Drivers of Costs Associated With Reperfusion Therapy in Acute Stroke

STROKEAHA: May 13, 2014 Background and Purpose—The Interventional Management of Stroke (IMS) III study tested the effect of intravenous tissue-type plasminogen activator (tPA) alone when compared with intravenous tPA followed by endovascular therapy and collected cost data to assess the economic implications of the 2 therapies. This report describes the factors affecting the costs of the […]

Durability of Class I American College of Cardiology/American Heart Association Clinical Practice Guideline Recommendations

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JAMA: 5/28/14 Importance  Little is known regarding the durability of clinical practice guideline recommendations over time. Objective  To characterize variations in the durability of class I (“procedure/treatment should be performed/administered”) American College of Cardiology/American Heart Association (ACC/AHA) guideline recommendations. Design, Setting, and Participants  Textual analysis by 4 independent reviewers of 11 guidelines published between 1998 and 2007 and […]

Physical Activity and Exercise Recommendations for Stroke Survivors

walkingman

A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association   Purpose—This scientific statement provides an overview of the evidence on physical activity and exercise recommendations for stroke survivors. Evidence suggests that stroke survivors experience physical deconditioning and lead sedentary lifestyles. Therefore, this updated scientific statement serves as an overall guide for practitioners […]

Warfarin-Associated Intracerebral Hemorrhage After Ischemic Stroke

STROKEAHA: May 15, 2014 Background and Purpose—The aim was to investigate the risk of intracerebral hemorrhage (ICH) in patients with ischemic stroke taking warfarin and whether this risk changed over time. Methods—Between 2001 and 2008, the Swedish Stroke Register registered 12 790 patients with ischemic stroke discharged on warfarin. The patients was studied in two 4-year […]

Pretreatment Blood–Brain Barrier Damage and Post-Treatment Intracranial Hemorrhage in Patients Receiving Intravenous Tissue-Type Plasminogen Activator

STROKEAHA: May 15, 2014 Background and Purpose—Early blood–brain barrier damage after acute ischemic stroke has previously been qualitatively linked to subsequent intracranial hemorrhage (ICH). In this quantitative study, it was investigated whether the amount of blood–brain barrier damage evident on pre–tissue-type plasminogen activator MRI scans was related to the degree of post–tissue-type plasminogen activator ICH in […]

Statins Improve Survival in Patients With Cardioembolic Stroke

STROKEAHA: May 6, 2014 Background and Purpose—The objective of this study was to investigate the potential benefits of statin therapy on mortality and stroke recurrence after cardioembolic stroke. Methods—In this retrospective observational study, we analyzed data from 535 patients with first-ever cardioembolic stroke. Patients were classified into nonstatin, low-potency statin, and high-potency statin groups. The primary […]

One half of all African-American women will die from stroke or heart disease.

exceriseing

National Stroke Association: 5/30/14 African-Americans are twice as likely to die from stroke as Caucasians. The rate of first strokes in African-Americans is almost double that of Caucasians, and strokes tend to occur earlier in life for African-Americans than Caucasians. Additionally, African-American stroke survivors are more likely to become disabled and experience difficulties with daily living and activities. […]

Migraine, White Matter Hyperintensities, and Subclinical Brain Infarction in a Diverse Community

STROKEAHA: May 15, 2014 Background and Purpose—Migraine with aura is a risk factor for ischemic stroke. The goals of this study are to examine the association between migraine and subclinical cerebrovascular damage in a race/ethnically diverse older population-based cohort study. Methods—In the Northern Manhattan Study (NOMAS), we quantified subclinical brain infarctions and white matter hyperintensity volumes […]

Trends and Disparities in Stroke Mortality by Region for American Indians and Alaska Natives

American Journal of Public Health: Sep 19, 2013 Objectives. We evaluated trends and disparities in stroke death rates for American Indians and Alaska Natives (AI/ANs) and White people by Indian Health Service region. Methods. We identified stroke deaths among AI/AN persons and Whites (adults aged 35 years or older) using National Vital Statistics System data for 1990 to […]

Fruits and Vegetables Consumption and Risk of Stroke

STROKEAHA: May 8, 2014, Background and Purpose—We conducted a meta-analysis to summarize evidence from prospective cohort studies about the association of fruits and vegetables consumption with the risk of stroke. Methods—Pertinent studies were identified by a search of Embase and PubMed databases to January 2014. Study-specific relative risks with 95% confidence intervals were pooled using a […]

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