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GP detection of health risk factors among general practice patients at risk of primary and secondary stroke
Conclusion. Given low sensitivity and specificity of GP detection of risk factors among patients, alternate methods of identification are needed. Research is required to determine strategies to facilitate secondary care of patients with a history of stroke or heart disease by GPs.
Source: Family Practice - May 27, 2015 Category: Primary Care Authors: Grady, A., Carey, M., Oldmeadow, C., Bryant, J., Mazza, D., Sanson-Fisher, R. Tags: Health Service Research 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

Ischemic stroke and vascular risk factors in young and older adults. Community-based retrospective study (2011-2020)
CONCLUSIONS: The results reinforce the need for continuity of care and follow-up in people with acute stroke in primary care and the need to improve the quality of registries.PMID:37086593 | DOI:10.1016/j.aprim.2023.102623
Source: Atencion Primaria - April 20, 2023 Category: Primary Care Authors: Silvia Revert é-Villarroya Rosa Su ñer-Soler Esther Sauras-Col ón Josep Zaragoza-Brunet Jos é Fernández-Sáez Fidel Lopez-Espuela Source Type: research

Stroke Risk Rises With Years of Drinking in Young Adults Stroke Risk Rises With Years of Drinking in Young Adults
Curbing moderate to heavy alcohol use in young adults should be emphasized as part of any strategy to reduce rising rates of stroke in young people, researchers say.Medscape Medical News
Source: Medscape FamilyMedicine Headlines - November 3, 2022 Category: Primary Care Tags: Neurology & Neurosurgery News Source Type: news

Stroke Risk Rises for Young People Who Drink Frequently
(MedPage Today) -- People in their 20s and 30s who were moderate-to-heavy drinkers were more likely to have a stroke in early adulthood compared with those who consumed low amounts of alcohol each week, Korean national database records showed...
Source: MedPage Today Primary Care - November 2, 2022 Category: Primary Care Source Type: news

Recognition and evaluation of nontraumatic subarachnoid hemorrhage and ruptured cerebral aneurysm.
Abstract Swift diagnosis and treatment are critical for good outcomes in patients with nontraumatic subarachnoid hemorrhage, which is usually caused by a ruptured aneurysm. This type of stroke often results in death or disability. Rates of misdiagnosis and treatment delays for subarachnoid hemorrhage have improved over the years, but these are still common occurrences. Subarachnoid hemorrhage can be more easily diagnosed in patients who present with severe symptoms, unconsciousness, or with thunderclap headache, which is often accompanied by vomiting. The diagnosis is more elusive in patients who present in good c...
Source: American Family Physician - October 1, 2013 Category: Primary Care Authors: Cohen-Gadol AA, Bohnstedt BN Tags: Am Fam Physician Source Type: research

Mental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study.
Conclusions: Compared to noncombat veterans in the United States, combat veterans have elevated rates of PTSD, suicide attempt, stroke, and chronic pain independent of other sociodemographic, military, and mental health factors. Younger combat veterans have elevated rates of PTSD, suicidal ideation, and migraine headaches, while older combat veterans have elevated rates of heart disease and heart attack. These results characterize the population-based burden of mental and physical health conditions in combat veterans. They further underscore the importance of age- and condition-sensitive screening, monitoring, and treatmen...
Source: The Primary Care Companion for CNS Disorders - June 30, 2017 Category: Primary Care Tags: Prim Care Companion CNS Disord Source Type: research

Variation in bleeding risk estimates among online calculators: Cross-sectional study of apps used by and for patients with atrial fibrillation
CONCLUSION: Inconsistencies and a lack of precision were observed in annual risk estimates and risk stratification produced by Web and mobile bleeding risk calculators for patients with atrial fibrillation. Clinicians should refer to annual bleeding risks observed in major randomized controlled trials to inform risk estimates communicated to patients.PMID:35418403 | DOI:10.46747/cfp.6804e127
Source: Canadian Family Physician Medecin de Famille Canadien - April 14, 2022 Category: Primary Care Authors: Ryan Pelletier Jeff Nagge John-Michael Gamble Source Type: research

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