Stroke RSS Page 8

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Specialty: General Medicine
Condition: Ischemic Stroke

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Total 3317 results found since Jan 2013.

Interventions for the uptake of evidence-based recommendations in acute stroke settings
CONCLUSIONS: We are uncertain whether a multifaceted implementation intervention compared to no intervention improves adherence to evidence-based recommendations in acute stroke settings, because the certainty of evidence is very low.PMID:37565934 | PMC:PMC10416310 | DOI:10.1002/14651858.CD012520.pub2
Source: Cochrane Database of Systematic Reviews - August 11, 2023 Category: General Medicine Authors: Elizabeth A Lynch Lemma N Bulto Heilok Cheng Louise Craig Julie A Luker Kathleen L Bagot Tharshanah Thayabaranathan Heidi Janssen Elizabeth McInnes Sandy Middleton Dominique A Cadilhac Source Type: research

Pharmacological interventions for asymptomatic carotid stenosis
CONCLUSIONS: Although there is no high-certainty evidence to support pharmacological intervention, this does not mean that pharmacological treatments are ineffective in preventing ischaemic cerebral events, morbidity, and mortality. High-quality RCTs are needed to better inform the best medical treatment that may reduce the burden of carotid stenosis. In the interim, clinicians will have to use other sources of information.PMID:37565307 | PMC:PMC10401652 | DOI:10.1002/14651858.CD013573.pub2
Source: Cochrane Database of Systematic Reviews - August 11, 2023 Category: General Medicine Authors: Caroline Nb Clezar Carolina Dq Flumignan Nicolle Cassola Luis Cu Nakano Virginia Fm Trevisani Ronald Lg Flumignan Source Type: research

Cardiovascular effects of rivaroxaban in heart failure patients with sinus rhythm and coronary disease with and without diabetes: a retrospective international cohort study from COMMANDER-HF
Conclusions In COMMANDER-HF a diagnosis of diabetes conferred higher rates of cardiovascular events that, with exception of ischaemic stroke, was not substantially reduced by rivaroxaban. Rivaroxaban was associated with reduced risk of ischaemic stroke for patients with and without diabetes. Trial registration number NCT01877915; Post-results.
Source: BMJ Open - August 11, 2023 Category: General Medicine Authors: Sharma, A., Caldeira, D., Razaghizad, A., Pinto, F. J., van Veldhuisen, D. J., Mehra, M. R., Lam, C. S. P., Cleland, J., Anker, S. D., Greenberg, B., Ferreira, J. P., Zannad, F. Tags: Open access, Cardiovascular medicine Source Type: research

Early neurological deterioration in acute ischemic stroke
ConclusionOur study showed END may be associated with poor functional outcome in AIS patients. Higher blood glucose at admission and low serum albumin may be statistically significant causing END. Future prospective cohort with larger sample size may confirm the findings.
Source: Irish Journal of Medical Science - August 10, 2023 Category: General Medicine Source Type: research

Aspirin ‐induced urticaria in a recently diagnosed ischemic stroke patient: A case report and literature review
We report a case of a 53-year-old male, recently diagnosed with a stroke, who presented with complaints of multiple rashes over the trunk and upper extremities with aspirin. NSAIDs induced urticarial are usually neglected by physicians during diagnosis.
Source: Clinical Case Reports - August 8, 2023 Category: General Medicine Authors: Abhinav Dahal, Sushant Gautam, Aliza Shakya, Ashmita Pant, Kriti Bhandari, Shumneva Shrestha, Sajina Shrestha, Abhigan Babu Shrestha Tags: CASE REPORT Source Type: research

Trigeminal trophic syndrome associated with neuralgia after ischemic stroke —a case report
We describe the case of a 70-year-old woman who was hospitalized because of erythema, ulceration, and crusts on the right side of her face, accompanied by itching, burning, and irritation forcing self-manipulation of the skin. She had been previously repeatedly treated with antibiotics, acyclovir, and topical medications without any improvement. Her medical history revealed an episode of ischemic stroke in 2016, after which a deformation and partial atrophy of the right ala nasi appeared. Trigeminal neuropathy was confirmed by a neurological consultation. Diagnosis and treatment of TTS requires a multidisciplinary approach...
Source: Clinical Case Reports - August 7, 2023 Category: General Medicine Authors: Joanna Rybak ‐d′Obyrn, Lewandowska Julia Alicja, Machoń Natalia Joanna, Owczarczyk‐Saczonek Agnieszka, Placek Waldemar Tags: CASE REPORT Source Type: research

Improvement of diagnostic performance of hyperacute ischemic stroke in head CT using an image-based noise reduction technique with non-black-boxed process
To date, a variety of image-based noise reduction (INR) techniques for computed tomography (CT) have been reported. They are based on iterative processes or deep learning techniques. Some INR products using iterative processes are already commercially available and have been reported to exhibit noise reduction performance better than hybrid-type iterative reconstruction (HIR) in abdominal CT [1,2]. However, the details of the processes inside these commercial INR systems are usually proprietary and cannot be readily replicated outside.
Source: Physica Medica: European Journal of Medical Physics - August 5, 2023 Category: General Medicine Authors: Tetsuya Hirairi, Katsuhiro Ichikawa, Atsushi Urikura, Hiroki Kawashima, Takasumi Tabata, Tamaki Matsunami Source Type: research

Management of acute ischemic stroke
Med Clin (Barc). 2023 Jul 31:S0025-7753(23)00397-4. doi: 10.1016/j.medcli.2023.06.022. Online ahead of print.ABSTRACTIschemic stroke is a serious neurological condition that requires urgent attention. As a time-dependent disease, acute stroke management must be coordinated and effective to provide the best treatment as early as possible. The treatment of the acute phase of ischemic stroke includes general measures to ensure patient hemodynamic stability, the use of reperfusion therapies (intravenous thrombolytics and mechanical thrombectomy), improving cerebral protection by monitoring the homeostasis of certain variables ...
Source: Medicina Clinica - August 2, 2023 Category: General Medicine Authors: Ricardo Rigual Blanca Fuentes Exuperio D íez-Tejedor Source Type: research

Short-term DAPT after coronary stenting has similar ischemic and bleeding outcomes as long-term DAPT: a 5-year population-based cohort study
ConclusionThere is no significant difference in both bleeding and ischemic outcomes in long-term DAPT as compared to short-term DAPT for first- and second-generation drug-eluting stents in a real-world population.
Source: Irish Journal of Medical Science - August 1, 2023 Category: General Medicine Source Type: research

Patent foramen ovale leading to mismanagement in a mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke ‐like episodes patient
We report the clinical, imaging, echocardiography and muscle biopsy findings of a patient presenting by unique characteristics which have not been reported in previous cases of MELAS. The reported case is a 34 year old man with the history of three times hospitalization due to muscle weakness, encephalopathy, progressive cognitive decline, and gradual visual loss. Muscle biopsy revealed Ragged Red Fibers concomitant with mitochondrial disorders. PFO was found in echocardiography leading to mismanagemen t of this patient and MR imaging showed ischemic lesions with a progressive pattern. This is the first reported case of...
Source: Clinical Case Reports - July 21, 2023 Category: General Medicine Authors: Mehri Salari, Masoud Etemadifar, Ronak Rashedi, Romina Rashedi Tags: CASE REPORT Source Type: research

‘Drive the doctor’ for endovascular thrombectomy in a rural area: a simulation study
Patients who present in a primary stroke center (PSC) with ischemic stroke are usually transferred to a comprehensive stroke center (CSC) in case of a large vessel occlusion (LVO) for endovascular thrombectomy...
Source: BMC Health Services Research - July 20, 2023 Category: General Medicine Authors: Willemijn J. Maas, Durk-Jouke van der Zee, Maarten M.H. Lahr, Marc Bouma, Erik Buskens and Maarten Uyttenboogaart Tags: Research Source Type: research

Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers for adults with early (stage 1 to 3) non-diabetic chronic kidney disease
CONCLUSIONS: There is currently insufficient evidence to determine the effectiveness of ACEi or ARB in patients with stage 1 to 3 CKD who do not have DM. The available evidence is overall of very low certainty and high risk of bias. We have identified an area of large uncertainty for a group of patients who account for most of those diagnosed as having CKD.PMID:37466151 | DOI:10.1002/14651858.CD007751.pub3
Source: Cochrane Database of Systematic Reviews - July 19, 2023 Category: General Medicine Authors: Tess E Cooper Claris Teng David J Tunnicliffe Brydee A Cashmore Giovanni Fm Strippoli Source Type: research

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