English in peer-reviewed journals and that had used standardized neuropsychological measures and reported on objective outcome criterion variables. Read More

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http://dx.doi.org/10.1080/13854046.2019.1575471DOI Listing

Diagnosis and management of central sleep apnea syndrome.

Expert Rev Respir Med 2019 Apr 24:1-13. Epub 2019 Apr 24.

a Grenoble Alpes University , HP2 Laboratory , INSERM U1042, Grenoble , France.

Introduction: Central sleep apnea (CSA) syndrome has gained a considerable interest in the sleep field within the last 10 years. It is overrepresented in particular subpopulations such as patients with stroke or heart failure. Early detection and diagnosis, as well as appropriate treatment of central breathing disturbances during sleep remain challenging. Read More

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http://dx.doi.org/10.1080/17476348.2019.1604226DOI Listing

Management of Acute Stroke in the Older Person.

Geriatrics (Basel) 2017 Aug 15;2(3). Epub 2017 Aug 15.

Stroke Research in Stoke, University Hospitals of North Midlands NHS Trust, Newcastle Road, Stoke-on-Trent ST4 6QG, UK.

The majority of people who suffer a stroke are older adults. The last two decades have brought major progress in the diagnosis and management of stroke, which has led to significant reductions in mortality, long-term disability, and the need for institutional care. However, acute, interventional and preventative treatments have mostly been trialled in younger age groups. Read More

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http://dx.doi.org/10.3390/geriatrics2030027DOI Listing

Stroke in Frail Older People.

Authors:
David G Smithard

Geriatrics (Basel) 2017 Jul 15;2(3). Epub 2017 Jul 15.

Department of Electronic and Digital Arts, University of Kent, Canterbury CT2 7NZ, UK.

The population is ageing, with the greatest proportional increase in those >80 years of age. Many of these people will be frail and at risk of stroke. Research has shown that the very old have much to benefit from hyperacute stroke intervention, but at the same time they suffer increased mortality. Read More

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http://dx.doi.org/10.3390/geriatrics2030024DOI Listing

Memory and Learning Complaints in Relation to Depression among Elderly People with Multimorbidity.

Geriatrics (Basel) 2017 May 9;2(2). Epub 2017 May 9.

Department of Pathophysiology, School of Basic Medicine and the Collaborative Innovation Center for Brain Science, Key Laboratory of Ministry of Education of China for Neurological Disorders, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Although current models of care are generally well-suited to providing treatment for individual medical conditions, the emergence of multimorbidity is becoming a serious concern for practitioners and policy researchers, particularly in developing countries. The challenges of tackling multimorbidity are further compounded when the multimorbidity co-occurs with psychiatric conditions such as cognitive and depressive disorders. Understanding the relationships between multimorbidity and psychiatric illnesses is therefore of considerable clinical importance. Read More

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http://dx.doi.org/10.3390/geriatrics2020015DOI Listing

Delayed Surgical Management of Type A Intramural Hematoma Is Not Associated with Worse Outcomes Than Emergent Operation.

Heart Surg Forum 2019 Mar 4;22(2):E103-E106. Epub 2019 Mar 4.

Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Objectives: Management of acute aortic intramural hematomas (IMHs) involving the ascending aorta and root remains controversial. Some series have suggested that delaying operative intervention beyond the first 24-hours may be beneficial.

Methods: A retrospective single-institution analysis was performed to identify patients presenting with type A IMH. Read More

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http://dx.doi.org/10.1532/hsf.2289DOI Listing

Ethics and Bias in Clinical Trial Enrollment in Stroke.

Curr Cardiol Rep 2019 Apr 22;21(6):49. Epub 2019 Apr 22.

Stroke Center, University of Utah, 175 N Medical Center Drive, Third Floor, Salt Lake City, UT, 84132, USA.

Purpose Of Review: To familiarize the reader with ethical concerns and potential scientific bias in management and conduction of clinical stroke trials.

Recent Findings: The goal of clinical trials in stroke is to find effective interventions for stroke prevention, acute treatment, and rehabilitation and recovery. Acute trials must be designed in the context of the time-sensitivity of revascularization therapies. Read More

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http://link.springer.com/10.1007/s11886-019-1139-3
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http://dx.doi.org/10.1007/s11886-019-1139-3DOI Listing
April 2019
1 Read

Evaluation of Vascular Event Risk while on Long-term Anti-retroviral Suppressive Therapy [EVERLAST]: Protocol for a prospective observational study.

eNeurologicalSci 2019 Jun 5;15:100189. Epub 2019 Apr 5.

Department of Neurology, University of California, San Francisco, USA.

Background & Objective: Cardiovascular disease (CVD) risk among the HIV population is high due to a combination of accelerated atherosclerosis from the pro-inflammatory milieu created by chronic HIV infection and the potentially adverse metabolic side effects from cART (combination antiretroviral therapy) medications. Although sub-Saharan Africa (SSA) bears 70% of the global burden of HIV disease, there is a relative paucity of studies comprehensively assessing CVD risk among people living with HIV on the continent. The overarching objective of the Evaluation of Vascular Event Risk while on Long-term Anti-retroviral Suppressive Therapy (EVERLAST) Study is to characterize the burden of CVD among HIV patients on ART in Ghana, and explore factors influencing it. Read More

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http://dx.doi.org/10.1016/j.ensci.2019.100189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460293PMC

Bithalamic Infarction (Artery of Percheron Occlusion) after Anterior Cervical Discectomy and Fusion.

Case Rep Neurol Med 2019 18;2019:9438089. Epub 2019 Mar 18.

Neurosurgery Department, Bonifatius Hospital, Lingen, Germany.

Bithalamic infarction resulting from occlusion of the artery of Percheron after cervical spine surgery is a rare pathological entity. Diagnosis and early detection are challenging. Prompt management may help to improve the outcome. Read More

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http://dx.doi.org/10.1155/2019/9438089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442480PMC

Frequency of post-stroke electroencephalographic epileptiform activity - a systematic review and meta-analysis of observational studies.

Eur Stroke J 2017 Dec 13;2(4):361-368. Epub 2017 Sep 13.

Faculty of Medicine, University of Lisbon, Lisboa, Portugal.

Introduction: Cerebrovascular diseases are the most frequent risk factor for epilepsy in the elderly, and epileptic phenomenon following stroke is known to worsen the prognosis. Although electroencephalography is the gold standard epilepsy biomarker, it is rarely used in post-stroke studies, and the frequency of post-stroke epileptiform activity is still uncertain.

Patients And Methods: We analysed studies indexed to MEDLINE, Embase, Web of Science, PsycINFO and OpenGrey (up to March 2015), reporting post-stroke electroencephalographic epileptiform activity frequency in adults. Read More

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http://dx.doi.org/10.1177/2396987317731004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453191PMC
December 2017

Thrombolysis management in thrombectomy patients: Real-life data from German stroke centres.

Eur Stroke J 2017 Dec 17;2(4):356-360. Epub 2017 Aug 17.

Department of Neuroradiology, Klinikum der Universität München, Ludwig-Maximilians University, Munich, Germany.

Introduction: In randomised clinical trials (RCTs), endovascular thrombectomy (ET) was combined with intravenous thrombolysis (IVT) in the vast majority of patients. We aimed to analyse how German stroke centres manage IVT in patients receiving ET in daily routine.

Patients And Methods: We performed an online survey among neurologists and neurointerventionalists that included all German University hospitals and a selection of German community hospitals known to perform ET. Read More

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http://dx.doi.org/10.1177/2396987317727229DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453195PMC
December 2017

Association between patient outcomes and key performance indicators of stroke care quality: A systematic review and meta-analysis.

Eur Stroke J 2017 Dec 5;2(4):287-307. Epub 2017 Oct 5.

Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Purpose: Translating research evidence into clinical practice often uses key performance indicators to monitor quality of care. We conducted a systematic review to identify the stroke key performance indicators used in large registries, and to estimate their association with patient outcomes.

Method: We sought publications of recent (January 2000-May 2017) national or regional stroke registers reporting the association of key performance indicators with patient outcome (adjusting for age and stroke severity). Read More

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http://dx.doi.org/10.1177/2396987317735426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453192PMC
December 2017

Postoperative atrial fibrillation: Target for stroke prevention?

Eur Stroke J 2017 Sep 5;2(3):222-228. Epub 2017 Jul 5.

Department of Cardiology, University Hospitals Antwerp, Antwerp, Belgium.

Purpose: A substantial number of patients without a history of atrial fibrillation who undergo surgery develop one or more episodes of atrial fibrillation in the first few days after the operation. We studied whether postoperative transient atrial fibrillation is a risk factor for future atrial fibrillation, stroke and death.

Method: We performed a narrative review of the literature on epidemiology, mechanisms, risk of atrial fibrillation, stroke and death after postoperative atrial fibrillation. Read More

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http://dx.doi.org/10.1177/2396987317719363DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454826PMC
September 2017

European Stroke Organization guideline for the diagnosis and treatment of cerebral venous thrombosis - Endorsed by the European Academy of Neurology.

Eur Stroke J 2017 Sep 21;2(3):195-221. Epub 2017 Jul 21.

Department of Neurology, Academic Medical Center, Amsterdam, the Netherlands.

The current proposal for cerebral venous thrombosis guideline followed the Grading of Recommendations, Assessment, Development, and Evaluation system, formulating relevant diagnostic and treatment questions, performing systematic reviews of all available evidence and writing recommendations and deciding on their strength on an explicit and transparent manner, based on the quality of available scientific evidence. The guideline addresses both diagnostic and therapeutic topics. We suggest using magnetic resonance or computed tomography angiography for confirming the diagnosis of cerebral venous thrombosis and not screening patients with cerebral venous thrombosis routinely for thrombophilia or cancer. Read More

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http://journals.sagepub.com/doi/10.1177/2396987317719364
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http://dx.doi.org/10.1177/2396987317719364DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454824PMC
September 2017
1 Read

European Stroke Organisation guidelines for the management of post-stroke seizures and epilepsy.

Eur Stroke J 2017 Jun 19;2(2):103-115. Epub 2017 Apr 19.

Department of Neurology, Bispebjerg Hospital and University of Copenhagen, Copenhagen, Denmark.

Background: Following stroke, acute symptomatic seizures (manifestation within seven days) and epilepsy, i.e. occurrence of at least one unprovoked seizure (manifestation after more than seven days), are reported in 3-6% and up to 12% of patients, respectively. Read More

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http://dx.doi.org/10.1177/2396987317705536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453212PMC

The SITS-UTMOST: A registry-based prospective study in Europe investigating the impact of regulatory approval of intravenous Actilyse in the extended time window (3-4.5 h) in acute ischaemic stroke.

Eur Stroke J 2016 Sep 29;1(3):213-221. Epub 2016 Jul 29.

Department of Clinical Neuroscience, Karolinska Institutet and Department of Neurology Karolinska University Hospital, Stockholm, Sweden.

Introduction: The SITS-UTMOST (Safe Implementation of Thrombolysis in Upper Time window Monitoring Study) was a registry-based prospective study of intravenous alteplase used in the extended time window (3-4.5 h) in acute ischaemic stroke to evaluate the impact of the approval of the extended time window on routine clinical practice.

Patients And Methods: Inclusion of at least 1000 patients treated within 3-4. Read More

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http://dx.doi.org/10.1177/2396987316661890DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301239PMC
September 2016

Bypassing primary stroke centre reduces delay and improves outcomes for patients with large vessel occlusion.

Eur Stroke J 2016 Jun 5;1(2):85-92. Epub 2016 May 5.

Department of Neurology, Aarhus University Hospital, Aarhus, Denmark.

Objective: In large-vessel occlusion, endovascular therapy is superior to medical management alone in achieving recanalisation. Reducing time delays to revascularisation in patients with large-vessel occlusion is important to improving outcome.

Patients And Methods: A campaign was implemented in the Central Denmark Region targeting the identification of patients with large-vessel occlusion for direct transport to a comprehensive stroke centre. Read More

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http://dx.doi.org/10.1177/2396987316647857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301230PMC

Biopolitics, space and hospital reconfiguration.

Soc Sci Med 2019 Apr 13;230:111-121. Epub 2019 Apr 13.

Public Service Management, King's Business School, King's College London, Bush House, 30 Aldwych, London, WC2B 4BG, United Kingdom. Electronic address:

Major service change in healthcare - whereby the distribution of services is reconfigured at a local or regional level - is often a contested, political and poorly understood set of processes. This paper contributes to the theoretical understanding of major service change by demonstrating the utility of interpreting health service reconfiguration as a biopolitical intervention. Such an approach orients the analytical focus towards an exploration of the spatial and the population - crucial factors in major service change. Read More

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http://dx.doi.org/10.1016/j.socscimed.2019.04.011DOI Listing

Stent-assisted coiling of pseudoaneurysm after vertebro-carotid transposition: harmonious combination of open and endovascular neurosurgical techniques.

World Neurosurg 2019 Apr 19. Epub 2019 Apr 19.

Lyerly Neurosurgery, Baptist Health, Baptist Neurological Institute, Jacksonville, FL. Electronic address:

Background: Most vertebral artery stenosis are treated either conservatively or surgically. When non-conservative treatment is chosen, whether to treat it with open surgery or endovascular intervention remains a topic of divergence. In the setting of endovascular therapy failure, the vertebral to common carotid artery transposition certainly is an appropriate choice to recover the posterior circulation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193110
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http://dx.doi.org/10.1016/j.wneu.2019.04.114DOI Listing
April 2019
2 Reads

Arteriopathy Influences Pediatric Ischemic Stroke Presentation, but Sickle Cell Disease Influences Stroke Management.

Stroke 2019 May;50(5):1089-1094

Departments of Pediatrics, Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center at Dallas and Children's Health Dallas (M.M.D.).

Background and Purpose- Sickle cell disease (SCD) and arteriopathy are pediatric stroke risk factors that are not mutually exclusive. The relative contributions of sickled red blood cells and arteriopathy to stroke risk are unknown, resulting in unclear guidelines for primary and secondary stroke prevention when both risk factors are present. We hypothesized that despite similarities in clinical presentation and radiographic appearance of arteriopathies, stroke evaluation and management differ in children with SCD compared with those without SCD. Read More

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https://www.ahajournals.org/doi/10.1161/STROKEAHA.118.022800
Publisher Site
http://dx.doi.org/10.1161/STROKEAHA.118.022800DOI Listing
May 2019
1 Read

First year post-stroke healthcare costs and fall-status among those discharged to the community.

Eur Stroke J 2018 Sep 15;3(3):254-262. Epub 2018 Mar 15.

School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.

Introduction: Falls are common post-stroke events but their relationship with healthcare costs is unclear. The aim of this study was to examine the relationship between healthcare costs in the first year after stroke and falls among survivors discharged to the community.

Patients And Methods: Survivors of acute stroke with planned home discharges from five large hospitals in Ireland were recruited. Read More

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http://dx.doi.org/10.1177/2396987318764954DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453204PMC
September 2018
1 Read

Falls-Related EvEnts in the first year after StrokE in Ireland: Results of the multi-centre prospective FREESE cohort study.

Eur Stroke J 2018 Sep 16;3(3):246-253. Epub 2018 Mar 16.

School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.

Introduction: Falls are common post-stroke adverse events. This study aimed to describe the first-year falls incidence, circumstances and consequences among persons discharged home after stroke in Ireland, and to examine the association between potential risk factors and recurrent falls.

Patients And Methods: Patients with acute stroke and planned home-discharge were recruited consecutively from five hospitals. Read More

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http://dx.doi.org/10.1177/2396987318764961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453197PMC
September 2018

Identifying unmet needs in long-term stroke care using in-depth assessment and the Post-Stroke Checklist - The Managing Aftercare for Stroke (MAS-I) study.

Eur Stroke J 2018 Sep 19;3(3):237-245. Epub 2018 Apr 19.

Center for Stroke Research Berlin and Department of Neurology, Charité University Hospital Berlin, Berlin, Germany.

Introduction: Detailed data on the long-term consequences and treatment of stroke are scarce. We aimed to assess the needs and disease burden of community-dwelling stroke patients and their carers and to compare their treatment to evidence-based guidelines by a stroke neurologist.

Methods: We invited long-term stroke patients from two previous acute clinical studies ( = 516) in Berlin, Germany to participate in an observational, cross-sectional study. Read More

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http://dx.doi.org/10.1177/2396987318771174DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453198PMC
September 2018

Management of stroke and pregnancy.

Eur Stroke J 2018 Sep 12;3(3):227-236. Epub 2018 Apr 12.

Obstetrics, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Stroke continues to be one of the main causes of death in the developed countries and the incidence in pregnancy appears to be increasing. Pregnancy-related stroke has a relatively high mortality rate of 10% and so clinicians need to be mindful of appropriate investigations and referral of a pregnant woman with suspected stroke, so they can receive timely treatment. In this review we address the risk factors associated with stroke, diagnosis and appropriate management of the different stroke types. Read More

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http://dx.doi.org/10.1177/2396987318769547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453206PMC
September 2018

Professional guideline versus product label selection for treatment with IV thrombolysis: An analysis from SITS registry.

Eur Stroke J 2018 Mar 8;3(1):39-46. Epub 2017 Dec 8.

1Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.

Introduction: Thrombolysis usage in ischaemic stroke varies across sites. Divergent advice from professional guidelines and product labels may contribute.

Patients And Methods: We analysed SITS-International registry patients enrolled January 2010 through June 2016. Read More

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http://dx.doi.org/10.1177/2396987317747737DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453242PMC

Minor stroke due to large artery occlusion. When is intravenous thrombolysis not enough? Results from the SITS International Stroke Thrombolysis Register.

Eur Stroke J 2018 Mar 29;3(1):29-38. Epub 2017 Nov 29.

1Department of Neurology, Karolinska University Hospital, Solna, Sweden.

Purpose: Beyond intravenous thrombolysis, evidence is lacking on acute treatment of minor stroke caused by large artery occlusion. To identify candidates for additional endovascular therapy, we aimed to determine the frequency of non-haemorrhagic early neurological deterioration in patients with intravenous thrombolysis-treated minor stroke caused by occlusion of large proximal and distal cerebral arteries. Secondary aims were to establish risk factors for non-haemorrhagic early neurological deterioration and report three-month outcomes in patients with and without non-haemorrhagic early neurological deterioration. Read More

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http://dx.doi.org/10.1177/2396987317746003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453245PMC
March 2018
1 Read

European Stroke Organisation (ESO) guidelines on glycaemia management in acute stroke.

Eur Stroke J 2018 Mar 16;3(1):5-21. Epub 2017 Nov 16.

1Department of Neurology and Stroke Center, La Paz University Hospital, Autonoma University of Madrid, IdiPaz Health Research Institute, Madrid, Spain.

Background: Hyperglycaemia is a frequent complication in acute stroke that has been shown to be independently associated with larger infarct size, haematoma growth, poor clinical outcome and mortality. This Guideline Document presents the European Stroke Organisation (ESO) Guidelines for the management of blood glucose levels in patients with acute ischemic or haemorrhagic stroke.

Methods: The working group identified related questions and developed its recommendations based on evidence from randomised controlled trials following the standard operating procedure of the ESO. Read More

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http://dx.doi.org/10.1177/2396987317742065DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453240PMC

Association between Green Tea Consumption and Risk of Stroke in Middle-Aged and Older Korean Men: The Health Examinees (HEXA) Study.

Authors:
Jeeyoo Lee Yuri Kim

Prev Nutr Food Sci 2019 Mar 31;24(1):24-31. Epub 2019 Mar 31.

Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 03760, Korea.

Green tea consumption is known to have varying effects on health and disease. The aim of this study was to investigate the association between green tea consumption and risk of stroke in Korean adult men. Data were obtained from the Health Examinees (HEXA) Study, which included 50,439 subjects aged 40 years and older. Read More

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http://dx.doi.org/10.3746/pnf.2019.24.1.24DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456242PMC

International prospective observational study on intracranial pressure in intensive care (ICU): the SYNAPSE-ICU study protocol.

BMJ Open 2019 Apr 20;9(4):e026552. Epub 2019 Apr 20.

Department of Public Health, Erasmus MC, Rotterdam, Netherlands.

Introduction: Intracranial pressure (ICP) monitoring is commonly used in neurocritical care patients with acute brain injury (ABI). Practice about indications and use of ICP monitoring in patients with ABI remains, however, highly variable in high-income countries, while data on ICP monitoring in low and middle-income countries are scarce or inconsistent. The aim of the SYNAPSE-ICU study is to describe current practices of ICP monitoring using a worldwide sample and to quantify practice variations in ICP monitoring and management in neurocritical care ABI patients. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026552DOI Listing
April 2019
1 Read

Successful Management of Severe Exertional Heat Stroke with Endovascular Cooling After Failure of Standard Cooling Measures.

J Emerg Med 2019 Apr 17. Epub 2019 Apr 17.

Department of Emergency Medicine, Martin Army Community Hospital, Fort Benning, Georgia.

Background: Exertional heat stroke (EHS) is a potentially life-threatening emergency requiring rapid reduction in core body temperature. Methods of cooling include cold water immersion, ice packs, cold water lavage, and chilled saline, among others. We report a case of EHS successfully cooled using an endovascular cooling device after traditional cooling methods failed to reduce core body temperature. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.03.025DOI Listing

Validation of electrical velocimetry in resuscitation of patients undergoing liver transplantation. Observational study.

J Clin Monit Comput 2019 Apr 19. Epub 2019 Apr 19.

Department of Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Major hemodynamic changes are frequently noted during liver transplantation (LT). We evaluated the performance of electrical velocimetry (EV) as compared to that of TEE in SV optimization during liver transplantation. This was an observational study in 32 patients undergoing LT. Read More

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http://dx.doi.org/10.1007/s10877-019-00313-zDOI Listing

Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: A systematic review and meta-analysis.

Complement Ther Clin Pract 2019 May 17;35:22-32. Epub 2019 Jan 17.

Department of Rehabilitation Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.

Background: and purpose: The benefits of Kinesio taping (KT) in post-stroke rehabilitation have not been determined. This study aimed to evaluate its effects on lower-extremity rehabilitation in patients after a stroke.

Methods: A literature search was performed using EBSCOhost, Embase, Physiotherapy Evidence Database (PEDro), PubMed, Cochrane, Web of Science, China National Knowledge Infrastructure (CNKI), SinoMed, and Wanfang Data through June 2018. Read More

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http://dx.doi.org/10.1016/j.ctcp.2019.01.008DOI Listing

Mobile Health (mHealth) technology for improved screening, patient involvement and optimizing integrated care in atrial fibrillation: The mAFA (mAF-App) II randomized trial.

Int J Clin Pract 2019 Apr 19:e13352. Epub 2019 Apr 19.

Medical School of Chinese PLA, Department of Cardiology, Chinese PLA General Hospital, Beijing, China.

Background: Current management of patients with atrial fibrillation (AF) is limited by low detection of AF, nonadherence to guidelines and lack of consideration of patient's preferences, thus highlighting the need for a holistic and integrated approach to AF management. The present study aims to determine whether a mHealth technology-supported AF integrated management strategy will reduce AF-related adverse events.

Methods/design: The mAFA II trial is a prospective, cluster randomized controlled trial. Read More

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http://dx.doi.org/10.1111/ijcp.13352DOI Listing

Association of Accelerometer-Measured Light-Intensity Physical Activity With Brain Volume: The Framingham Heart Study.

JAMA Netw Open 2019 Apr 5;2(4):e192745. Epub 2019 Apr 5.

Framingham Heart Study, Framingham, Massachusetts.

Importance: Dementia risk may be attenuated by physical activity (PA); however, the specific activity levels optimal for dementia prevention are unclear. Moreover, most older adults are unable to meet the nationally recommended PA guidelines, set at 150 minutes of moderate to vigorous PA per week.

Objective: To assess the association of total steps walked per day and total dose (intensity × duration) of PA with brain volumes on magnetic resonance imaging (MRI) among Framingham Heart Study participants. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2019.2745DOI Listing

Association of Diabetes With All-Cause and Cause-Specific Mortality in Asia: A Pooled Analysis of More Than 1 Million Participants.

JAMA Netw Open 2019 Apr 5;2(4):e192696. Epub 2019 Apr 5.

Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee.

Importance: Asia is home to the largest diabetic populations in the world. However, limited studies have quantified the association of diabetes with all-cause and cause-specific mortality in Asian populations.

Objectives: To evaluate the association of diabetes with all-cause and cause-specific mortality in Asia and to investigate potential effect modifications of the diabetes-mortality associations by participants' age, sex, education level, body mass index, and smoking status. Read More

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http://jamanetworkopen.jamanetwork.com/article.aspx?doi=10.1
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http://dx.doi.org/10.1001/jamanetworkopen.2019.2696DOI Listing
April 2019
7 Reads

[Type 2 Diabetes Mellitus and Heart Failure: Innovative Possibilities for Management of Prognosis].

Kardiologiia 2019 Apr 17;59(4):76-87. Epub 2019 Apr 17.

Peoples Friendship University of Russia (RUDN University).

Type 2 diabetes mellitus (T2DM) has gone beyond the professional interests of one specialty. T2DM, cardiovascular (CV) diseases and chronic kidney disease, considered from the standpoint of a single cardio-reno-metabolic continuum, place a heavy economic burden on society. At the same time, the improvement of diagnostic methods and medical technologies led to distinct decrease in the frequency and mortality from a number of complications of T2DM, including myocardial infarction and stroke, but other states took their place. Read More

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https://lib.ossn.ru/jour/article/view/596
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http://dx.doi.org/10.18087/cardio.2019.4.10253DOI Listing
April 2019
2 Reads

Decompression Hemicraniectomy for Refractory Intracranial Hypertension in Reversible Cerebral Vasoconstriction Syndrome.

J Neurosci Rural Pract 2019 Apr-Jun;10(2):355-359

Division of Neurocritical Care, Cerebrovascular Center, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

Reversible cerebral vasoconstriction syndrome (RCVS) is a disorder of dysregulation of cerebrovascular tone resulting in transient segmental vasoconstriction which resolves in 1-3 months. Cerebral edema is an underrecognized complication in RCVS. It is likely multifactorial. Read More

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http://dx.doi.org/10.4103/jnrp.jnrp_334_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454955PMC

Symptomatic Extracranial Carotid Artery Thrombus: An Indian Experience.

J Neurosci Rural Pract 2019 Apr-Jun;10(2):312-315

Division of Stroke and Interventional Neurology and Department of Neurology, NH Institute of Neurosciences, Narayana Health City, Bengaluru, Karnataka, India.

Introduction: Symptomatic intraluminal carotid artery thrombus (ICT) is an uncommon finding, whose incidence increases with the percentage of stenosis. The optimal treatment modality to address carotid artery thrombus is not well established. We present our data of medical management of carotid artery thrombus with antiplatelet and anticoagulation. Read More

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http://www.ruralneuropractice.com/text.asp?2019/10/2/312/254
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http://dx.doi.org/10.4103/jnrp.jnrp_225_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454977PMC
April 2019
2 Reads

Extended Window for Stroke Thrombectomy.

J Neurosci Rural Pract 2019 Apr-Jun;10(2):294-300

Department of Neurological Surgery, University of Miami, Miller School of Medicine, Miami, FL, USA.

Objective: Mechanical thrombectomy is the standard treatment for large vessel occlusion (LVO) in acute ischemic stroke (AIS) up to 6 h after onset. Recent trials have demonstrated a benefit for wake-up strokes and patients beyond 6 h.

Methods: A systematic literature review was conducted for multicenter randomized clinical trials (RCTs) investigating endovascular stroke treatment using perfusion imaging to identify patients that may benefit from mechanical thrombectomy for AIS beyond 6 h of onset. Read More

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http://www.ruralneuropractice.com/text.asp?2019/10/2/294/254
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http://dx.doi.org/10.4103/jnrp.jnrp_365_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454953PMC
April 2019
1 Read

Urine albumin-to-creatinine ratio and asymptomatic intracranial atherosclerotic stenosis in hypertensive patients.

J Hum Hypertens 2019 Apr 18. Epub 2019 Apr 18.

Research Center for Hypertension Management and Prevention in Community, Shanghai Key Laboratory of Hypertension, State Key Laboratory of Medical Genomics, Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Intracranial atherosclerotic stenosis (ICAS) contributes to nearly 50% of stroke in China, especially in patients with hypertension. Urine albumin-to-creatinine ratio (ACR) has been related to stroke and other atherosclerotic cardiovascular diseases. However, there is limited information about the association of ACR and early impairment of cerebral vessels. Read More

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http://dx.doi.org/10.1038/s41371-019-0201-3DOI Listing

Trends in stroke outcomes at hospital discharge in first-ever stroke patients: Observations from the Malaysia National Stroke Registry (2009-2017).

J Neurol Sci 2019 Apr 11. Epub 2019 Apr 11.

Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. Electronic address:

Background: Stroke outcomes could be a quality indicator across the continuum of care and inform stroke management policymaking. However, this topic has rarely to date been studied directly.

Aims: We sought to investigate recent trends in stroke outcomes at hospital discharge among first-ever stroke patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0022510X193017
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http://dx.doi.org/10.1016/j.jns.2019.04.015DOI Listing
April 2019
2 Reads

Short- and long-term follow-up of antithrombotic management patterns in patients hospitalized with acute coronary syndrome: Indian subgroup of EPICOR Asia study.

Indian Heart J 2019 Jan - Feb;71(1):25-31. Epub 2019 Jan 3.

Ruby Hospital, Pune, India.

Background: Acute coronary syndrome (ACS) is associated with emergency hospitalizations, and there are limited real-world data on clinical outcomes in post-ACS Asian patients. This article presents data on the Indian subgroup from the Long-term Follow-up of Antithrombotic Management Patterns in Acute Coronary Syndrome Patients in Asia (EPICOR-Asia) study.

Methods: EPICOR included patients with ACS [ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), or unstable angina (UA)]. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00194832183035
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http://dx.doi.org/10.1016/j.ihj.2018.12.005DOI Listing
January 2019
2 Reads

Contemporary Outcomes Following Coronary Artery Bypass Graft Surgery for Left Main Disease.

J Am Coll Cardiol 2019 Apr;73(15):1877-1886

Department of Cardiology, Imperial College of London, London, United Kingdom. Electronic address:

Background: Although results of percutaneous coronary intervention (PCI) have been steadily improving, whether surgical outcomes have improved over time is not fully elucidated.

Objectives: This study sought to compare the current outcomes of patients undergoing coronary artery bypass grafting (CABG) with prior surgical results, in the context of randomized trials including the left main (LM) coronary artery stem.

Methods: The authors performed a propensity-matched analysis of patients randomized to CABG in the SYNTAX (Synergy Between PCI With Taxus and Cardiac Surgery) (enrollment period 2005 to 2007) and EXCEL (Evaluation of XIENCE Versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization) (enrollment period 2010 to 2014) trials. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07351097193369
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http://dx.doi.org/10.1016/j.jacc.2018.12.090DOI Listing
April 2019
1 Read
16.503 Impact Factor

A Retrospective Study Investigating: Factors associated with mode of arrival and emergency department management for patients with acute stroke.

Australas Emerg Care 2018 Aug 17;21(3):99-104. Epub 2018 Aug 17.

University of Melbourne, Department of Medicine, Australia; Royal Melbourne Hospital, Emergency Department, Australia. Electronic address:

Background: Presentation by ambulance to the emergency department is critical for stroke patients to receive time dependent treatments. However, little is known of the factors that influence presentation by ambulance.

Methods: Retrospective analysis of all patients with an emergency department medical diagnosis of stroke who presented to one of three Victorian emergency departments over a three-year period (2011-2013). Read More

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http://dx.doi.org/10.1016/j.auec.2018.07.001DOI Listing

Management of Dysphagia in Patients with Parkinson's Disease and Related Disorders.

Intern Med 2019 Apr 17. Epub 2019 Apr 17.

Department of Neurology, Kochi Medical School, Kochi University, Japan.

Various methods of rehabilitation for dysphagia have been suggested through the experience of treating stroke patients. Although most of these patients recover their swallowing function in a short period, dysphagia in Parkinson's disease (PD) and Parkinson-related disorder (PRD) degenerates with disease progression. Muscle rigidity and bradykinesia are recognized as causes of swallowing dysfunction, and it is difficult to easily apply the strategies for stroke to the rehabilitation of dysphagia in PD patients. Read More

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http://dx.doi.org/10.2169/internalmedicine.2373-18DOI Listing
April 2019
2 Reads

Thrombectomy of Ventricular Assist Device-Originated Embolic Stroke: A Clinical Decision Model.

J Neuroimaging 2019 Apr 17. Epub 2019 Apr 17.

Department of Neurology, Loyola University Chicago, Stritch School of Medicine.

Background And Purpose: The use of ventricular assist devices (VADs) for the treatment of heart failure has become increasingly common. These patients have a considerable risk of cerebral embolism. We describe such a patient and his successful treatment by thrombectomy, compare his attributes with those previously published, and describe the construct of a clinical decision model, whose results bear practical implications for patient management. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/jon.12621
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http://dx.doi.org/10.1111/jon.12621DOI Listing
April 2019
1 Read

Effect of a Quality of Care Improvement Initiative in Patients With Acute Coronary Syndrome in Resource-Constrained Hospitals in China: A Randomized Clinical Trial.

JAMA Cardiol 2019 Apr 17. Epub 2019 Apr 17.

Department of Cardiology, Cardiovascular Institute and Fuwai Hospital, Beijing, China.

Importance: Prior observational studies suggest that quality of care improvement (QCI) initiatives can improve the clinical outcomes of acute coronary syndrome (ACS). To our knowledge, this has never been demonstrated in a well-powered randomized clinical trial.

Objective: To determine whether a clinical pathway-based, multifaceted QCI intervention could improve clinical outcomes among patients with ACS in resource-constrained hospitals in China. Read More

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http://dx.doi.org/10.1001/jamacardio.2019.0897DOI Listing
April 2019
2 Reads

[A strategic roadmap of the Italian Society of Interventional Cardiology (SICI-GISE) to ensure patient's access to appropriate treatment].

G Ital Cardiol (Rome) 2019 Apr;20(4):4-19

A.O. Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna.

In comparison with the international scenario, in Italy the penetration of several important scientific and technological innovations in the field of cardiovascular intervention appears to be inadequate both in terms of number of patients treated with respect to the actual need, and inhomogeneity between the different geographical areas of the country. One of the main institutional objectives of the Italian Society of Interventional Cardiology (SICI-GISE) is to develop a roadmap to guarantee homogeneous access throughout the whole national territory to treatments that are recommended by the major international guidelines. The present document focuses on four main areas of cardiovascular intervention: (i) transcatheter treatment of aortic valve stenosis, (ii) percutaneous mitral valve repair, (iii) prevention of cardioembolic stroke through percutaneous left atrial appendage occlusion in patients with non-valvular atrial fibrillation, (iv) optimization of coronary revascularization with the aid of the functional study of coronary lesions. Read More

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http://dx.doi.org/10.1714/3146.31274DOI Listing
April 2019
4 Reads