Carotid Endarterectomy in Asymptomatic Patients With Limited Life Expectancy

Stroke.ahajournals.org: May 1, 2012. Background and Purpose—Data from randomized trials assert that asymptomatic patients undergoing carotid endarterectomy (CEA) must live 3 to 5 years to realize the benefit of surgery. We examined how commonly CEA is performed among asymptomatic patients with limited life expectancy. Methods—Within the American College of Surgeons National Quality Improvement Project we identified […]

Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions

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A Systematic Review to Update the U.S. Preventive Services Task Force Recommendations Uspreventiveservicestaskforce.org: May 2012 Background: Menopausal hormone therapy to prevent chronic conditions is currently not recommended because of its adverse effects. Purpose: To update evidence about the effectiveness of hormone therapy in reducing risk for chronic conditions and adverse effects, and to examine whether outcomes vary among […]

Prevalence of Stroke — United States, 2006–2010

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Cdc.gov: May 25, 2012 / 61(20);379-382. In 2008, mortality from stroke was the fourth leading cause of death in the United States, and stroke was a leading cause of long-term severe disability (1). Nearly half of older stroke survivors experience moderate to severe disability (2). Care for stroke survivors cost an estimated $18.8 billion in the […]

Inclusion of Stroke in Cardiovascular Risk Prediction Instruments

Stroke.ahajournals.org: May 24, 2012. Background and Purpose—Current US guideline statements regarding primary and secondary cardiovascular risk prediction and prevention use absolute risk estimates to identify patients who are at high risk for vascular disease events and who may benefit from specific preventive interventions. These guidelines do not explicitly include patients with stroke, however. This statement provides […]

Low Dietary Vitamin D Predicts 34-Year Incident Stroke

The Honolulu Heart Program Stroke.ahajournals.org: May 24, 2012.   Background and Purpose—Vitamin D deficiency has been reported to contribute to the risk of cardiovascular disease, especially stroke. We examined the relationship between dietary vitamin D intake and 34-year incident stroke. Methods—The Honolulu Heart Program is a prospective population-based cohort study of 8006 Japanese-American men in Hawaii […]

Challenges in Assessing Hospital-Level Stroke Mortality as a Quality Measure

Stroke.ahajournals.org: April 24, 2012. Background and Purpose—Public reporting efforts currently profile hospitals based on overall stroke mortality rates, yet the “mix” of hemorrhagic and ischemic stroke cases may impact this rate. Methods—Using the 2005 to 2006 New York state data, we examined the degree to which hospital stroke mortality rankings varied regarding ischemic versus hemorrhagic versus […]

Trends in CVD and Stroke Mortality

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Networking.americanheart.org: 5/24/2012. Heart diseases and stroke, the number 1 and 4 leading causes of death in the United States, kill over 810,000 people every year. Even though death rates have been decreasing, disparities in the rate of decline among subpopulations and resulting disabilities from heart diseases and stroke are still issues to be addressed. Achieving ideal […]

Ideal Cardiovascular Health Predicts Lower Risks of Myocardial Infarction, Stroke, and Vascular Death across Whites, Blacks and Hispanics: the Northern Manhattan Study

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Circ.ahajournals.org: 5/22/2012. Background—Evidence regarding the relationship of cardiovascular health (CVH) defined by the American Heart Association (AHA) and specific cardiovascular outcomes is lacking, particularly among Hispanics. This study sought to evaluate the relationship between the number of ideal CVH metrics and cardiovascular risk, overall and by event subtype, in a multiethnic community-based prospective cohort. Methods and […]

Posttraumatic Stress Disorder and Adherence to Medications in Survivors of Strokes and Transient Ischemic Attacks

Stroke.ahajournals.org: May 22, 2012. Background and Purpose—Posttraumatic stress disorder (PTSD) can be triggered by life-threatening medical events such as strokes and transient ischemic attacks (TIAs). Little is known regarding how PTSD triggered by medical events affects patients’ adherence to medications. Methods—We surveyed 535 participants, age ≥40 years old, who had at least 1 stroke or TIA […]

CDC Celebrates Asian American & Pacific Islander Heritage

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May is Asian American & Pacific Islander Heritage Month! Cdc.gov: May 7, 2012. In 1978, a joint congressional resolution established Asian/Pacific American Heritage Week. The first 10 days of May were chosen to coincide with two important milestones in Asian/Pacific American history: the arrival in the United States of the first Japanese immigrants (May 7, […]

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