From the publishers of The New England Journal of Medicine

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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?

This small phase I study shows that BP reduction is feasible but does not identify an optimum target level.

SUMMARY AND COMMENT

Systematic Screening for Blunt Cervical Vascular Injury Reduces Time to Diagnosis and Incidence of Stroke

A standardized scoring system and computed tomographic angiography greatly reduced time to diagnosis from the old standard of conventional angiography.

SUMMARY AND COMMENT

VECTORS Study: Are We Going in the Right Direction?

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.

SUMMARY AND COMMENT

Subarachnoid Hemorrhage Might Be a Common Cause of Out-of-Hospital Cardiac Arrest

In this Japanese study, 16% of survivors of out-of-hospital cardiac arrest had subarachnoid hemorrhage.

SUMMARY AND COMMENT

Getting Stroke Patients to the Hospital Sooner

Surprisingly, only women responded to an intervention aimed at recognizing stroke symptoms and calling emergency medical services.

SUMMARY AND COMMENT

Can Emergency Physicians Perform Dysphagia Screening in Acute Stroke Patients?Free

A simple, easy screening test had a sensitivity of 96% when performed by EPs.

SUMMARY AND COMMENT

Smokeless Tobacco Increases Risk for Fatal MI and Fatal Stroke

A meta-analysis shows a modest increase in risk for both conditions.

SUMMARY AND COMMENT

PPIs and Clopidogrel: Data Trumps Fear

Antiplatelet function was diminished in PPI users, but cardiovascular outcomes were similar in PPI users and nonusers.

SUMMARY AND COMMENT

Patent Foramen Ovale and Risk for Stroke Recurrence

  • 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.

SUMMARY AND COMMENT

Screening Test for Stroke-Related Dysphagia

Most patients who had problems swallowing in the ED had dysphagia on formal evaluations by speech pathologists.

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