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Condition: Arrhythmia
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Total 3904 results found since Jan 2013.
Stroke Triage: EMS needs a diagnostic tool that goes beyond a simple history & physical exam
As a young EMT and paramedic, I had relatively little education about acute myocardial infarctions. In the age of the 3-lead ECG, education was largely focused on arrhythmia detection and how to differentiate heart blocks, tachycardia and bradycardia. Detection of heart attack was largely based upon history and physical exam findings.
Three decades later, the thought of relying on a physical exam to diagnose a ST- elevation myocardial infarction (STEMI) is hard to imagine. Although we’ve made remarkable progress in the prehospital detection of STEMI, we’ve made significantly less progress in the diagnosis of acute stro...
Source: JEMS Patient Care - May 2, 2018 Category: Emergency Medicine Authors: Mark E.A. Escott, MD, MPH, FACEP, NRP Tags: Patient Care Columns Source Type: news
Is paroxysmal supraventricular tachycardia truly benign? Insightful association between PSVT and stroke from a National Inpatient Database Study
ConclusionsPSVT is independently associated with higher prevalence of embolic stroke but not with overall ischemic stroke. Patients with embolic stroke in the presence of PSVT have worse in-hospital outcomes with increased mortality.
Source: Journal of Interventional Cardiac Electrophysiology - November 13, 2019 Category: Cardiology Source Type: research
Prevalence and Associated Factors of Stroke among Older Adults in India: Analysis of the Longitudinal Aging Study in India-Wave 1, 2017 & #8211;2018
Conclusion: The prevalence of stroke was high among adults aged ≥45 years in India. Hypertension, family history of stroke, arrhythmias, and low physical activity were significant contributors to stroke. The findings suggest that preventing and controlling these lifestyle conditions and behaviors may help prevent stroke.
Source: Indian Journal of Public Health - July 12, 2022 Category: International Medicine & Public Health Authors: Naveen Kumar Kodali Lekha D Bhat Source Type: research
Field Synopsis of the Role of Sex in Stroke Prediction Models Health Services and Outcomes Research
Conclusions
Sex is included in a minority of published CPMs, but more frequently in models predicting incidence of first stroke. The importance of sex-specific care may be especially well established for primary prevention.
Source: JAHA:Journal of the American Heart Association - May 4, 2016 Category: Cardiology Authors: Paulus, J. K., Lai, L. Y. H., Lundquist, C., Daneshmand, A., Buettner, H., Lutz, J. S., Raman, G., Wessler, B. S., Kent, D. M. Tags: Primary Prevention, Risk Factors, Secondary Prevention, Women, Health Services Health Services and Outcomes Research Source Type: research
Timing of anticoagulation after recent ischaemic stroke in patients with atrial fibrillation
Publication date: Available online 8 November 2018Source: The Lancet NeurologyAuthor(s): David J Seiffge, David J Werring, Maurizio Paciaroni, Jesse Dawson, Steven Warach, Truman J Milling, Stefan T Engelter, Urs Fischer, Bo NorrvingSummaryBackgroundAbout 13–26% of all acute ischaemic strokes are related to non-valvular atrial fibrillation, the most common cardiac arrhythmia globally. Deciding when to initiate oral anticoagulation in patients with non-valvular atrial fibrillation is a longstanding, common, and unresolved clinical challenge. Although the risk of early recurrent ischaemic stroke is high in this population,...
Source: The Lancet Neurology - November 9, 2018 Category: Neurology Source Type: research
Stroke Epidemiology and Incidence in Regional Queensland: Findings of the Regional Queensland Stroke (REQUEST) Study
CONCLUSIONS: Incidence of stroke in a regional Queensland population is similar to other regional populations and when compared with larger cities. Despite a global trend in stroke reduction, modifiable risk factors like hypertension and atrial arrhythmias continue to be over-represented in the stroke population. All-cause mortality after stroke is high especially during the initial period. This article is protected by copyright. All rights reserved.PMID:36001407 | DOI:10.1111/imj.15917
Source: Atherosclerosis - August 24, 2022 Category: Cardiology Authors: Deepak Darshan Nisal Gange Daniel Chen Anthony Bragg Source Type: research
Worse Outcome in Patients with Acute Stroke and Atrial Fibrillation Following Thrombolysis.
CONCLUSIONS: Our study suggests worse outcome in thrombolized patients with AF compared to non-AF stroke patients. Therefore, AF itself can be a poor prognostic factor for tPA sensitivity regarding the chance of revascularization and recovery after intravenous tPA.
PMID: 28513116 [PubMed - in process]
Source: The Israel Medical Association Journal - May 18, 2017 Category: General Medicine Tags: Isr Med Assoc J Source Type: research
Risks and Benefits of Anticoagulation in Atrial Fibrillation: Insights From the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) Registry Original Articles
Conclusions—
In community-based outpatients with AF, use of OAC was high and driven by not only predominantly stroke but also bleeding risk. Stroke risk significantly affects OAC use among those with low bleeding risk, whereas those with high bleeding risk demonstrate consistently lower use of OAC regardless of stroke risk.
Source: Circulation: Cardiovascular Quality and Outcomes - July 16, 2013 Category: Cardiology Authors: Cullen, M. W., Kim, S., Piccini, J. P., Ansell, J. E., Fonarow, G. C., Hylek, E. M., Singer, D. E., Mahaffey, K. W., Kowey, P. R., Thomas, L., Go, A. S., Lopes, R. D., Chang, P., Peterson, E. D., Gersh, B. J., on behalf of the ORBIT-AF Investigators Tags: Coumarins, Arrhythmias, clinical electrophysiology, drugs, Embolic stroke, Risk Factors for Stroke, Anticoagulants Original Articles Source Type: research
Thoracoscopic Pulmonary Vein Isolation and Atrial Appendage Ligation (TPVIAL) versus Medical Management in Atrial Fibrillation Patients with Prior Stroke (P1.126)
CONCLUSIONS: TPVIAL may become an important therapeutic tool for reducing recurrent stroke in AF patients.Disclosure: Dr. Waters has nothing to disclose. Dr. Hedna has nothing to disclose. Dr. Khanna has nothing to disclose. Dr. Miles has nothing to disclose. Dr. Price has nothing to disclose. Dr. Schmalfuss has nothing to disclose. Dr. Robertson has nothing to disclose. Dr. Karimi has nothing to disclose. Dr. Beaver has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Waters, M., Hedna, V., Khanna, A., Miles, W., Price, C., Schmalfuss, I., Robertson, D., Karimi, A., Beaver, T. Tags: Cerebrovascular Disease and Interventional Neurology: Atrial Fibrillation and Miscellaneous Source Type: research
Has the aetiology of ischaemic stroke changed in the past decades? Analysis and comparison of data from current and historical stroke databases
ConclusionsOur data show that the prevalence of lacunar strokes is decreasing worldwide whereas cardioembolic strokes are increasingly more frequent in both our hospital and other series compared to the SDB. These differences may be explained by population ageing and the improvements in management of hypertension and detection of cardioembolic arrhythmias in stroke units.ResumenObjetivosComprobar si han existido variaciones en la etiología del ictus isquémico en los últimos años e investigar las posibles causas que lo justifiquen.Pacientes y métodosAnálisis de los antecedentes epidemiológicos y factores de riesgo va...
Source: Neurologia - July 5, 2018 Category: Neurology Source Type: research
Mitral annular calcification and its severity predict high risk for cardio-embolic stroke in elderly patients with first diagnosed atrial fibrillation.
Conclusion: MAC thickness may provide useful information for the relevant risk evaluation of elderly patients with AF. Pre-stroke MAC presence and its severity appear to have better clinical value for predicting cardio-embolic stroke in elderly patients with AF, independent from traditional risk factors for stroke.
PMID: 31741424 [PubMed - as supplied by publisher]
Source: Acta Cardiologica - November 21, 2019 Category: Cardiology Tags: Acta Cardiol Source Type: research
Obstructive Sleep Apnea and Stroke: Determining the Mechanisms Behind their Association and Treatment Options
Transl Stroke Res. 2023 Mar 16. doi: 10.1007/s12975-023-01123-x. Online ahead of print.ABSTRACTSleep-disordered breathing (SDB) can be a sequela of stroke caused by vascular injury to vital respiratory centers, cerebral edema, and increased intracranial pressure of space-occupying lesions. Likewise, obstructive sleep apnea (OSA) contributes to increased stroke risk through local mechanisms such as impaired ischemic cerebrovascular response and systemic effects such as promoting atherosclerosis, hypercoagulability, cardiac arrhythmias, vascular-endothelial dysfunction, and metabolic syndrome. The impact of OSA on stroke out...
Source: Atherosclerosis - March 16, 2023 Category: Cardiology Authors: Basma Mohamed Keerthi Yarlagadda Zachary Self Alexandra Simon Frank Rigueiro Maryam Sohooli Stephan Eisenschenk Sylvain Dor é Source Type: research
Integrative identification of hub genes in development of atrial fibrillation related stroke
ConclusionsHub genesEIF4E3,ZNF595,ZNF700,MATR3,ACKR4,ANXA3,SEPSECS-AS1, andRNF166 have potential as novel biomarkers and therapeutic targets in AF-related stroke. Thehsa_circ_0018657/hsa-miR-198/EIF4E3 axis could play an important role regulating the development of AF-related stroke.
Source: PLoS One - March 23, 2023 Category: Biomedical Science Authors: Kai Huang Source Type: research
