Association of baseline dyslipidemia with stroke recurrence within five-years after ischemic stroke

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Wiley: 8/4/14 Background and purpose The association between dyslipidemia (DL) and stroke recurrence is unclear, but may be influenced by different subtypes of stroke. This study aims to explore whether DL contributes to the recurrence of certain subtypes of ischemic stroke. Methods Data from the Ege Stroke Registry was examined, and five-years follow-up data for […]

Outcome in patients admitted outside regular hospital working hours: Does time until regular working hours matter?

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Wiley: 8/4/14 Aims The aim of this study was to investigate whether stratifying patients according to the time period from admission to the start of regular working hours would help detect a weekend effect in acute stroke patients. Methods Ischemic stroke patients admitted between October 2002 and March 2012 were analyzed. Working hours were defined […]

Prevalence of Coronary Heart Disease or Stroke Among Workers Aged <55 Years — United States, 2008–2012

CDC: August 1, 2014 Cardiovascular disease accounts for one in three deaths in the United States each year, and coronary heart disease and stroke account for most of those deaths (1). To try to prevent 1 million heart attacks and strokes by 2017, the U.S. Department of Health and Human Services launched the Million Hearts […]

Systolic Blood Pressure Levels Among Adults With Hypertension and Incident Cardiovascular Events

JAMA: August 2014 Importance  Studies document a progressive increase in heart disease risk as systolic blood pressure (SBP) rises above 115 mm Hg, but it is unknown whether an SBP lower than 120 mm Hg among adults with hypertension (HTN) lowers heart failure, stroke, and myocardial infarction risk. Objective  To examine the risk of incident cardiovascular (CV) […]

Loss of the Mexican American Survival Advantage After Ischemic Stroke

STROKEAHA:  July 29, 2014 Background and Purpose—Mexican Americans (MAs) were previously found to have lower mortality after ischemic stroke than non-Hispanic whites. We studied mortality trends in a population-based design. Methods—Active and passive surveillance were used to find all ischemic stroke cases from January 2000 to December 2011 in Nueces County, TX. Deaths were ascertained […]

Long-Term Mortality After First-Ever and Recurrent Stroke in Young Adults

STROKEAHA: July 24, 2014 Background and Purpose—Mortality after first-ever stroke, and particularly after recurrent stroke, and predictors of long-term mortality among young and middle-aged stroke patients are not well-known. We assessed 17-year risk of mortality with focus on the effect of recurrence on the risk of death of young and middle-aged patients with stroke. Methods—Mortality and […]

Impact of transient ischaemic attack and minor stroke on daily life

IJTR: 03 Jul 2014 Background: The aim of this study was to identify functional, emotional and cognitive problems following transient ischaemic attack (TIA) and minor stroke (mS). Methods: Participants were recruited from patients who were attending a TIA and minor stroke clinic. A control group of healthy adults was recruited through community groups. Participants were asked […]

The Affordable Care Act and Stroke

STROKEAHA: July 1, 2014 The Patient Protection and Affordable Care Act (ACA) was enacted on March 23, 2010, and has important implications for stroke care. The ACA is a comprehensive reform, although the signature component is the expansion of health insurance primarily by expanding Medicaid eligibility and by providing subsidies for consumers to purchase private insurance […]

Brachial-Ankle Pulse Wave Velocity for Predicting Functional Outcome in Acute Stroke

STROKEAHA: June 26, 2014 Background and Purpose—We investigated whether the brachial-ankle pulse wave velocity (baPWV) has prognostic value for predicting functional outcome after acute cerebral infarction and whether the prognostic value differs between stroke subtypes. Methods—We included 1091 consecutive patients with first-ever acute cerebral infarction who underwent baPWV measurements. Stroke subtypes were classified using the Trial […]

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 […]

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