Guidelines, Therapies
Thursday, December 20th, 2012
AHA: 12/19/12 It is important that the medical profession play a significant role in critically evaluating the use of diagnostic procedures and therapies as they are introduced and tested in the detection, management, or prevention of disease states. Rigorous and expert analysis of the available data documenting absolute and relative benefits and risks of those procedures and therapies can produce helpful guidelines […]
Therapies
Thursday, December 20th, 2012
AHA: December 13, 2012 Background and Purpose—Endovascular treatment has increasingly been used for aneurismal subarachnoid aneurismal hemorrhage. The aim of this analysis is to assess the current evidence regarding safety and efficiency of clipping compared with coiling. Methods—We conducted a meta-analysis of studies that compared clipping with coiling between January 1999 and July 2012. Comparison […]
Therapies
Thursday, December 20th, 2012
AHA: 12/1/12 Since its original description in 1998, the technique of catheter-based atrial fibrillation (AF) ablation has undergone several modifications.1 Currently, many operators use an anatomic approach consisting of circumferential lesions encircling individual or ipsilateral pulmonary veins (PVs) with additional empirical left atrial (LA) ablation (lines), whereas others perform a more PV-specific approach using entrance/exit block […]
Therapies
Thursday, December 20th, 2012
AHA: 12/1/12 Is the Elimination of Triggers Sufficient? Current Controversies in Catheter Ablation of Persistent Atrial Fibrillation A new era of atrial fibrillation (AF) treatment began in 1997–1998 with the discovery that triggers within the pulmonary veins initiate AF and reports that elimination of these triggers is successful in treating AF in its paroxysmal form.1–3 However, […]
Therapies
Thursday, December 20th, 2012
AHJ: 11/21/12 Atrial fibrillation and flutter (AF, collectively) cause stroke. We evaluated whether treating specialty influences warfarin prescription in patients with newly diagnosed AF. Methods In the TREAT-AF study, we used Veterans Health Administration health record and claims data to identify patients with newly diagnosed AF between October 2004 and November 2008 and at least […]
News
Thursday, December 20th, 2012
Neurology: 12/19/12 Objective: To determine the reliability and therapeutic impact of standardized cerebral CT evaluation and quantification of early ischemic changes (EIC) with the Alberta Stroke Program Early CT Score (ASPECTS) by stroke neurologists in the Stroke Eastern Saxony Network (SOS-NET), which provides telemedical consultations for patients with acute ischemic stroke. Methods: Two neuroradiologists re-evaluated all CT scans […]
News
Thursday, December 20th, 2012
Academy Health: 12/19/12 Carotid atherosclerosis results in narrowing of the carotid arteries as plaque builds up along artery walls and at the carotid bifurcation. This narrowing (stenosis) is associated with increased risk of stroke when it progresses into the 50% to 99% range. Carotid endarterectomy (CEA) is a surgical procedure frequently used to reduce the risk of stroke […]
News
Thursday, December 20th, 2012
Nature Reviews Neurology: 12/18/12 Hypertension is a highly prevalent risk factor for stroke and dementia, and is the greatest risk factor for small-vessel disease—a frequent cause of lacunar infarction and intracerebral haemorrhage. Lacunar and cortical strokes contribute to the development of dementia in patients with, and in those without, Alzheimer disease pathology; this relationship between stroke […]
News
Thursday, December 20th, 2012
AHA: 12/18/12 Background and Purpose—Established predictors of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage are large amounts of extravasated blood and poor clinical condition on admission. The predictive value of other factors is uncertain. Methods—We searched MEDLINE (1960–2012) for clinical, laboratory, and radiological predictors routinely available within 72 hours after subarachnoid hemorrhage. The studies were […]
News
Thursday, December 20th, 2012
AHA: 12/13/12 Background and Purpose—To investigate the association of psychosocial distress with risk of stroke mortality and incident stroke in older adults. Methods—Data were from the Chicago Health and Aging Project, a longitudinal population-based study conducted in 3 contiguous neighborhoods on the south side of Chicago, IL. Participants were community-dwelling black and non-Hispanic white adults, […]
