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Percutaneous management of acute ischaemic stroke
Learning objectives To understand both the rationale and principles behind percutaneous management of stroke. To be aware of the evidence base for this treatment. To appreciate the current logistical challenges and how they might be overcome. Introduction In principle, the similarity between opening an occluded cerebral artery and an occluded coronary artery, when the perfusion to that organ is acutely compromised, is inescapable: to re-establish antegrade flow as quickly as possible to minimise downstream damage. There are, of course, important differences between an acute myocardial infarction (MI) and an acute ischaemic...
Source: Heart - April 25, 2023 Category: Cardiology Authors: Routledge, H., Curzen, N. Tags: Education in Heart Source Type: research
Anticoagulation practices and complications associated with Impella ® support at an advanced cardiac center in the Middle East gulf region
AbstractAnticoagulation during Impella ® support is a challenge due to its complications and inconsistent practice across the globe. This observational, retrospective chart review included all patients with Impella® support at our advanced cardiac center at a quaternary care hospital in the Middle East gulf region. The study was conduc ted over six years (2016–2022), a time period during which manufacturer recommendations for purge solution, anticoagulation protocols as well as Impella® place in therapy and utilization were all evolving. We aimed to evaluate the efficacy of different anticoagulation practices and asso...
Source: Journal of Thrombosis and Thrombolysis - April 25, 2023 Category: Hematology Source Type: research
Association of trajectories of non-high-density lipoprotein cholesterol concentration with risk of cardiovascular disease: the Kailuan Study
Conclusions
Changes in non-HDL-C were significantly associated with subsequent risk of CVD events, and participants with a high-increasing pattern had a higher CVD risk. Long-term monitoring of non-HDL-C could be useful to improve the prediction of CVD risk.
Trial registration number
ChiCTR-TNC-1100148.
Source: BMJ Open - April 25, 2023 Category: General Medicine Authors: Ding, X., Zhou, H., Yue, Q., Shu, Z., Ma, X., Li, Y., Wu, S. Tags: Open access, Epidemiology Source Type: research
Medication Management After Stroke
After your stroke, doctors will prescribe specific medications. It is very important that you take your medications every day. To do this, you must get your medications from the pharmacy, organize your medications, correctly read and understand the medication label, and remember to take your medications.1 This is called medication management.
Source: Archives of Physical Medicine and Rehabilitation - April 24, 2023 Category: Rehabilitation Authors: Talya K. Fleming, Jaclyn K. Schwartz, Samir R. Belagaje, Leanna W. Katz, Jason T. Strow Tags: Information/Education Page Source Type: research
Empowering Stroke Survivors: Understanding The Role of Multidisciplinary Rehabilitation
Stroke is 1 of the leading causes of disability worldwide, with someone having a stroke every 40 seconds in the United-States.1 A stroke can occur by clot that interrupts blood flow in the brain. It can also be caused by a burst of a blood vessel that causes bleeding in the brain. There are also other unknown causes of stroke which occur less frequently. A stroke causes brain cells to die as they no longer receive oxygen and nutrients from the blood. Some of the most common risk factors of stroke are high blood pressure, high cholesterol, heart diseases, diabetes, smoking, physical inactivity, and obesity.
Source: Archives of Physical Medicine and Rehabilitation - April 24, 2023 Category: Rehabilitation Tags: INFORMATION/EDUCATION PAGE Source Type: research
Effect modification of age and hypertension on cancer and prevalence of self ‐reported stroke – A cross‐sectional study
The objective of this study was to examine the effect modification of age on the relationship between cancer and prevalence of self-reported stroke. We used cross-sectional data from the 2015 –2016 iteration of the Canadian Community Health Survey. A multivariable logistic regression model was used to assess the association between cancer and self-reported stroke. Covariates were assessed for effect modification using the maximum likelihood estimation method. We analyzed 86,809 subject s; the prevalence of self-reported stroke was 1.11%. The odds ratio for the association between cancer and self-reported stroke was 1.26 ...
Source: Cancer Medicine - April 21, 2023 Category: Cancer & Oncology Authors: Ronda Lun,
Joseph R. Shaw,
Danielle Carole Roy,
Deborah Siegal,
Tim Ramsay,
Yue Chen,
Dar Dowlatshahi Tags: BRIEF COMMUNICATION Source Type: research
Women's reproductive traits and cerebral small-vessel disease: A two-sample Mendelian randomization study
CONCLUSION: Our findings do not convincingly support a causal effect of women's reproductive factors on CSVD. Future studies are warranted to investigate specific estrogen-related physiological changes in women, which may inform current researchers on the causal mechanisms involved in cerebral small-vessel disease progression.PMID:37064189 | PMC:PMC10098092 | DOI:10.3389/fneur.2023.1064081
Source: Cancer Control - April 17, 2023 Category: Cancer & Oncology Authors: Zhenqian Wang Jiawen Lu Weipin Weng Jie Zhang Source Type: research
NHS spending over £1m a week on private ambulances for 999 callouts, says UNISON
The NHS is spending at least £61 million a year – over £1m a week or £167,000 a day – hiring private ambulances to attend emergency calls, says UNISON today (Monday) as its annual health conference opens in Bournemouth.
North West Ambulance Service spent more than £15m between January and December 2022 on private emergency services, according to data obtained by the union.
South Central Ambulance Service spent £19m over the past financial year, North East Ambulance Service is paying just under £7m annually, and South East Coast around £6m a year.
East Midlands Ambulance Service predicts a £9.5m spend in the ...
Source: UNISON Health care news - April 17, 2023 Category: UK Health Authors: Fatima Ayad Tags: News Press release Ambulance Sara Gorton Source Type: news
Design and Rationale of the Home Blood Pressure Telemonitoring Linked with Community Health Workers to Improve Blood Pressure (LINKED-BP) Program
This study is part of the American Heart Association RESTORE (AddREssing Social Determinants TO pRevent hypErtension) Network. This study aims to examine the effect of the LINKED-BP Program on BP reduction and to evaluate the reach, adoption, sustainability, and cost-effectiveness of the intervention.METHODS: Using a hybrid type I effectiveness-implementation design, 600 adults who have elevated BP or untreated stage 1 hypertension without diabetes, chronic kidney disease, history of cardiovascular disease (stroke or coronary heart disease) and age < 65 years will be recruited from 20 primary care practices including co...
Source: American Journal of Hypertension - April 16, 2023 Category: Cardiology Authors: Yvonne Commodore-Mensah Xiaoyue Liu Oluwabunmi Ogungbe Chidinma Ibe Johnitta Amihere Margaret Mensa Seth S Martin Deidra Crews Kathryn A Carson Lisa A Cooper Cheryl R Himmelfarb Source Type: research
Respiratory training combined with core training improves lower limb function in patients with ischemic stroke
CONCLUSION: Breathing training combined with core muscle training can effectively improve lower limb function and daily living activities in stroke patients. In addition, duration of education, NIHSS score at admission and rehabilitation program were identified as independent risk factors affecting the life quality of stroke patients.PMID:37056859 | PMC:PMC10086917
Source: American Journal of Translational Research - April 14, 2023 Category: Research Authors: Wanying Deng Mei Yang Xinchuan Shu Zhigang Wu Fangyuan Xu Rui Chang Source Type: research
