Primary Stroke Centers Should Be Located Using Maximal Coverage Models for Optimal Access

American Heart Association: July 17, 2012. The current self-initiated approach by which hospitals acquire Primary Stroke Center (PSC) certification provides insufficient coverage for large areas of the United States. An alternative, directed, algorithmic approach to determine near optimal locations of PSCs would be justified if it significantly improves coverage. Methods—Using geographic location–allocation modeling techniques, we developed […]

Freeze the Stroke

American Heart Association: July 17, 2012. Public Awareness Program for Immediate Detection of First Symptoms The capacity of the general population to identify stroke signs is a major determinant for success of prehospital emergency pathways. Previous educational strategies using the media were usually short-lived and expensive. Tailoring information programs for special subgroups like acute stroke relatives […]

Despite benefit, hospitals not always alerted of incoming stroke patients

American Heart Association: July 10, 2012. Study Highlights: Stroke patients receive faster treatment when emergency medical services (EMS) personnel notify hospitals a possible stroke patient is en route. However, emergency personnel fail to alert hospitals of incoming stroke patients in nearly one-third of cases. Researchers say improved stroke care systems can address geographical and other factors […]

Treatment of Atrial Fibrillation by the Ablation of Localized Sources

American College of Cardiology Foundation: 7/19. We hypothesized that human atrial fibrillation (AF) may be sustained by localized sources (electrical rotors and focal impulses), whose elimination (focal impulse and rotor modulation [FIRM]) may improve outcome from AF ablation. Background  Catheter ablation for AF is a promising therapy, whose success is limited in part by uncertainty in the […]

Reduction of Long‐Term Care Dependence After an 8‐Year Primary Care Prevention Program for Stroke and Dementia: The INVADE Trial

American Heart Association, Inc: July 17, 2012. Stroke and dementia are the major causes for long‐term care (LTC) dependence in old age. This intervention trial compared a multidomain prevention program for stroke and dementia with usual medical care in reducing the need for LTC. Methods and Results The Intervention Project on Cerebrovascular Disease and Dementia in […]

Cortical Changes After Mental Imagery Training Combined With Electromyography-Triggered Electrical Stimulation in Patients With Chronic Stroke

Stroke.ahajournals.org: July 12, 2012. Paresis of the upper extremity after stroke is not effectively solved by existing therapies. We investigated whether mental imagery training combined with electromyogram-triggered electric stimulation improved motor function of the paretic upper extremity in patients with chronic stroke and induced cortical changes. Methods—Fourteen subjects with chronic stroke (≥12 months) were randomly allocated […]

A cluster randomized trial to assess the effect of clinical pathways for patients with stroke: results of the Clinical Pathways for Effective and Appropriate Care Study

BMC Medicine: July 10, 2012. Clinical pathways (CPs) are used to improve the outcomes of acute stroke, but their use in stroke care is questionable, because the evidence on their effectiveness is still inconclusive. The objective of this study was to evaluate whether CPs improve the outcomes and the quality of care provided to patients after […]

Cost-Effectiveness of Dronedarone in Atrial Fibrillation: Results for Canada, Italy, Sweden, and Switzerland

Sciencedirect.com: July 6 2012 Dronedarone is a therapy for the treatment of patients with paroxysmal and persistent atrial fibrillation or atrial flutter. According to results in the ATHENA trial, dronedarone on top of standard of care (SOC) decreases the risk of cardiovascular hospitalizations or death by 24% compared with SOC alone. Objectives A patient-level health economic […]

Compelled Body Weight Shift Technique to Facilitate Rehabilitation of Individuals with Acute Stroke

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ISRN Rehabilitation 7/18/12. The study evaluates the effectiveness of Compelled Body Weight Shift (CBWS) approach in the rehabilitation of individuals with stroke. CBWS involves a forced shift of body weight towards a person’s affected side by means of a shoe insert that establishes a lift of the nonaffected lower extremity. Methods. Eleven patients with acute stroke were […]

Intravenous Thrombolysis and Endovascular Therapy for Acute Ischemic Stroke With Internal Carotid Artery Occlusion

Stroke.ahajournals.org: July 17, 2012. Strokes secondary to acute internal carotid artery (ICA) occlusion are associated with extremely poor prognosis. The best treatment approach to acute stroke in this setting is unknown. We sought to determine clinical outcomes in patients with acute ischemic stroke attributable to ICA occlusion treated with intravenous (IV) systemic thrombolysis or intra-arterial endovascular […]

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