Study May Transform Approach To Patient Selection For Minimally Invasive Stroke Treatment

Prnewswire.com: 7/24/12. The Society of Neurointerventional Surgery (SNIS) 9th Annual Meeting opened with study results which show that patients presenting with ischemic stroke may be successfully treated with endovascular or minimally invasive therapy well beyond the 8-hour treatment window today considered standard by most neurointerventional practitioners.  The multi-center study evaluated the use of computed tomography (CT) perfusion […]

Poststroke speech therapy ‘should be reorganized’

News-medical.net: 7/20/12. Results of the randomized ACT NoW trial show no benefit of “enhanced” over “everyday” communication therapy for patients with dysarthria resulting from stroke. Overall, communicative ability in the 170 patients in ACT NoW (Assessing Communication Therapy in the North West) improved over the study period, from a baseline average of 2.4 points on the […]

Head and Neck Cooling Decreases Tympanic and Skin Temperature, But Significantly Increases Blood Pressure

Stroke.ahajournals.org: 5/24/12. Localized head and neck cooling might be suited to induce therapeutic hypothermia in acute brain injury such as stroke. Safety issues of head and neck cooling are undetermined and may include cardiovascular autonomic side effects that were identified in this study. Read More

Modulation of Training by Single-Session Transcranial Direct Current Stimulation to the Intact Motor Cortex Enhances Motor Skill Acquisition of the Paretic Hand

Stroke.ahajournals.org: 5/22/12. Mechanisms of skill learning are paramount components for stroke recovery. Recent noninvasive brain stimulation studies demonstrated that decreasing activity in the contralesional motor cortex might be beneficial, providing transient functional improvements after stroke. The more crucial question, however, is whether this intervention can also enhance the acquisition of complex motor tasks, yielding longer-lasting functional […]

About 80% of AF patients need anticoagulation: new report

Pccj.eu: 7/26/12. Stroke prevention is sub-optimal in many patients with atrial fibrillation (AF), 70-80% of whom are eligible for anticoagulation (AC). Currently, many of these patients only receive aspirin (ASA) rather than effective AC drugs. The Stroke in Atrial Fibrillation Expert (sAFe) report, was developed by an independent panel of UK experts including leading cardiologists, GPs, patient […]

A Novel Assessment of the Temporal Variation in the Fractionated Electrograms Using a Histogram Analysis of the Local Fractionation Interval in Persistent Atrial Fibrillation Patients

Circep.ahajournals.org: 7/25/12. The characteristics of atrial electrograms associated with atrial fibrillation (AF) termination are controversial. We investigated the electrogram characteristics that indicate procedural AF termination during continuous complex fractionated electrogram (CFE) ablation. Read More

Fine tuning cardiac ablation could lead to quicker results for patients with arrhythmias

Medicalxpress.com: 7/24/12. University of Michigan chemists and physicians examine a new method for targeted cardiac ablation that could lead to quicker results for patients with arrhythmias. Credit: University of Michigan Health System University of Michigan heart researchers are shedding light on a safer method for steadying an abnormal heart rhythm that prevents collateral damage to healthy […]

Periprocedural Bridging Management of Anticoagulation

Circ.ahajournals.org: 7/24/12. More than 2.5 million Americans are chronically anticoagulated for indications including venous thromboembolism (VTE), mechanical heart valve(s), or atrial fibrillation (AF).1 Each year, ≈10% of these patients require temporary interruption of anticoagulation for an invasive procedure. Defining the most appropriate management strategy for these patients requires an assessment of the periprocedural risk of thromboembolism and […]

Comprehensive stroke units: a review of comparative evidence and experience

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Onlinelibrary.wiley.com: JULY 19, 2012. Stroke unit care offers significant benefits in survival and dependency when compared to general medical ward. Most stroke units are either acute or rehabilitation, but comprehensive (combined acute and rehabilitation) model (comprehensive stroke unit) is less common. Aim To examine different levels of evidence of comprehensive stroke unit compared to other organized […]

Comparison of 30-Day Mortality Models for Profiling Hospital Performance in Acute Ischemic Stroke With vs Without Adjustment for Stroke Severity

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Jjama.jamanetwork.com: July 18, 2012 There is increasing interest in reporting risk-standardized outcomes for Medicare beneficiaries hospitalized with acute ischemic stroke, but whether it is necessary to include adjustment for initial stroke severity has not been well studied. Objective  To evaluate the degree to which hospital outcome ratings and potential eligibility for financial incentives are altered after […]

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