In-hospital cardiac complications after intracerebral hemorrhage

Wiley: 9/5/13 Data on cardiac complications and their precipitants after intracerebral hemorrhage are scarce. We examined the frequency and risk factors for serious in-hospital cardiac events in a large cohort of consecutive intracerebral hemorrhage patients. Methods A retrospective chart review of 1013 consecutive patients with nontraumatic intracerebral hemorrhage treated at the Helsinki University Central Hospital (2005–2010). […]

Variation in Risk Factors for Recent Small Subcortical Infarcts With Infarct Size, Shape, and Location

STROKEAHA: September 5, 2013 Background and Purpose—Lacunar infarction is attributable to a perforating arteriolar abnormality. Possible causes include embolism, atheromatosis, or intrinsic disease. We examined whether the size, shape, or location of the lacunar infarct varied with embolic sources, systemic atheroma, or vascular risk factors. Methods—We examined data from 3 prospective studies of patients with clinical […]

Preventable Deaths from Heart Disease & Stroke

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CDC: September 2013 At least 200,000 deaths from heart disease and stroke each year are preventable.* 6 in 10 More than half of preventable heart disease and stroke deaths happen to people under age 65. 2x Blacks are nearly twice as likely as whites to die from preventable heart disease and stroke. Nearly 1 in […]

Impact of Both Ends of the Hemoglobin Range on Clinical Outcomes in Acute Ischemic Stroke

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STROKEAHA: September 3, 2013 Background and Purpose—Although both ends of the hemoglobin range may negatively influence clinical outcomes in acute ischemic stroke, most studies have examined the linear relationship or focused on the lower end of the range. Furthermore, it is unclear whether hemoglobin concentrations at different time points during hospitalization correlate with clinical outcomes in […]

Cholesterol Level and Stroke A Complex Relationship

JAMA: 9/2/13 Identification of the role that plasma lipid components play in the pathogenesis of ischemic heart disease is one of the major successes of biomedical research in the 20th century. It has led to successful public health and individual-level interventions for lowering cholesterol levels as part of the strategy for prevention of ischemic heart disease. […]

Low Glomerular Filtration Rate, Recurrent Stroke Risk, and Effect of Renin–Angiotensin System Modulation

STROKEAHA: August 29, 2013   Background and Purpose—To investigate the association of low estimated glomerular filtration rate (eGFR) <60 mL/min with recurrent stroke risk and to evaluate whether add-on renin–angiotensin system modulator therapy is associated with lower recurrent stroke risk in patients with low eGFR. Methods—We analyzed the database of a multicenter trial involving 18 666 […]

Neuroanatomy of space, body, and posture perception in patients with right hemisphere stroke

Neurology: August 28, 2013 Objective: To specify the neuroanatomical correlates of biases in the representations of the gravitational vertical (subjective vertical [SV]) and body axis (subjective straight ahead [SSA]), as well as postural difficulties, in patients with hemispheric stroke. Methods: The analysis focused on right hemisphere lesions in 21 neglect patients and 21 non-neglect patients (using MRIcro software) […]

Test Accuracy of Short Screening Tests for Diagnosis of Delirium or Cognitive Impairment in an Acute Stroke Unit Setting

STROKEAHA: August 29, 2013 Background and Purpose—Guidelines recommend cognitive screening in acute stroke. Various instruments are available, with no consensus on a preferred tool. We aimed to describe test accuracy of brief screening tools for diagnosis of cognitive impairment and delirium in acute stroke. Methods—We collected data on sequential stroke unit admission in a single center. […]

Quantitative Analysis of Hypoperfusion in Acute Stroke

STROKEAHA: August 29, 2013 Background and Purpose—This study compares the concordance between arterial spin labeling (ASL) and dynamic susceptibility contrast (DSC) for the identification of regional hypoperfusion and diffusion-perfusion mismatch tissue classification using a quantitative method. Methods—The inclusion criteria for this retrospective study were as follows: patients with acute ischemic syndrome with symptom onset <24 hours […]

Sex Differences in the Use of Early Do-Not-Resuscitate Orders After Intracerebral Hemorrhage

STROKEAHA: August 27, 2013 Background and Purpose—Studies show that women are more likely to receive do-not-resuscitate (DNR) orders after acute medical illnesses than men. However, the sex differences in the use of DNR orders after acute intracerebral hemorrhage (ICH) have not been described. Methods—We conducted a retrospective study of consecutive patients hospitalized for acute ICH at […]

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