Stroke Prevention in Women: Synopsis of the 2014 American Heart Association/American Stroke Association Guideline

Annals – Clinical Guidelines | 17 June 2014 Description: In February 2014, the American Heart Association/American Stroke Association released their first guideline focused on stroke prevention in women. This new guideline highlights unique risk factors for stroke in women, including oral contraception and hormone therapy, and pregnancy-associated disorders, such as preeclampsia, that may have long-lasting consequences on a woman’s health. It […]

Stroke Mortality Rates Vary in Local Communities in a Metropolitan Area

AHA – STROKEAH: May 29, 2014 Background and Purpose—For the past decade, stroke has held steady as one of the top 4 leading causes of death in the United States. Aggregated data provide information about how the country or individual states are faring with respect to stroke mortality, but disaggregation provides data that may facilitate targeted […]

Assessing the Performance of the Framingham Stroke Risk Score in the Reasons for Geographic and Racial Differences in Stroke Cohort

STROKEAHA:  April 15, 2014 Background and Purpose—The most well-known stroke risk score is the Framingham Stroke Risk Score (FSRS), which was developed during the higher stroke risk period of the 1990s and has not been validated for blacks. We assessed the performance of the FSRS among participants in the Reasons for Geographic and Racial Differences […]

ACC/AHA 2013 Methodology for Developing Clinical Data Standards: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards

AHA – Circulation: November 15, 2013 The use of standardized language is essential for all communication in medicine, with the ultimate goal of improved patient care. This is the driving force for enhanced use of clinical data and standardization of the lexicon of cardiovascular medicine to enhance the use of clinical data. The American College of Cardiology […]

Durability of Class I American College of Cardiology/American Heart Association Clinical Practice Guideline Recommendations

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JAMA: 5/28/14 Importance  Little is known regarding the durability of clinical practice guideline recommendations over time. Objective  To characterize variations in the durability of class I (“procedure/treatment should be performed/administered”) American College of Cardiology/American Heart Association (ACC/AHA) guideline recommendations. Design, Setting, and Participants  Textual analysis by 4 independent reviewers of 11 guidelines published between 1998 and 2007 and […]

One half of all African-American women will die from stroke or heart disease.

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National Stroke Association: 5/30/14 African-Americans are twice as likely to die from stroke as Caucasians. The rate of first strokes in African-Americans is almost double that of Caucasians, and strokes tend to occur earlier in life for African-Americans than Caucasians. Additionally, African-American stroke survivors are more likely to become disabled and experience difficulties with daily living and activities. […]

Migraine, White Matter Hyperintensities, and Subclinical Brain Infarction in a Diverse Community

STROKEAHA: May 15, 2014 Background and Purpose—Migraine with aura is a risk factor for ischemic stroke. The goals of this study are to examine the association between migraine and subclinical cerebrovascular damage in a race/ethnically diverse older population-based cohort study. Methods—In the Northern Manhattan Study (NOMAS), we quantified subclinical brain infarctions and white matter hyperintensity volumes […]

Trends and Disparities in Stroke Mortality by Region for American Indians and Alaska Natives

American Journal of Public Health: Sep 19, 2013 Objectives. We evaluated trends and disparities in stroke death rates for American Indians and Alaska Natives (AI/ANs) and White people by Indian Health Service region. Methods. We identified stroke deaths among AI/AN persons and Whites (adults aged 35 years or older) using National Vital Statistics System data for 1990 to […]

Fruits and Vegetables Consumption and Risk of Stroke

STROKEAHA: May 8, 2014, Background and Purpose—We conducted a meta-analysis to summarize evidence from prospective cohort studies about the association of fruits and vegetables consumption with the risk of stroke. Methods—Pertinent studies were identified by a search of Embase and PubMed databases to January 2014. Study-specific relative risks with 95% confidence intervals were pooled using a […]

Predicting Symptomatic Intracerebral Hemorrhage Versus Lacunar Disease in Patients With Longstanding Hypertension

STROKEAHA: May 8, 2014 Background and Purpose—Hypertension results in a spectrum of subcortical cerebrovascular disease. It is unclear why some individuals develop ischemia and others develop hemorrhage. Risk factors may differ for each population. We identify factors that predispose an individual to subcortical symptomatic intracerebral hemorrhage (sICH) compared with ischemia. Methods—Demographic and laboratory data were prospectively collected […]

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