Stroke
The latest information on hemorrhagic stroke, ischemic stroke, TIA, tPA, and more, drawn from across our primary care and specialty care areas. Sign up now for monthly e-mail alerts on new content.
SUMMARY AND COMMENT
BP Reduction in Acute Intracranial Hemorrhage: How Low Should We Go?
- November 6, 2009
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
This small phase I study shows that BP reduction is feasible but does not identify an optimum target level.
- Reviewing:
- Qureshi AI. Crit Care Med 2009 Sep 16
SUMMARY AND COMMENT
Systematic Screening for Blunt Cervical Vascular Injury Reduces Time to Diagnosis and Incidence of Stroke
- October 30, 2009
- John A. Marx, MD, FAAEM
- Emergency Medicine
A standardized scoring system and computed tomographic angiography greatly reduced time to diagnosis from the old standard of conventional angiography.
- Reviewing:
- Eastman AL et al. J Trauma 2009 Sep; 67:551
SUMMARY AND COMMENT
VECTORS Study: Are We Going in the Right Direction?
- October 27, 2009
- Joel Stein, MD
- Neurology
Contrary to expectation, high-intensity constraint-induced therapy produced worse outcomes than lower-intensity constraint-induced therapy or conventional therapy when used early after stroke.
- Reviewing:
- Dromerick AW et al. Neurology 2009 Jul 21; 73:195
SUMMARY AND COMMENT
Subarachnoid Hemorrhage Might Be a Common Cause of Out-of-Hospital Cardiac Arrest
- October 23, 2009
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
In this Japanese study, 16% of survivors of out-of-hospital cardiac arrest had subarachnoid hemorrhage.
- Reviewing:
- Inamasu J et al. Resuscitation 2009 Sep; 80:977
SUMMARY AND COMMENT
Getting Stroke Patients to the Hospital Sooner
- October 23, 2009
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
Surprisingly, only women responded to an intervention aimed at recognizing stroke symptoms and calling emergency medical services.
- Reviewing:
- Müller-Nordhorn J et al. Arch Intern Med 2009 Sep 14; 169:1484
SUMMARY AND COMMENT
Can Emergency Physicians Perform Dysphagia Screening in Acute Stroke Patients?Free
- October 16, 2009
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
A simple, easy screening test had a sensitivity of 96% when performed by EPs.
- Reviewing:
- Turner-Lawrence DE et al. Ann Emerg Med 2009 Sep; 54:344
SUMMARY AND COMMENT
Smokeless Tobacco Increases Risk for Fatal MI and Fatal Stroke
- October 16, 2009
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
A meta-analysis shows a modest increase in risk for both conditions.
- Reviewing:
- Boffetta P and Straif K. BMJ 2009 Aug 18; 339:b3060
SUMMARY AND COMMENT
PPIs and Clopidogrel: Data Trumps Fear
- October 16, 2009
- David A. Johnson, MD
- Gastroenterology
Antiplatelet function was diminished in PPI users, but cardiovascular outcomes were similar in PPI users and nonusers.
- Reviewing:
- O'Donoghue ML et al. Lancet 2009 Sep 19; 374:989
SUMMARY AND COMMENT
Patent Foramen Ovale and Risk for Stroke Recurrence
- October 13, 2009
- Julien Bogousslavsky, MD
- Neurology
A meta-analysis finds a low risk but does not provide a definitive answer on whether PFO closure can reduce the risk in selected patients.
- Reviewing:
- Almekhlafi MA et al. Neurology 2009 Jul 14; 73:89
SUMMARY AND COMMENT
Screening Test for Stroke-Related Dysphagia
- October 8, 2009
- Allan S. Brett, MD
- General Medicine
Most patients who had problems swallowing in the ED had dysphagia on formal evaluations by speech pathologists.
- Reviewing:
- Turner-Lawrence DE et al. Ann Emerg Med 2009 Sep; 54:344
