Impact of a Stroke Recovery Program Integrating Modified Cardiac Rehabilitation on All-Cause Mortality, Cardiovascular Performance and Functional Performance.

Impact of a Stroke Recovery Program Integrating Modified Cardiac Rehabilitation on All-Cause Mortality, Cardiovascular Performance and Functional Performance. Am J Phys Med Rehabil. 2019 Nov;98(11):953-963 Authors: Cuccurullo SJ, Fleming TK, Kostis WJ, Greiss C, Gizzi MS, Eckert A, Ray AR, Scarpati R, Cosgrove NM, Beavers T, Cabrera J, Sargsyan D, Kostis JB Abstract OBJECTIVE: Using a feasibility analysis and matched subgroup analysis, this study investigated the implementation/safety/outcomes of a stroke recovery program (SRP) integrating modified cardiac rehabilitation for stroke survivors. DESIGN: This prospective cohort study of 783 stroke survivors were discharged from an inpatient rehabilitation facility to an outpatient setting; 136 SRP-participants completed a feasibility study and received the SRP including modified cardiac rehabilitation, 473 chose standard of care rehabilitation (nonparticipants), and a group (n = 174) were excluded. The feasibility study assessed the following: safety/mortality/pre-post cardiovascular performance/pre-post function/patient/staff perspective. In addition to the feasibility study, a nonrandomized subgroup analysis compared SRP-participants (n = 76) to matched pairs of nonparticipants (n = 66, with 10 nonparticipants used more than once) for mortality/pre-post function. RESULTS: The feasibility study showed the SRP to have the following (a) excellent safety, (b) markedly low 1-yr poststroke mortality fr...
Source: Health Physics - Category: Physics Authors: Tags: Am J Phys Med Rehabil Source Type: research

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Authors: Leal T, Costa D, Gonçalves R Abstract A 74 year-old male patient was admitted to the emergency department due to diarrhea of a one-month duration. The patient had 5 to 7 bowel movements/day of liquid stool, without blood or mucus. He had also undergone a percutaneous endoscopic gastrostomy (PEG) tube placement 10 weeks previously due to post-stroke dysphagia, with endoscopic confirmation of its correct positioning. A course of antibiotics had already been prescribed and there was no improvement of the symptoms. PMID: 31729231 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
Publication date: Available online 16 November 2019Source: Journal of EthnopharmacologyAuthor(s): Mallappa H. Shalavadi, V.M. Chandrashekhar, I.S. MuchchandiAbstractEthnopharmacological relevanceConvolvulus pluricaulis Choisy commonly known as Shankhapushpi, is traditionally prescribed for nerve debility, loss of memory, epilepsy and as nervine tonic. Plant also proved to have diverse pharmacological activity but the neuroprotection in ischemic stroke were not found.Aim of the studyTo investigate the effect of Convolvulus pluricaulis against bilateral common carotid artery (BCCA) occlusion induced cerebral ischemic reperfu...
Source: Journal of Ethnopharmacology - Category: Drugs & Pharmacology Source Type: research
Publication date: Available online 15 November 2019Source: Canadian Journal of CardiologyAuthor(s): Adam W. Powell, Clifford Chin, Tarek Alsaied, Harry B. Rossiter, Samuel Wittekind, Wayne A. Mays, Adam Lubert, Gruschen VeldtmanABSTRACTBackgroundExercise limitation is almost universal among Fontan patients. Identifying unique clinical features in the small fraction of Fontan patients with normal exercise capacity (high capacity Fontan, HCF) provides potential to inform clinical strategies for those with low exercise capacity (usual Fontan, UF).MethodsWe performed a retrospective chart review of all single ventricle patient...
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research
This study sought to describe a single center's experience with transcatheter mitral valve-in-valve (TM-ViV) implantation. METHODS: Consecutive patients who had TM-ViV due to degenerative biological valve prosthesis at a single center during a 4-year period were identified from a prospectively maintained database. Operative outcomes were assessed both in-hospital and at 30 days. The primary outcome was in-hospital mortality. Secondary outcomes included valve function, functional status, and quality of life at follow-up. RESULTS: Mean (± standard deviation) patient age was 69 ± 12 years and all patient...
Source: The Journal of Invasive Cardiology - Category: Cardiology Tags: J Invasive Cardiol Source Type: research
Long-awaited study results may finally settle the question of when to use stents and bypass surgery in patients with stable heart disease, showing that drugs work equally as well in preventing heart attacks, strokes and heart-related death.
Source: Washington Post: To Your Health - Category: Consumer Health News Authors: Source Type: news
HIGH blood pressure is a common condition that many people are unaware they even have. However, left untreated, it could cause serious health complications including heart attack or stroke. Fortunately, there are certain things one can do to lower their blood pressure and this relaxing and easy to do activity has been proven to help.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Conclusions: DDAVP was associated with a decreased likelihood of intracranial hemorrhage expansion during the first 24 hours. DDAVP administration did not significantly affect serum sodium and thrombotic events during the study period.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research
This article proposes a conceptual model of functional symptoms identified in stroke services and some hypotheses based on a narrative review of the functional neurological disorder literature. Predisposing factors may include illness experiences, stressors, and chronic autonomic nervous system arousal. Following the onset of distressing symptoms, perpetuating factors may include implicit cognitive processes, classical and operant conditioning, illness beliefs, and behavioral responses, which could form the basis of treatment targets. The proposed model will inform the development of theory-based interventions as well as a...
Source: Journal of Neuropsychiatry and Clinical Neurosciences - Category: Psychiatry Tags: J Neuropsychiatry Clin Neurosci Source Type: research
Insomnia symptoms make a person more likely to develop stroke, heart attack, and similar diseases, finds an extensive Chinese study.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Sleep / Sleep Disorders / Insomnia Source Type: news
ConclusionsA portable gamma-camera could be a useful and feasible tool for the diagnosis of BD.ResumenObjetivoEvaluar la factibilidad del empleo de la minigammacámara portátil Sentinella®, para el diagnóstico de muerte encefálica (ME).DiseñoEstudio observacional, prospectivo, de factibilidad.ÁmbitoUnidad de cuidados intensivos de un hospital de tercer nivel.PacientesDesde enero a diciembre de 2017 se registraron de forma consecutiva los pacientes mayores de edad que tras su ingreso en unidad de cuidados intensivos fueron diagnosticados de ME según criterios clínic...
Source: Medicina Intensiva - Category: Intensive Care Source Type: research
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