Racial differences in albuminuria, kidney function, and risk of stroke

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Neurology.org: September 19, 2012 The objective of this study was to examine the joint associations of estimated glomerular filtration rate (eGFR) and urinary albumin excretion with incident stroke in a large national cohort study. Methods: Associations of urinary albumin to creatinine ratio (ACR) and eGFR with incident stroke were examined in 25,310 participants of the Reasons for […]

Emotional neglect in childhood and cerebral infarction in older age

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Neurology.org: September 19, 2012 The purpose of the study was to test the hypothesis that a higher level of childhood adversity is associated with increased risk of cerebral infarction in old age. Methods: Older participants in a longitudinal clinical–pathologic study rated adverse childhood experiences (e.g., emotional neglect, parental intimidation and violence) on a previously established 16-item scale. […]

Association Between Omega-3 Fatty Acid Supplementation and Risk of Major Cardiovascular Disease Events

A Systematic Review and Meta-analysis Jama.jamanetwork.com: 9/12/12 Objective  To assess the role of omega-3 supplementation on major cardiovascular outcomes. Data Sources  MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials through August 2012. Study Selection  Randomized clinical trials evaluating the effect of omega-3 on all-cause mortality, cardiac death, sudden death, myocardial infarction, and stroke. Data […]

Our Time: A Call to Save Preventable Death From Cardiovascular Disease (Heart Disease and Stroke)

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Worldwide, the aging population, globalization, rapid urbanization, and population growth have fundamentally changed disease patterns. Noncommunicable diseases (NCDs), of which cardiovascular disease (CVD) accounts for nearly half, have overtaken communicable diseases as the world’s major disease burden. CVD remains the No. 1 global cause of death, accounting for 17.3 million deaths per year, a number […]

Population Approaches to Improve Diet, Physical Activity, and Smoking Habits

American Heart Association: August 20, 2012 Poor lifestyle behaviors, including suboptimal diet, physical inactivity, and tobacco use, are leading causes of preventable diseases globally. Although even modest population shifts in risk substantially alter health outcomes, the optimal population-level approaches to improve lifestyle are not well established. Methods and Results—For this American Heart Association scientific statement, the […]

Heavy alcohol intake and intracerebral hemorrhage Characteristics and effect on outcome

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Neurology.org: September 11, 2012 To identify associated factors and influence on long-term outcome of heavy alcohol intake in a large prospective cohort of consecutive patients with a spontaneous intracerebral hemorrhage (ICH). Methods: Between November 2004 and March 2009, we prospectively recruited 562 consecutive adults with a spontaneous ICH. We excluded patients without information on drinking habit (n […]

Lipid profiles and outcome in patients treated by intravenous thrombolysis for cerebral ischemia

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Neurology.org: September 11, 2012 To determine whether low low-density lipoprotein cholesterol (LDL-C) but not high-density lipoprotein cholesterol (HDL-C) and triglyceride concentrations are associated with worse outcome in a large cohort of ischemic stroke patients treated with IV thrombolysis. Methods: Observational multicenter post hoc analysis of prospectively collected data in stroke thrombolysis registries. Because of collinearity between total […]

Serious Cardiac Arrhythmias After Stroke

Incidence, Time Course, and Predictors—A Systematic, Prospective Analysis Stroke.ahajournals.org: September 6, 2012 Patients with acute cerebrovascular events are susceptible to serious cardiac arrhythmias, but data on the time course and the determinants of their onset are scarce. Methods—The prospective Stroke-Arrhythmia-Monitoring-Database (SAMBA) assessed cardiac arrhythmias with need for urgent evaluation and treatment in 501 acute neurovascular patients […]

Female risk factors for subarachnoid hemorrhage A systematic review

Neurology.org: September 5, 2012 To systematically review the literature on female risk factors and risk of SAH. Methods: We searched Medline and EMBASE for articles published between January 1985 and July 2011. For all studies fulfilling the predefined criteria, we obtained risk ratios (RRs) or odds ratios (ORs) with 95% confidence intervals (CIs) for female risk factors. […]

Silent Stroke — Not Listened to Rather Than Silent

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The prevalence of silent brain infarcts varies from 8% to 28% in the general elderly population. Silent brain infarcts are associated with increased risk of subsequent stroke and cognitive dysfunction. By definition, silent strokes lack clinically overt stroke-like symptoms and fail to come to clinical attention; however, impaired recall of symptoms may be a potential […]

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