Evidence for Stroke Family Caregiver and Dyad Interventions

AHA- STR: July 17, 2014 Abstract Stroke is a leading cause of severe, long-term disability. Most stroke survivors are cared for in the home by a family caregiver. Caregiver stress is a leading cause of stroke survivor institutionalization, which results in significant costs to the healthcare system. Stroke family caregiver and dyad intervention studies have […]

Overenthusiastic stroke risk factor modification in the over-80s: Are we being disingenuous to ourselves, and to our oldest patients?

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Evid Based Med: March 10, 2014 Statins and antihypertensive therapy are widely used in our oldest patients (ie, those aged over 80 years). The epidemiology suggests that, by this age, hypertension is not an attributable risk factor for stroke, and hypercholesterolaemia has little effect on stroke risk overall. The largest trials of antihypertensive therapy and statins […]

Benign neoplasm of the heart increases the risk of first ischemic stroke: a population-based cohort study

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International Journal of Stroke: 23 JUL 2014 Conflict of interest: The individual and collective authors have no conflicts of interest or financial disclosures to declare. Funding: This work was supported by the study projects DMR-103-018 and DMR-102-023 at our hospital, the Taiwan Ministry of Health and Welfare Clinical Trial and Research Center of Excellence (MOHW103-TDU-B-212-113002), […]

Pathogenetical Subtypes of Recurrent Intracerebral Hemorrhage Designations by SMASH-U Classification System

STROKEAHA: July 22, 2014 Background and Purpose—Pathogenetic classification of intracerebral hemorrhage (ICH), using systems such as SMASH-U (structural vascular lesions, medication, cerebral amyloid angiopathy [CAA], systemic disease, hypertension, or undetermined), is important in predicting functional outcomes and mortality in patients with ICH. This study aimed to compare pathogenetic subtypes between the first and recurrent ICH. […]

P-Wave Morphology and the Risk of Incident Ischemic Stroke in the Multi-Ethnic Study of Atherosclerosis

STROKEAHA: July 22, 2014 Background and Purpose—Emerging data suggest that left atrial disease may cause ischemic stroke in the absence of atrial fibrillation or flutter (AF). If true, this condition may provide a cause for many strokes currently classified as cryptogenic. Methods—Among 6741 participants in the Multi-Ethnic Study of Atherosclerosis who were free of clinically apparent […]

Prevalence of vertebral artery origin stenosis in a multirace-ethnic posterior circulation stroke cohort: Miami Stroke Registry (MIAMISR)

Wiley: 18 JUL 2014 Background Vertebral artery origin stenosis is an important etiology for stroke in the posterior circulation. Data from the Oxford Vascular Study and New England Registry show a prevalence of vertebral artery origin disease of 26–32%. These populations are largely comprised of Caucasians. The prevalence of vertebral artery origin disease in multirace-ethnic […]

Risk Predictors of Stroke and Mortality Following Ablation For Atrial Fibrillation: the California experience 2005-2009

Heart Rhythm Journal: July 15, 2014 Background Ablation (ABL) is a second line therapy for the management of atrial fibrillation (AF). Single center studies have demonstrated the safety and efficacy of ABL, however the low event rates render it difficult to assess predictors of major adverse events. Objectives To determine the population-based incidence of data and […]

Mapping of Focal Atrial Tachycardia with an Un-Interpretable Activation Map Following Extensive Atrial Ablation: Tricks and Tips

AHA- CIRCEP.: July 13, 2014 Background—Atrial tachycardias (ATs) following extensive ablation are increasingly common and challenging arrhythmias. The prolonged intra-atrial conduction time (IACT) during ATs in the milieu may complicate the mapping of focal ATs. The present study characterized the electrophysiological features of ATs in this unique setting and to further delineate an effective mapping strategy. […]

Risk of New-Onset Atrial Fibrillation and Stroke after Radiofrequency Ablation of Isolated Typical Atrial Flutter

Heart Rhythm journal: July 01, 2014 Background Radiofrequency ablation (RFA) is considered a curative procedure for typical atrial flutter (AFL), however, patients remain at risk for developing new atrial fibrillation (AF). Objective We sought to determine the incidence and predictors of new-onset AF and stroke after RFA of isolated AFL in a multicenter cohort. Read More

Prognostic Value of Atrial Fibrillation Inducibility Following Right Atrial Flutter Ablation

Heartrhythmjournal: June 27, 2014 Background Patients with typical right atrial flutter (AFL) may also have underlying atrial fibrillation (AF) or be at high risk of developing AF. Inducibility of AF among patients undergoing AFL ablation may be an important predictor of future occurrence of AF and may be useful in guiding management of this patient population. […]

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