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Specialty: Internal Medicine

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Total 3777 results found since Jan 2013.

Dysphagia and associated factors among patients with acute ischemic stroke in Vietnam
CONCLUSION: Our study showed that the prevalence of dysphagia is high among patients with acute ischemic stroke in Vietnam. Intervention solutions should focus more on patient groups of higher age group, brainstem stroke, communication disorder and facial paralysis.PMID:36536715 | PMC:PMC9758358 | DOI:10.1016/j.amsu.2022.104887
Source: Annals of Medicine - December 20, 2022 Category: Internal Medicine Authors: Nguyen Thi Thu Hien Tran Huu Thong Le Thanh Tung Vo Hong Khoi Dao Thi Thu Hoai Tran Thi Tinh Nguyen Van Huy Vu Duy Kien Source Type: research

24-hour ambulatory blood pressure and cryptogenic ischemic stroke in young adults
CONCLUSIONS: Non-dipping patterns of BP were associated with CIS in the absence of a PFO but not in the absence of hypertension. This may reflect differing pathophysiology underlying CIS in patients with versus without a PFO. Due to limitations of the study, results regarding absolute ABP levels should be interpreted with caution.Key MessagesNocturnal non-dipping patterns of blood pressure were associated with cryptogenic ischemic stroke except in participants with a patent foramen ovale and in those without hypertension by any definition, which may indicate differing pathophysiology underlying cryptogenic ischemic stroke ...
Source: Annals of Medicine - April 23, 2023 Category: Internal Medicine Authors: Lauri Tulkki Nicolas Martinez-Majander Petri Haapalahti Heli Tolppanen Juha Sinisalo Olli Repo Tomi Sarkanen Heikki Numminen Essi Ry ödi Pauli Ylikotila Risto O Roine Riikka Lautam äki Antti Saraste Tuuli Miettinen Jaana Autere Pekka J äkälä Marja He Source Type: research

Stroke patterns and outcomes during the second wave of COVID-19 pandemic: a cross-sectional study
CONCLUSION: The factors that cause the delayed transfer to the hospital and onset of treatment should be addressed. Patient counseling about the likely prognosis can be done after evaluating the probable outcome based on the NIHSS score and median duration of hospital stay. Nevertheless, mechanisms should be developed to reduce the prehospital delay at the ground level as well as at the policy level.PMID:37363610 | PMC:PMC10289718 | DOI:10.1097/MS9.0000000000000722
Source: Annals of Medicine - June 26, 2023 Category: Internal Medicine Authors: Bikram P Gajurel Subarna Giri Parishma Tamrakar Anupama Pandeya Niraj Gautam Aashish Shrestha Ragesh Karn Reema Rajbhandari Rajeev Ojha Source Type: research

Practical use of dabigatran etexilate for stroke prevention in atrial fibrillation
Summary Atrial fibrillation (AF) is associated with an increased risk of thromboembolism, and is the most prevalent factor for cardioembolic stroke. Vitamin K antagonists (VKAs) have been the standard of care for stroke prevention in patients with AF since the early 1990s. They are very effective for the prevention of cardioembolic stroke, but are limited by factors such as drug–drug interactions, food interactions, slow onset and offset of action, haemorrhage and need for routine anticoagulation monitoring to maintain a therapeutic international normalised ratio (INR). Multiple new oral anticoagulants have been develope...
Source: International Journal of Clinical Practice - April 5, 2013 Category: Internal Medicine Authors: K. Huber, S. J. Connolly, A. Kher, F. Christory, G.‐A. Dan, R. Hatala, R. G. Kiss, B. Meier, B. Merkely, B. Pieske, T. Potpara, J. Stępińska, N. Vene Klun, D. Vinereanu, P. Widimský Tags: Consensus Source Type: research

Minimizing Time to Treatment: Targeted Strategies to Minimize Time to Thrombolysis for Acute Ischaemic Stroke
ConclusionTime to thrombolysis delays are multi‐factorial. Effective reduction of time delays for acute ischaemic stroke requires the correct identification of and targeted strategies to overcome time barriers.
Source: Internal Medicine Journal - June 5, 2013 Category: Internal Medicine Authors: Yi Jing Tai, Bernard Yan Tags: Original Article Source Type: research

Minimising time to treatment: targeted strategies to minimise time to thrombolysis for acute ischaemic stroke
Abstract Time to thrombolysis is a critical determinant of favourable outcomes in acute ischaemic stroke. It is not infrequent that patient outcomes are compromised due to out‐of‐hospital and in‐hospital time delays. On the other hand, time delays could be minimised through the identification of barriers and the implementation of targeted solutions. This review outlines the different strategies in minimising treatment delays and offers recommendations. Literature search in PubMed, Medline and EBSCO Host was conducted to identify studies that are relevant to reduction of time to treatment from January 1995 to December...
Source: Internal Medicine Journal - November 15, 2013 Category: Internal Medicine Authors: Y. J. Tai, B. Yan Tags: Review Source Type: research

Off-hour presentation and outcomes in patients with acute ischemic stroke: A systematic review and meta-analysis.
DISCUSSION: The evidence suggests that patients with acute ischemic stroke presenting during off-hours have higher short-term mortality and greater disability at discharge. PMID: 24721584 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - April 7, 2014 Category: Internal Medicine Authors: Sorita A, Ahmed A, Starr SR, Thompson KM, Reed DA, Dabrh AM, Prokop L, Kent DM, Shah ND, Murad MH, Ting HH Tags: Eur J Intern Med Source Type: research

Are suspected stroke patients identified by paramedics transported to appropriate stroke centres in Victoria, Australia?
Abstract Emergency medical services (EMS) are vital to ensuring acute stroke patients are transported to thrombolysis and/or stroke unit centres. This 6‐month audit of Victorian EMS cases found the majority of suspected acute strokes are transported to appropriate stroke centres. However, there is still room for improvement, in particular, strategies to improve access to stroke services in some rural regions and to ensure patients/relatives are fully informed when requesting transport to a non‐stroke service hospital.
Source: Internal Medicine Journal - May 12, 2014 Category: Internal Medicine Authors: J. E. Bray, K. Coughlan, I. Mosley, B. Barger, C. Bladin Tags: Brief Communications Source Type: research

Symptomatic carotid near‐occlusion with full collapse might cause a very high risk of stroke
ConclusionsPatients with symptomatic carotid near‐occlusion with full collapse might have a very high risk of stroke recurrence. Carotid endarterectomy could be considered for these patients.This article is protected by copyright. All rights reserved.
Source: Journal of Internal Medicine - October 1, 2014 Category: Internal Medicine Authors: Elias Johansson, Kjell Öhman, Per Wester Tags: Original Source Type: research

Clinically important atrial arrhythmia and stroke risk: a UK-wide online survey among stroke physicians and cardiologists
Conclusions: There is a lack of consensus on the diagnosis and management of patients with brief runs of atrial arrhythmia detected on ambulatory ECG. Further research is needed to clarify the risk of stroke in this unique population of patients.
Source: QJM - October 24, 2014 Category: Internal Medicine Authors: Rankin, A. J., Tran, R. T., Abdul-Rahim, A. H., Rankin, A. C., Lees, K. R. Tags: Original papers Source Type: research

Emergency Department Companions of Stroke Patients: Implications on Quality of Care
Abstract: Acute care of stroke victims largely relies on the rapid identification and timely clinical and radiological assessment. We evaluated the effect of the number of patient companions on the efficiency of the diagnostic process in the emergency department (ED). Consecutive stroke patients admitted to the ED between August 2011 and October 2012 were evaluated. Clinical, epidemiological, and timeline data (symptoms onset, ED arrival, computed tomography [CT] scanning, and recombinant tissue plasminogen activator infusion), as well as the number of accompanying persons in the ED were prospectively recorded. We used mul...
Source: Medicine - March 1, 2015 Category: Internal Medicine Tags: Article: Observational Study Source Type: research