Emotional neglect in childhood and cerebral infarction in older age

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Neurology.org: September 19, 2012 The purpose of the study was to test the hypothesis that a higher level of childhood adversity is associated with increased risk of cerebral infarction in old age. Methods: Older participants in a longitudinal clinical–pathologic study rated adverse childhood experiences (e.g., emotional neglect, parental intimidation and violence) on a previously established 16-item scale. […]

Association Between Omega-3 Fatty Acid Supplementation and Risk of Major Cardiovascular Disease Events

A Systematic Review and Meta-analysis Jama.jamanetwork.com: 9/12/12 Objective  To assess the role of omega-3 supplementation on major cardiovascular outcomes. Data Sources  MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials through August 2012. Study Selection  Randomized clinical trials evaluating the effect of omega-3 on all-cause mortality, cardiac death, sudden death, myocardial infarction, and stroke. Data […]

Our Time: A Call to Save Preventable Death From Cardiovascular Disease (Heart Disease and Stroke)

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Worldwide, the aging population, globalization, rapid urbanization, and population growth have fundamentally changed disease patterns. Noncommunicable diseases (NCDs), of which cardiovascular disease (CVD) accounts for nearly half, have overtaken communicable diseases as the world’s major disease burden. CVD remains the No. 1 global cause of death, accounting for 17.3 million deaths per year, a number […]

Minimally Invasive Surgery for Spontaneous Supratentorial Intracerebral Hemorrhage

American Heart Association: September 18, 2012 There has been a nonstandard surgical procedure and extensive international controversy in minimally invasive surgery (MIS) for the management of spontaneous supratentorial intracerebral hemorrhage. This meta-analysis assessed the effectiveness of MIS as compared with other treatment options, including conservative medical treatment and conventional craniotomy, in patients with supratentorial intracerebral hemorrhage. […]

Citicoline did not improve recovery at 90 days after moderate-to-severe acute ischemic stroke

Annals.org: September 18, 2012 Patients: 2298 adults ≥ 18 years of age (mean age 73 y, 50% women) who had acute ischemic stroke referable to the middle cerebral artery territory with compatible neuroimaging; symptom onset within 24 hours; score ≥ 8 on the National Institutes of Health Stroke Scale (NIHSS), of which ≥ 2 points were from sections 5 and […]

CT Interpretation in a Telestroke Network

American Heart Association: September 13, 2012 The American Stroke Association guidelines emphasized the need for further high-quality studies that assess agreement by radiologists and nonradiologists engaged in emergency telestroke assessments and decision-making. Therefore, the objective of this study was to determine the level of agreement of baseline brain CT scan interpretations of patients with acute stroke […]

Detailed Analysis of Periprocedural Strokes in Patients Undergoing Intracranial Stenting in Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS)

American Heart Association: September 13, 2012 Enrollment in the Stenting and Aggressive Medical Management for Preventing Recurrent stroke in Intracranial Stenosis (SAMMPRIS) trial was halted due to the high risk of stroke or death within 30 days of enrollment in the percutaneous transluminal angioplasty and stenting arm relative to the medical arm. This analysis focuses on […]

A Randomized Comparison of Pulmonary Vein Isolation With Versus Without Concomitant Renal Artery Denervation in Patients With Refractory Symptomatic Atrial Fibrillation and Resistant Hypertension

American College of Cardiology Foundation: 9/1/12. Objectives  The aim of this prospective randomized study was to assess the impact of renal artery denervation in patients with a history of refractory atrial fibrillation (AF) and drug-resistant hypertension who were referred for pulmonary vein isolation (PVI). Background  Hypertension is the most common cardiovascular condition responsible for the development and maintenance […]

Are Stroke Drugs Better Than Stents?

Online.wsj.com: By THOMAS M. BURTON, 9/18/12 Research that suggests prescription drugs are as good or better at preventing strokes than interventional procedures is prompting a range of leading doctors to recommend against carotid surgery and carotid stent implants in most patients who haven’t had stroke symptoms. The shift has broad implications for large medical-device makers, including Abbott Laboratories, ABT +0.17% Boston Scientific Corp., BSX -0.17% Johnson […]

Transitional Care After Hospitalization for Acute Stroke

or Myocardial Infarction: A Systematic Review The American College of Physicians: 9/18/12 Transitional care is a time-limited service to prevent discontinuous care and adverse outcomes, including rehospitalization. Purpose: To describe transitional care interventions and evidence of benefit or harm in patients hospitalized for acute stroke or myocardial infarction (MI). Data Sources: Cumulative Index to Nursing and Allied Health Literature, […]

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