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Stroke: Archives

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Items 26-50 of 389 are shown

Transcranial Doppler Ultrasound for Primary Stroke Prevention in Sickle Cell Disease

An analysis of change in rates of use and barriers to screening

  • By Farzaneh A. Sorond, MD, PhD
  • August 4, 2009
  • Covering:
    • Armstrong-Wells J et al., Neurology 2009 Apr 14; 72:1316

"Drive-By" Closure of Patent Foramen Ovale

In a retrospective, case-control series, repair of PFO found incidentally during cardiothoracic surgery conferred no short- or long-term benefit.

Cardiovascular Events in Canada, 1994–2004

Findings from a nationwide study reveal significant declines in mortality and hospital admissions.

Impaired Kidney Function and Risks for CV Disease and Death

Low-risk women with GFRs <60 had elevated risk for CV-related death but not for adverse CV events, non–CV-related death, or all-cause death.

Does Migraine Frequency Affect CVD Risk?

Rare (<monthly) and frequent (≥weekly) migraines were associated with excess risk for CVD events.

Some Migraines Might Leave Their Marks

Women who reported migraines with aura in midlife were twice as likely to exhibit cerebellar infarcts on MRI, with unknown clinical significance, decades later.

  • By Wendy S. Biggs, MD
  • July 23, 2009
  • Covering:
    • Scher AI et al., JAMA 2009 Jun 24; 301:2563
    • Kurth T and Tzourio C., JAMA 2009 Jun 24; 301:2594

Developments in Stroke Telemedicine

Scientific and policy statements from the American Stroke Association

  • By Steven Feske, MD
  • July 21, 2009
  • Covering:
    • Schwamm LH et al. and on behalf of the American Heart Association Stroke Council and the Interdisciplinary Council on Peripheral Vascular Disease., Stroke 2009 Jul; 40:2616
    • Schwamm LH et al. and on behalf of the American Heart Association Stroke Council; Council on Epidemiology and Prevention; Interdisciplinary Council on Peripheral Vascular Disease; and the Council on Cardiovascular Radiology and Intervention., Stroke 2009 Jul; 40:2635

Acetaminophen in Stroke

A randomized, placebo-controlled, phase III trial has negative results.

  • By Myron D. Ginsberg, MD
  • July 14, 2009
  • Covering:
    • den Hertog HM et al., Lancet Neurol 2009 May; 8:434

Cardiovascular Safety Data on Rosiglitazone Aren’t Entirely Reassuring

Although few significant differences were detected in a large cohort at 5 years, excess heart failure risk still is apparent.

  • By Bruce Soloway, MD
  • July 9, 2009
  • Covering:
    • Home PD et al., Lancet 2009 Jun 20; 373:2125

Aspirin or Anticoagulation to Prevent Stroke in Carotid Dissection?

In a retrospective study, the incidence of stroke was similar between the two treatments.

BP-Lowering Drugs and Prevention of Cardiovascular Disease

All five classes of BP-lowering drugs were effective, regardless of patients’ histories.

Cardiovascular Outcomes Among Women with Nonobstructive CAD

Women with symptoms and angiography findings of nonobstructed (or even normal) coronary arteries had worse outcomes than asymptomatic women.

Genetic Basis of an Autosomal Recessive Small-Vessel Disease of the Brain

A discovery opens the door to understanding the genetic mechanisms underlying small-vessel arteriopathies.

  • By Anand Viswanathan, MD, PhD
  • June 23, 2009
  • Covering:
    • Hara K et al., N Engl J Med 2009 Apr 23; 360:1729

No Clear Benefit for Aspirin in Primary Prevention of Cardiovascular Disease

Risks might outweigh benefits in patients who receive other modern preventive therapies.

  • By Bruce Soloway, MD
  • June 18, 2009
  • Covering:
    • Antithrombotic Trialists' (ATT) Collaboration., Lancet 2009 May 30; 373:1849

Redux of rFVIIa in Acute Intracerebral Hemorrhage

A reanalysis of FAST trial data identifies a subgroup that might benefit clinically.

  • By Gene Sung, MD, MPH
  • June 16, 2009
  • Covering:
    • Mayer SA et al., Stroke 2009 Mar; 40:833

Aspirin vs. Anticoagulation After Carotid Dissection

Aspirin appears to be the better choice.

  • By Allan S. Brett, MD
  • June 11, 2009
  • Covering:
    • Georgiadis D et al., Neurology 2009 May 26; 72:1810
    • Kasner SE and Dreier JP., Neurology 2009 May 26; 72:1800

Treating Diabetes and Coronary Artery Disease

Prompt revascularization or initial medical therapy? Insulin sensitization or provision? From the BARI 2D trial, no strategy emerged a clear winner.

  • By Harlan M. Krumholz, MD, SM
  • June 10, 2009
  • Covering:
    • Frye RL et al. for the BARI 2D Study Group., N Engl J Med 2009 Jun 11; 360:2503
    • Boden WE and Taggart DP., N Engl J Med 2009 Jun 11; 360:2570

Should Carotid Stenting Be Performed in Octogenarians?

Results of a case series suggest that the procedure can be safe and effective, but its net benefit in these patients remains to be determined.

  • By Howard C. Herrmann, MD
  • June 10, 2009
  • Covering:
    • Chiam PTL et al., Circulation 2009 May 5; 119:2343
    • Belkin M and Bhatt DL., Circulation 2009 May 5; 119:2302

Stroke After TIA: How Likely and How Soon?

Risk for stroke within 24 hours after TIA was 5% in this large population-based study.

Telephone Triage for Stroke by Ambulance Services in the U.K.

A structured algorithm used at ambulance call centers in the U.K. performed poorly in identifying stroke patients.

Prevention of Death After Stroke

Only a quarter of British stroke patients (age, ≥50) received recommended drug combinations.

Prompt TIA and Minor Stroke Management

Urgent referral to and treatment in a specialized clinic boosts clinical outcomes and saves costs.

  • By Hermelinda Abcede, MD, and Bruce Ovbiagele, MD
  • May 26, 2009
  • Covering:
    • Luengo-Fernandez R et al., Lancet Neurol 2009 Mar; 8:235

Stenting in Acute Ischemic Stroke

A small study suggests stenting might be useful as an adjunctive therapy.

  • By Thanh Nguyen, MD, FRCPc
  • May 26, 2009
  • Covering:
    • Brekenfeld C et al., Stroke 2009 Mar; 40:847

Aspirin in Patients with Peripheral Artery Disease

Fewer cardiovascular events in patients who received aspirin did not reach statistical significance.

  • By Thomas L. Schwenk, MD
  • May 19, 2009
  • Covering:
    • Berger JS et al., JAMA 2009 May 13; 301:1909
    • McDermott MM and Criqui MH., JAMA 2009 May 13; 301:1927

Optimal Duration of Anticoagulation for Venous Thromboembolism

Using ultrasonography data to guide duration of therapy helped lower rates of recurrent VTE.

  • By David Green, MD, PhD
  • May 19, 2009
  • Covering:
    • Prandoni P et al., Ann Intern Med 2009 May 5; 150:577
Items 26-50 of 389 are shown

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