A systematic review of perceived barriers and motivators to physical activity after stroke

Onlinelibrary.wiley.com: 9/13/12 Searches identified 73 807 citations of which 57 full articles were retrieved. Six articles were included, providing data on 174 stroke survivors (range 10 to 83 per article). Two reported barriers and motivators, two reported only motivators, and two reported only barriers. Five were qualitative articles and one was quantitative. The most commonly reported barriers […]

Reduced risk of poststroke pneumonia in thrombolyzed stroke patients with continued statin treatment

Onlinelibrary.wiley.com: 9/13/12 Overall, 481 ischemic stroke patients were analyzed. Continued statin use was documented in 17% of the patients. Frequency of pneumonia was 11%. Patients with statin use were less likely to develop poststroke pneumonia (5% vs. 13%, P = 0·04). After multivariable adjustment for known risk factors for poststroke pneumonia (age, stroke severity, dysphagia, male sex and diabetes), […]

Stroke rehab glove combines mental practice and muscle stimulation to improve hand function

Medcitynews.: September 12, 2012 Recovering stroke patients may soon have a new device to help them work on regaining control of their hands without help from a physical therapist. It’s a medical device in the form of a glove, and the company making it wants to actively engage the brains of these patients to help reestablish […]

Cost-effectiveness of apixaban vs warfarin for secondary stroke prevention in atrial fibrillation

Neurology: September 19, 2012 To compare the cost-effectiveness of apixaban vs warfarin for secondary stroke prevention in patients with atrial fibrillation (AF). Methods: Using standard methods, we created a Markov decision model based on the estimated cost of apixaban and data from the Apixaban for Reduction in Stroke and Other Thromboembolic Events in Atrial Fibrillation (ARISTOTLE) trial […]

Review: New oral anticoagulants reduced stroke and systemic embolism compared with warfarin in AF

The American College of Physicians: September 18,  2012, Vol 157, No. 6 Question: In patients with atrial fibrillation (AF), are new oral anticoagulants effective and safe for preventing stroke and systemic embolism compared with warfarin? Review scope: Included studies compared a new, non–vitamin K antagonist oral anticoagulant with warfarin in patients with AF, had > 1 year follow-up, and […]

Atrial Fibrillation (AF or AFib)

Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to stroke and other heart-related complications. Some people refer to AF as a quivering heart. An estimated 2.7 million Americans are living with AF. Here’s how patients have described their experience: “My heart flip-flops, skips beats, and feels […]

Population Approaches to Improve Diet, Physical Activity, and Smoking Habits

American Heart Association: August 20, 2012 Poor lifestyle behaviors, including suboptimal diet, physical inactivity, and tobacco use, are leading causes of preventable diseases globally. Although even modest population shifts in risk substantially alter health outcomes, the optimal population-level approaches to improve lifestyle are not well established. Methods and Results—For this American Heart Association scientific statement, the […]

Heavy alcohol intake and intracerebral hemorrhage Characteristics and effect on outcome

drink

Neurology.org: September 11, 2012 To identify associated factors and influence on long-term outcome of heavy alcohol intake in a large prospective cohort of consecutive patients with a spontaneous intracerebral hemorrhage (ICH). Methods: Between November 2004 and March 2009, we prospectively recruited 562 consecutive adults with a spontaneous ICH. We excluded patients without information on drinking habit (n […]

Lipid profiles and outcome in patients treated by intravenous thrombolysis for cerebral ischemia

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Neurology.org: September 11, 2012 To determine whether low low-density lipoprotein cholesterol (LDL-C) but not high-density lipoprotein cholesterol (HDL-C) and triglyceride concentrations are associated with worse outcome in a large cohort of ischemic stroke patients treated with IV thrombolysis. Methods: Observational multicenter post hoc analysis of prospectively collected data in stroke thrombolysis registries. Because of collinearity between total […]

Serious Cardiac Arrhythmias After Stroke

Incidence, Time Course, and Predictors—A Systematic, Prospective Analysis Stroke.ahajournals.org: September 6, 2012 Patients with acute cerebrovascular events are susceptible to serious cardiac arrhythmias, but data on the time course and the determinants of their onset are scarce. Methods—The prospective Stroke-Arrhythmia-Monitoring-Database (SAMBA) assessed cardiac arrhythmias with need for urgent evaluation and treatment in 501 acute neurovascular patients […]

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