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Therapeutic Dilemma of Wake-up Stroke: Clinical and Brain Imaging Characteristics and Reperfusion as a Treatment Option
Conclusions: Only minor dissimilarities between clinical and radiologic features of WUS and clear-onset stroke were found. Circadian patterns of stroke onset were observed in both groups. Stroke was more likely to occur during waking than during sleep, and a diurnal pattern of common occurrence during the morning was documented. Recognition of the acceptable timeframe for acute reperfusion therapy in unwitnessed strokes is crucial so that thrombolytic treatment can be started for these patients.PMID:36441986 | DOI:10.4088/PCC.21m03216
Source: The Primary Care Companion for CNS Disorders - November 28, 2022 Category: Primary Care Authors: Erum Mubashir Shariff Fahd Ali Al Khmais Saima Nazish Noman Ishaque Aishah Ibrahim Al Bakr Reem S AlOmar Danah Aljaafari Mohammad AlShurem Azra Zafar Rizwana Shahid Sari AlSuhaibani Saeed Al-Jubran Nehad M Soltan Abdulaziz Mohammad Al-Sharydah Majed Alabd Source Type: research

The effects of medications for treating COPD and allied conditions on stroke: a population-based cohort study
This study aimed to investigate the clinical factors of stroke risk in COPD and allied conditions patients and associations between medications for treating COPD and allied conditions. The population-based study cohort comprised 24,173 patients diagnosed with COPD and allied conditions between 2000 and 2013, and 24,170 selected matched patients without COPD comprised the comparison cohort from a nationwide database. Cox-proportional hazard regression was performed to determine the impact of medical therapies, comorbidities, and other clinical factors on stroke risk. Of the 48,343 included patients, 1394 (2.9%) experienced ...
Source: Primary Care - January 18, 2022 Category: Primary Care Authors: Ai-Ling Shen Hsiu-Li Lin Hsiu-Chen Lin Jane Chen-Jui Chao Chien-Yeh Hsu Chung-Yu Chen Source Type: research

Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: American Family Physician - July 13, 2023 Category: Primary Care Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research

Recurrent Ischemic Stroke: Strategies for Prevention.
Abstract Recurrent strokes make up almost 25% of the nearly 800,000 strokes that occur annually in the United States. Risk factors for ischemic stroke include hypertension, diabetes mellitus, hyperlipidemia, sleep apnea, and obesity. Lifestyle modifications, including tobacco cessation, decreased alcohol use, and increased physical activity, are also important in the management of patients with a history of stroke or transient ischemic attack. Antiplatelet therapy is recommended to reduce the risk of recurrent ischemic stroke. The selection of antiplatelet therapy should be based on timing, safety, effectiveness, ...
Source: American Family Physician - October 1, 2017 Category: Primary Care Authors: Oza R, Rundell K, Garcellano M Tags: Am Fam Physician Source Type: research

Stroke.
Abstract In 2012, about 50 000 Australians had a stroke (cerebrovascular accident (CVA)). The risk of stroke is associated with increased age, previous stroke or transient ischaemic attack, hypertension, smoking, diabetes mellitus (DM), hypercholesterolaemia and atrial fibrillation/flutter (AF). Australian general practice data from the national BEACH program between April 2000 and March 2013 inclusive (1 276 200 GP-patient encounters) were analysed to determine the patient characteristics, associated conditions and management options at those encounters where a CVA was recorded, and detect changes in the annual m...
Source: Australian Family Physician - March 1, 2014 Category: Primary Care Authors: Pollack A, Harrison C, Henderson J, Miller G Tags: Aust Fam Physician Source Type: research

Diagnosed diabetes mellitus and in-hospital stroke mortality in a major sub-Saharan African urban medical unit
Stroke and diabetes are common disorders affecting 33 million and 415 million individuals worldwide respectively [1,2]. Mortality associated with both conditions is high [1,3]. Globally, 6% of deaths are caused by high blood glucose, and stroke accounts for 11.1% of deaths worldwide [1,3]. Stroke is one of the leading complications of diabetes. It is estimated that 12% of strokes are attributable to diabetes [4]. People with diabetes mellitus have more than double the risk of ischemic stroke after correcting for other factors.
Source: Primary Care Diabetes - July 30, 2016 Category: Primary Care Authors: Alain Lekoubou, Nkoke Clovis, Anastase Dudzie, Andre Pascal Kengne Tags: Original research Source Type: research

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