Analysis of a Coordinated Stroke Center and Regional Stroke Network on Access to Acute Therapy and Clinical Outcomes

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American Heart Association: November 13, 2012 Background and Purpose—Compare access and outcomes in a tertiary care community hospital (Saint Luke’s Neuroscience Institute) and its stroke network to hospitals in 3 national databases. Methods—Retrospective analysis of ischemic stroke patients (2005, 2007, 2010) in Saint Luke’s (n=1576), Get With The Guidelines-Stroke (n=423 809), Premier (n=91 598), and Merci […]

Lifestyle Risk Factors for Ischemic Stroke and Transient Ischemic Attack in Young Adults in the Stroke in Young Fabry Patients Study

American Heart Association: November 13, 2012 Background and Purpose—Although many stroke patients are young or middle-aged, risk factor profiles in these age groups are poorly understood. Methods—The Stroke in Young Fabry Patients (sifap1) study prospectively recruited a large multinational European cohort of patients with cerebrovascular events aged 18 to 55 years to establish their prevalence of […]

Autoimmune disease linked to pregnancy loss, stroke more often than you’d expect

Medicalxpress: November 11, 2012   For years, researchers have known that antiphospholipid antibodies (aPLs) can cause pregnancy loss and clotting, but they haven’t known the true scope of the problem. Now a new study provides the first estimates of the prevalence of these antibodies in patients suffering from pregnancy loss, stroke, myocardial infarction, and deep vein […]

A novel clinical and imaging based score for predicting outcome prior to endovascular treatment of acute ischemic stroke

Society of NeuroInterventional Surgery: 11/10/12 Introduction Outcome after stroke intervention remains disappointing, with only 30–50% of patients having a good outcome at 90 days. We sought to identify important outcome prognosticators. Methods All consecutive patients that presented with an acute anterior circulation ischemic stroke, with adequate CT perfusion imaging, and that underwent emergency endovascular treatment at two centers between […]

High Blood Pressure, Physical and Cognitive Function, and Risk of Stroke in the Oldest Old

American Heart Association: November 6, 2012 Background—Epidemiological studies have shown mixed findings on the association between hypertension and stroke in the oldest old. Heterogeneity of the populations under study may underlie variation in outcomes. We examined whether the level of physical and cognitive function moderates the association between blood pressure and stroke. Methods—We included 513 subjects […]

Prevalence of Major Cardiovascular Risk Factors and Cardiovascular Diseases Among Hispanic/Latino Individuals of Diverse Backgrounds in the United States

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JAMA: 11/7/12 Major cardiovascular diseases (CVDs) are leading causes of mortality among US Hispanic and Latino individuals. Comprehensive data are limited regarding the prevalence of CVD risk factors in this population and relations of these traits to socioeconomic status (SES) and acculturation. Objectives  To describe prevalence of major CVD risk factors and CVD (coronary heart […]

Stroke Is Predicted by Low Visuospatial in Relation to Other Intellectual Abilities and Coronary Heart Disease by Low General Intelligence

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PLOS One: 11/7/12 Low intellectual ability is associated with an increased risk of coronary heart disease and stroke. Most studies have used a general intelligence score. We studied whether three different subscores of intellectual ability predict these disorders. Methods We studied 2,786 men, born between 1934 and 1944 in Helsinki, Finland, who as conscripts at […]

Timing of Stroke in Patients Undergoing Total Hip Replacement and Matched Controls

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AHA Journals: 11/6/12 Background and Purpose—Stroke is a potentially fatal complication of total hip replacements (THR). However, timing of stroke in THR patients compared with matched controls and influence of drug use remain unknown. The objective of this study was to determine timing of stroke in patients with THR compared with matched control subjects. Methods—A nationwide […]

Insomnia and Risk of Cardiovascular Disease

Abstracts Online: 11/4/12 Objective: Although accumulating evidence shows sleep disorders may increase the risk of cardiovascular disease, the association is not consistent. We investigated the association between insomnia and the risk of development of acute myocardial infarction (AMI) and/or ischemic stroke by using a nationwide, population-based cohort database in Taiwan. Methods: Our analyses were conducted using information from […]

Do-not-resuscitate orders, quality of care, and outcomes in veterans with acute ischemic stroke

Neurology: 10/24/12 Objective: There is concern that do-not-resuscitate (DNR) orders may lead to stroke patients receiving less aggressive treatment and poorer care. Our objectives were to assess the relationship between DNR orders and quality of stroke care among veterans. Methods: A cohort of 3,965 acute ischemic stroke patients admitted to 131 Veterans Health Administration (VHA) facilities in fiscal […]

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