Statin Therapy in the Prevention of Recurrent Cardiovascular Events

A Sex-Based Meta-analysis Archinte.jamanetwork.com: June 25, 2012 Background  The effect of statins on the prevention of cardiovascular events is well demonstrated. Whether this protective effect is equal for women and men remains less well established. Our objective was to evaluate if statin therapy is equally effective in decreasing recurrent cardiovascular events in women and men. Data […]

What the SWIFT and TREVO II Trials Tell Us About the Role of Endovascular Therapy for Acute Stroke” in both

Stroke.ahajournals.org: May 29, 2012 Revascularization of Collaterals for Hemodynamic Stroke Insight on Pathophysiology From the Carotid Occlusion Surgery Study Carotid atherosclerosis accounts for up to 15% of all strokes1 and approximately 15 000 to 20 000 have symptomatic carotid occlusions in the United States each year.2 Furthermore, recurrent ipsilateral stroke in unselected patients with carotid occlusion affects 2.1% […]

Times From Symptom Onset to Hospital Arrival in the Get With The Guidelines–Stroke Program 2002 to 2009

Stroke.ahajournals.org: April 26, 2012. Background and Purpose—Time from symptom onset to hospital arrival is the most important factor in determining eligibility for intravenous tissue-type plasminogen activator. We used data from a large contemporary nationwide study to determine temporal trends in the proportions of patients arriving within time windows for potential acute ischemic stroke therapies. Methods—Trends in […]

UTILIZATION OF ANTICOAGULATION THERAPY IN MEDICARE PATIENTS WITH NONVALVULAR ATRIAL FIBRILLATION

Ahdbonline.com: June 28th, 2012. Background: Clinical guidelines recommend oral anticoagulation for stroke prevention in patients with atrial fibrillation (AF) at moderate or high risk for stroke but not at high risk for bleeding; however, studies consistently report suboptimal use of such therapy. This study used Medicare Part D claims data to assess the use of warfarin in […]

Why You Shouldn’t Use Aspirin for Atrial Fibrillation Stroke Prevention — Video with Dr. Waldo

Atrialfibrillationblog.com: JUNE 27, 2012 AT 6:55 AM. At Heart Rhythm 2012, Dr. Albert Waldo shared with StopAfib.org’s Mellanie True Hills about why aspirin should no longer be used for the prevention of stroke in atrial fibrillation. Dr. Waldo noted that many global afib guidelines have been revised, or soon will be, to remove aspirin as a recommended atrial […]

New program to improve in-hospital atrial fibrillation care

Newsroom.heart.org: June 25, 2012. News Release Highlights: The American Heart Association will expand its Get With The Guidelines® quality improvement program to improve the care of patients hospitalized with atrial fibrillation (AF). About 2.7 million people are living with AF, a quivering or irregular heartbeat that can lead to stroke and heart related complications. Get With The […]

Differential Effects of Adenosine on Pulmonary Vein Ectopy Following Pulmonary Vein Isolation: Implications for Arrhythmogenesis

Circep.ahajournals.org:  June 23, 2012. Background—The mechanism of pulmonary vein (PV) triggers of atrial fibrillation (AF) remains unclear. We performed adenosine (ADO) testing following PV isolation to characterize spontaneous dissociated PV rhythm and ADO-induced PV ectopy. Methods and Results—Seventy-four patients (61 male; age 61 ± 10 years) undergoing PV isolation for AF were studied. For each isolated […]

Thirty-Day Mortality After Ischemic Stroke and Intracranial Hemorrhage in Patients With Atrial Fibrillation On and Off Anticoagulants

Stroke.ahajournals.org:  April 26, 2012. Background and Purpose—Prescribing warfarin for atrial fibrillation depends in large part on the expected reduction in ischemic stroke risk versus the expected increased risk of intracranial hemorrhage (ICH). However, the anticoagulation decision also depends on the relative severity of such events. We assessed the impact of anticoagulation on 30-day mortality from […]

Changes in the Cerebrospinal Fluid Ceramide Profile After Subarachnoid Hemorrhage

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Stroke.ahajournals.org: June 19, 2012. The purpose of this study was to investigate changes in the cerebrospinal fluid sphingolipid profile in patients with subarachnoid hemorrhage in relation to the occurrence of symptomatic vasospasm and outcome at hospital discharge. Methods—The ceramide profile in the cerebrospinal fluid was determined by mass spectrometry in control subjects and patients with Fisher […]

Initiatives by organized medicine to reduce health disparities lacking, study says

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A researcher says an organization’s leadership plays a key role in ensuring that everyone receives equal care. Ama-assn.org: By CAROLYNE KRUPA, Posted June 18, 2012. Public and private entities nationwide are tackling the complex challenge of reducing health disparities among racial and ethnic minorities, but many national physician associations and societies have little or no programs to address […]

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