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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Atrial Fibrillation
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Total 320 results found since Jan 2013.
Fatal Intraperitoneal Bleeding after Intravenous Administration of Tissue Plasminogen Activator
We report a case of acute ischemic stroke, which developed fatal intraperitoneal bleeding after intravenous administration of alteplase. An 86-year-old woman developed acute infarction of the right middle cerebral artery during admission for chronic heart failure. Two days before the stroke, liver biopsy was performed; the result was benign. Although rivaroxaban was prescribed for atrial fibrillation, the rivaroxaban had been discontinued for liver biopsy until the time when she developed the stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - April 18, 2015 Category: Neurology Authors: Chise Anan, Masahiro Oomura, Tomoaki Saeki, Toshimasa Ikeda, Chikako Sato, Kentaro Yamada Tags: Case Report Source Type: research
Endovascular thrombectomy in a patient with acute left internal carotid artery occlusion receiving rivaroxaban
The 78-year-old female patient came to our emergency department (ED) due to acute consciousness disturbance, global aphasia and right-sided weakness onset within 3 hours. She had hypertension, persistent non-valvular atrial fibrillation treated with rivaroxaban 10 mg/day, and previous stroke with sequela of left-sided paralysis. Her pre-stroke modified Rankin Scale (mRS) was 2. NIHSS score was 32 at ED, partially contributed by previous stroke. And her creatinine clearance was 50 ml/min, international normalized ratio (INR) was 2.38.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2017 Category: Neurology Authors: Han-Chieh Hsieh, Chih-Yuan Huang, Yu-Hsiang Shih, Chih-Hung Chen Source Type: research
Effect of Known Atrial Fibrillation and Anticoagulation Status on the Prehospital Identification of Large Vessel Occlusion
Introduction: The Cincinnati Prehospital Stroke Severity scale (C-STAT), Los Angeles Motor Scale (LAMS), Rapid Arterial Occlusion Evaluation (RACE) score, and Field Assessment Stroke Triage for Emergency Destination (FAST-ED) scales were designed to aid emergency responder identification of patients with stroke related to large vessel occlusion (LVO). We hypothesized that the addition of a known history of atrial fibrillation (AF) without anticoagulation to currently used scales would improve LVO detection.
Source: Journal of Stroke and Cerebrovascular Diseases - September 25, 2019 Category: Neurology Authors: Parneet Grewal, Sourabh Lahoti, Sushanth Aroor, Kaitlin Snyder, Luther C. Pettigrew, Larry B. Goldstein Source Type: research
Health Inequities in Insertable Cardiac Monitoring: Can we close the gaps in monitoring disparities, or should we determine which patients may benefit from anticoagulation at an earlier diagnostic stage?
In this issue of the Journal of Stroke and Cerebrovascular Diseases, and Dr. Yaghi and colleagues retrospectively analyze data from the National Inpatient Sample to highlight disparities in inpatient placement of insertable cardiac monitors after ischemic stroke.1 Inpatient placement of insertable cardiac monitors affords providers and patients the ability to monitor the greatest length of time after ischemic stroke for paroxysmal atrial fibrillation without missing critical periods if placement is deferred to the outpatient setting.
Source: Journal of Stroke and Cerebrovascular Diseases - October 12, 2021 Category: Neurology Authors: Zachary B. Bulwa Source Type: research
Unique Clinicopathologic Subclassifiers of Cryptogenic Cerebral Emboli
As many as 1 in 4 patients with acute ischemic stroke will have no identifiable mechanism on initial diagnostic evaluation.1 Many of these patients with a cryptogenic etiology of stroke were previously thought to have harbored an occult cardiac source of embolism (e.g., paroxysmal atrial fibrillation [pAF]). However, there is ample evidence that only a minority of these patients will have pAF on extended outpatient cardiac monitoring.2,3 Furthermore, anticoagulation has not been proven to be superior to antiplatelet therapy for secondary stroke prevention in embolic strokes of undetermined source (ESUS),4,5 as would have b...
Source: Journal of Stroke and Cerebrovascular Diseases - March 9, 2022 Category: Neurology Authors: James E. Siegler, Lauren Thau, Taryn Hester, Terri Yeager, Nicholas Vigilante, Scott Kamen, Mark Heslin, Ryan Shannon, Linda Zhang, Miriam Butler, Christopher Higham, Solomon Oak, Jared Wolfe, Parth Patel, Pratit Patel, Jesse M. Thon Tags: Short Communication Source Type: research
Response to the Letter by Fustinoni et al
We thank Dr Pant et al for their interest on our study, which identified a seasonal variation and a nonhomogeneous distribution of atrial fibrillation across air temperatures, with peaks in cold seasons and low temperatures in a cohort of acute ischemic stroke patients. The evidence of a seasonal variation in atrial fibrillation–related hospitalizations showed by Deshmukh et al in their interesting study contributes to reinforcing the hypothesis of higher frequencies of atrial fibrillation in colder seasons. Similarly, a seasonal variation has been demonstrated for stroke incidence and mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - August 1, 2013 Category: Neurology Authors: Osvaldo Fustinoni, Gustavo Saposnik, Luciano A. Sposato Tags: Letters to the Editor Source Type: research
An Emergency Department Intervention to Increase Warfarin Use for Atrial Fibrillation
Conclusions: This practical stroke prevention quality improvement initiative was not associated with an increase in warfarin use among ED patients with AF.
Source: Journal of Stroke and Cerebrovascular Diseases - December 20, 2012 Category: Neurology Authors: Lesli E. Skolarus, Lewis B. Morgenstern, Phillip A. Scott, Lynda D. Lisabeth, Jillian B. Murphy, Erin M. Migda, Devin L. Brown Tags: Original Articles Source Type: research
Dabigatran Plasma Levels in Acute Cerebrovascular Events
Oral anticoagulation with dabigatran was shown to be effective for stroke prevention in patients with nonvalvular atrial fibrillation without the need for laboratory monitoring. However, a recent publication based on data of the Randomized Evaluation of Long-Term Anticoagulation Therapy study reported that ischemic stroke and bleeding outcomes are correlated with dabigatran plasma concentration (DPC). DPC was determined at a prespecified time point and correlated with cardiovascular events at any time during follow-up.
Source: Journal of Stroke and Cerebrovascular Diseases - January 22, 2016 Category: Neurology Authors: Bastian Volbers, Martin Köhrmann, Bernd Kallmünzer, Natalia Kurka, Lorenz Breuer, Jürgen Ringwald, Stefan Schwab Source Type: research
Acute Embolic Cerebral Infarction and Coronary Artery Embolism in a Patient with Atrial Fibrillation Caused by Similar Thrombi
We present a case of an 87-year-old female patient who suffered ischemic stroke and myocardial infarction at the same time and received intracranial and coronary thrombectomy. Pathological investigation revealed that thrombi were similar and both infarctions were considered as cardioembolism.
Source: Journal of Stroke and Cerebrovascular Diseases - April 18, 2016 Category: Neurology Authors: Kou Tokuda, Seigo Shindo, Kiyofumi Yamada, Manabu Shirakawa, Kazutaka Uchida, Tetsuo Horimatsu, Masaharu Ishihara, Shinichi Yoshimura Tags: Case Studies Source Type: research
Repeated Mechanical Thrombectomy in the Same Intracranial Artery Segment
We report a patient with an important scenario that may arise in the management of an acute ischemic stroke: the need for a repeated mechanical thrombectomy in the same intracranial artery segment. The patient had a history of atrial fibrillation and a mechanical mitral valve replacement. In her first stroke, she had an occlusion of the proximal segment of the right middle cerebral artery; 58 days later, she presented with an occlusion in the same segment of that cerebral artery. In both instances, the thrombus was extracted by a stent retriever with good clinical and radiographic results.
Source: Journal of Stroke and Cerebrovascular Diseases - June 30, 2017 Category: Neurology Authors: Herbert Tejada Meza, Maria Rosario Barrena Caballo, Santiago Guelbenzu Morte, Roberto Mart ínez García, Javier Marta Moreno Tags: Case Studies Source Type: research
Corrigendum for “Impact of Atrial Natriuretic Peptide Value for Predicting Paroxysmal Atrial Fibrillation in Ischemic Stroke Patients” J Stroke Cerebrovasc Dis. 2017;26:772-778
The authors would like to inform the readers of a needed clarification in this article:
Source: Journal of Stroke and Cerebrovascular Diseases - November 3, 2017 Category: Neurology Authors: Hiroshi Shiroto, Hirofumi Tomita, Joji Hagii, Norifumi Metoki, Ayaka Fujita, Takaatsu Kamada, Koki Takahashi, Shin Saito, Satoko Sasaki, Hiroyasu Hitomi, Satoshi Seino, Yoshiko Baba, Takamitsu Uchizawa, Manabu Iwata, Shigeo Matsumoto, Minoru Yasujima, Ken Source Type: research
Repetitive Episodic Isolated Vertigo in a Patient with Cerebellar Infarction
We report the case of a 63-year-old man with multiple atherosclerotic risk factors and atrial fibrillation who showed repeated episodes of isolated vertigo. His repeated vertigo was short-lasting and was often triggered by body position, mimicking benign paroxysmal positional vertigo.
Source: Journal of Stroke and Cerebrovascular Diseases - April 19, 2019 Category: Neurology Authors: Miyu Usui, Takafumi Mashiko, Masuko Tsuda, Masayuki Suzuki, Kosuke Matsuzono, Tadashi Ozawa, Yonhee Kim, Haruo Shimazaki, Reiji Koide, Ryota Tanaka, Shigeru Fujimoto Tags: Case Report Source Type: research
Convexity Subarachnoid Hemorrhage Soon after Starting a Direct Oral Anticoagulant in 2 Patients with Acute Infarction
Convexity subarachnoid hemorrhage (cSAH) is typically due to head trauma, but various nontraumatic causes for cSAH are known also. Nontraumatic cSAH is most commonly associated with cerebral amyloid angiopathy (CAA) in the elderly or with reversible cerebral vasoconstriction syndrome in younger subjects,1 but cSAH rarely occurs subsequent to acute ischemic stroke.2 Direct oral anticoagulants (DOACs) are used to reduce the risk of ischemic stroke and systemic embolism in patients with non-valvular atrial fibrillation and have favorable bleeding profiles as compared with warfarin,3,4 but here we describe 2 cSAH patients who ...
Source: Journal of Stroke and Cerebrovascular Diseases - August 13, 2020 Category: Neurology Authors: Yoichiro Sugita, Yoichiro Nishida, Satoru Ishibashi, Takanori Yokota Tags: Case Report Source Type: research
Association Between Prior Anticoagulation and Thrombus Composition in Mechanical Thrombectomy Patients with Atrial Fibrillation
Anticoagulation (AC) is the main preventive strategy for ischemic stroke in atrial fibrillation (AF) patients. We aim to investigate the association of prior AC with thrombus composition and clinical outcome in AF patients with acute ischemic stroke (AIS).
Source: Journal of Stroke and Cerebrovascular Diseases - February 11, 2022 Category: Neurology Authors: Chendong Wang, Yu Hang, Yuezhou Cao, Linbo Zhao, Jincheng Jiao, Mingfang Li, Xiaoquan Xu, Lei Jiang, Sheng Liu, Haibin Shi, Zhenyu Jia Source Type: research
