Endothelin Receptor Antagonists for Aneurysmal Subarachnoid Hemorrhage

American Heart Association: August 7, 2012 Background and Purpose—Endothelin is considered to be a key mediator of vasospasm after subarachnoid hemorrhage. A meta-analysis of randomized trials on the effectiveness of endothelin receptor antagonists in subarachnoid hemorrhage has been published previously, but since then new major trials have been published. We present the results of a systematic […]

Quality of life of elderly ischaemic stroke patients one year after thrombolytic therapy. A comparison between patients with and without thrombolytic therapy

Biomedcentral.com: Published: 26 July 2012 An observational study to examine whether thrombolytic therapy in stroke patients realizes better quality of life outcomes compared to patients without thrombolytic therapy one year after stroke. We also examined whether daily functioning, mental functioning and activities improved after thrombolytic treatment. Subjects: A total of 88 stroke patients were interviewed at […]

Next-generation antithrombotics in ischemic stroke: preclinical perspective on ‘bleeding-free antithrombosis’

Journal of Cerebral Blood Flow & Metabolism: 7/18/12 Recombinant tissue plasminogen activator (tPA) is the only approved medication in acute ischemic stroke. However, <20% of all stroke patients receive tPA (Weimar et al, 2006), a situation mainly owed to the narrow treatment time window of 4.5 hours. Another significant limitation of tPA is bleeding-related adverse events. Moreover, as […]

A FIRM Grip on Atrial Fibrillation⁎

American College of Cardiology Foundation: August 7, 2012 Since the seminal paper by Haissaguerre et al. (1) describing the importance of pulmonary vein (PV) triggers in the initiation of paroxysmal atrial fibrillation (AF), PV isolation has become the cornerstone of catheter ablation for AF, demonstrating acceptable results (2). By contrast, reported long-term success rates after catheter […]

Atrial Fibrillation and the Risk of Ischemic Stroke

American Heart Association: August 7, 2012 Background and Purpose—Atrial fibrillation (AF) is an independent risk factor for stroke. Recent studies have demonstrated that the CHA2DS2-VASc scheme is useful for selecting patients who are truly at low risk. The goal of the present study was to compare the risk of ischemic stroke among AF patients with a […]

Bleeding after Initiation of Multiple Antithrombotic Drugs, Including Triple Therapy, in Atrial Fibrillation Patients Following Myocardial Infarction and Coronary Intervention: A Nationwide Cohort Study

American Heart Association: August 6, 2012 Background—Uncertainty remains over optimal antithrombotic treatment of patients with atrial fibrillation (AF) presenting with myocardial infarction (MI) and/or undergoing coronary intervention (PCI). We investigated the risk and time-frame for bleeding following MI/PCI in AF patients according to antithrombotic treatment. Methods and Results—Patients with AF and admitted with MI or for […]

New Oral Anticoagulant Options for Stroke Prevention in Atrial Fibrillation = More Opportunities to Improve our Compliance with Evidence-based Care

American Heart Association: Thursday, Aug. 2, 2012 Atrial fibrillation (AF) is an important cause of stroke and the likely cause of ischemic stroke in 20% of men and 30% of women.1  Cardiac embolism is more likely to result in a major cerebral vessel occlusion, hence the strokes associated with AF more commonly result in severe disability or […]

Anticoagulants in atrial fibrillation patients with chronic kidney disease

Nature Reviews Nephrology (24 July 2012) Atrial fibrillation is an important cause of preventable, disabling stroke and is particularly frequent in patients with chronic kidney disease (CKD). Stage 3 CKD is an independent risk factor for stroke in patients with atrial fibrillation. Warfarin anticoagulation is efficacious for stroke prevention in atrial fibrillation patients with stage 3 […]

New Oral Anticoagulant Options for Stroke Prevention in Atrial Fibrillation

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American Heart Association: Aug 2, 2012 Atrial fibrillation (AF) is an important cause of stroke and the likely cause of ischemic stroke in 20% of men and 30% of women.1  Cardiac embolism is more likely to result in a major cerebral vessel occlusion, hence the strokes associated with AF more commonly result in severe disability or […]

HRS/ACCF Expert Consensus Statement on Pacemaker Device and Mode Selection

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Content.onlinejacc.org:  7/31/12 The most recent American College of Cardiology Foundation/American Heart Association/Heart Rhythm Society (ACCF/AHA/HRS) guidelines related to pacemaker implantation were published as part of a larger document related to device-based therapy (1). While this document provides some comments on pacemaker mode selection and algorithms to guide selection, it does not provide specific recommendations regarding […]

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