Interactions Within Stroke Systems of Care

Ischemic Stroke

STROKEAHA: 8/29/13 A Policy Statement From the American Heart Association/American Stroke Association In the United States and other parts of the world, various cities, tates, and regions are developing multitiered systems for the care of patients with acute stroke. These systems often involve a range of healthcare components supported by various rules and regulations. The present policy statement will put forth concepts […]

Ischemic stroke in patients with cancer: Is it different from usual strokes?

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Wiley: 8/26/13 Background It remains unclear whether the characteristics of ischemic stroke in patients with cancer (ISC) differ from usual ischemic strokes (non-ISC). Although a small number of studies have been conducted to characterize ISC, the status of cancer has rarely been considered seriously. Aims We aimed to investigate the features of ISC according to the […]

Recommendations on Angiographic Revascularization Grading Standards for Acute Ischemic Stroke

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STROKEAHA: 8/6/13 Intra-arterial therapy (IAT) for acute ischemic stroke (AIS) has dramatically evolved during the past decade to include aspiration and stent-retriever devices. Recent randomized controlled trials have demonstrated the superior revascularization efficacy of stent-retrievers compared with the first-generation Merci device.1,2 Additionally, the Diffusion and Perfusion Imaging Evaluation for Understanding Stroke Evolution (DEFUSE) 2, the Mechanical Retrieval […]

Acute Stroke Imaging Research Roadmap II

STROKEAHA: July 16, 2013 The Stroke Imaging Research (STIR) Group, the American Society of Neuroradiology, and the Foundation of the American Society of Neuroradiology sponsored a series of working group meetings >12 months, with the final meeting occurring during the Stroke Treatment Academy Industry Roundtable (STAIR) on March 9 to 10, 2013, in Washington, DC. This […]

Ultra-Early Intravenous Stroke Thrombolysis

Ischemic Stroke

STROKEAHA. August 22, 2013 Do All Patients Benefit Similarly? Background and Purpose—We previously reported increased benefit and reduced mortality after ultra-early stroke thrombolysis in a single center. We now explored in a large multicenter cohort whether extra benefit of treatment within 90 minutes from symptom onset is uniform across predefined stroke severity subgroups, as compared with […]

Mortality After Ischemic Stroke in Patients With Acute Myocardial Infarction

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STROKEAHA: August 20, 2013 Background and Purpose—Acute myocardial infarction (AMI) increases the risk of ischemic stroke, and mortality among these patients is high. Here, we aimed to estimate the 1-year mortality reliably after AMI complicated by ischemic stroke. We also aimed to identify trends over time for mortality during 1998–2008, as well as factors that predicted […]

Recognition and management of stroke in young adults and adolescents

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Neurology: 8/14/13 Approximately 15% of all ischemic strokes (IS) occur in young adults and adolescents. To date, only limited prior public health and research efforts have specifically addressed stroke in the young. Early diagnosis remains challenging because of the lack of awareness and the relative infrequency of stroke compared with stroke mimics. Moreover, the causes of […]

Advances and challenges in treatment and prevention of ischemic stroke

Wiley: 8/8/13 We review recent advances in the treatment and prevention of acute ischemic stroke, including the current state of endovascular therapy in light of five randomized controlled trials published this past year. Although no benefit of endovascular therapy over IV t-PA has been demonstrated, endovascular therapy is an appropriate treatment for acute ischemic stroke patients […]

Genome-Wide Analysis of Blood Pressure Variability and Ischemic Stroke

STROKEAHA: August 8, 2013 Background and Purpose—Visit-to-visit variability in blood pressure (vBP) is associated with ischemic stroke. We sought to determine whether such variability has genetic causes and whether genetic variants associated with BP variability are also associated with ischemic stroke. Methods—A Genome Wide Association Study (GWAS) for loci influencing BP variability was undertaken in 3802 […]

Risk of incident stroke in patients with Alzheimer disease or vascular dementia

Patient

Neurology: 7/31/13 Objective: To explore the risk of ischemic stroke, hemorrhagic stroke, or TIA in patients with Alzheimer disease (AD) or vascular dementia (VD). Methods: We conducted a follow-up study with a nested case-control analysis using the UK-based General Practice Research Database. We included patients aged 65 years and older with an incident diagnosis of AD or VD […]

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