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Stroke: Archives

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Items 1-25 of 712 are shown

Burning Bridges: Must Warfarin Be Stopped for Device Implantation?

In a randomized trial, heparin bridging for implantation of a pacemaker or implantable cardioverter-defibrillator was associated with an increase in device-pocket hematoma.

A Secondary-Prevention Alarm Bell for Lower-Income Countries

Among survivors of coronary heart disease and stroke, those in lower-income countries were even less likely to observe key elements of a healthy lifestyle than survivors in wealthier countries.

Reducing Salt Intake Lowers Blood Pressure and Is Associated with Lower Cardiovascular-Related Mortality

Lower salt intake is linked to lower risk for stroke, stroke-related mortality, and coronary heart disease–related mortality.

Higher Potassium Intake Lowers Blood Pressure and Is Associated with Less Risk for Stroke

A BP-lowering effect was noted in hypertensive people and those with high sodium intake.

A First Look at Cardioversion or Ablation for AF in Rivaroxaban Recipients

In a subset of ROCKET AF participants who underwent cardioversion or catheter ablation procedures, rivaroxaban was as safe as warfarin.

Dabigatran Bleeding Complications Are Not More Common than Expected

Dabigatran is safer than warfarin, and reporting bias explains high numbers of reported complications.

Patent Foramen Ovale Closure for Cryptogenic Stroke: Two More Studies

Results were negative in one study and ambiguous in another.

Long-Term Mortality in Young Patients with Stroke or TIA

Mortality was higher in patients aged 18 to 50 than in their population-based peers in a prospective study.

What Is the Best Thrombolytic Strategy for Prosthetic Valve Thrombosis?

In a large single-center study, slow, low-dose tissue plasminogen activator infusions yielded good results with low complication rates.

More Inconclusive Results from PFO-Closure Trials

Two new studies fail to provide strong evidence either for or against PFO correction to prevent recurrent cryptogenic stroke.

Immediate Fibrinolysis Compared with Delayed Primary PCI

A proof-of-concept study suggests that early initiation of a lytic is an acceptable alternative to primary PCI in patients who present to non–PCI-capable hospitals.

Endovascular Stroke Therapy Remains Unproven

Endovascular treatments for ischemic stroke did not improve clinical outcomes compared with medical therapy, despite higher recanalization rates, in two new studies.

Imaging-Based Endovascular Stroke Treatment: Another Beautiful Hypothesis Slain

Endovascular stroke treatment did not provide greater benefit in patients with versus those without a favorable penumbral pattern.

Who Is at Higher Risk of Stroke with Antipsychotic Drugs?

Risk is associated with new use of antipsychotics, dementia, old age, high doses, and antipsychotics with high affinity to certain receptors.

Sorry, Can't Stop Doing Lumbar Puncture to Rule Out Subarachnoid Hemorrhage

A clinical decision rule performed well, but CT within 6 hours missed 20% of cases.

Another Inflammatory Disease Linked to Thrombosis?

Dermatomyositis may be associated with increased risk for cardiovascular and cerebrovascular events, but sketchy data preclude a definitive conclusion.

Estimating Bleeding Risk with Anticoagulation in Patients with Atrial Fibrillation

The HAS-BLED score outperformed the ATRIA score.

Discontinue Aspirin After Hospitalization For Bleeding Peptic Ulcer?

Not in patients with cardiovascular comorbidities, who are at elevated short-term risk for death and acute cardiovascular events.

Use of rtPA for Acute Ischemic Stroke Within 3 to 4.5 Hours Is Cost Effective in Most Instances

. . . but may not be for patients with diabetes or atrial fibrillation.

Is Rhythm Control Better Than Rate Control for Atrial Fibrillation?

In a very large observational study, rhythm-control strategies resulted in fewer strokes and transient ischemic attacks than did rate-control strategies.

A Cardiovascular Quartet

Four important new studies in cardiovascular medicine

Warfarin May Be Beneficial for up to 6 Months After Bioprosthetic AVR

Data from a Danish registry supports current recommendations for 3 months of anticoagulation and suggests that extending therapy confers additional benefit.

Low-Dose Aspirin and Dementia in Older Women

Does low-dose acetylsalicylic acid prevent cognitive decline in women with high cardiovascular risk?

Are There Real Differences Among the New Anticoagulants?

An indirect comparison suggests few differences in secondary prevention of stroke, but such analyses are generally unreliable.

Fish Consumption Is Associated with Lower Cerebrovascular Risk

But supplementation with long-chain {omega}-3 fatty acids was not.

Items 1-25 of 712 are shown

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