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The predictive role of CHA2DS2–VASc score between venous thromboembolism and ischemic stroke: a large-scale cohort study
Conclusion: Our study is the first to concern the performance of CHA2DS2–VASc score in predicting the risk of ischemic stroke in VTE patients and the risk of VTE in ischemic stroke patients. Nevertheless, the performance of the score was modest, and the transportability of the score in these populations still needs to be defined.
Source: Journal of Hypertension - February 2, 2018 Category: Cardiology Tags: ORIGINAL PAPERS: Stroke Source Type: research

2021 Taiwan Stroke Society Guidelines of blood pressure control for ischemic stroke prevention
J Chin Med Assoc. 2022 May 2. doi: 10.1097/JCMA.0000000000000738. Online ahead of print.ABSTRACTThe aim of the present guideline is to update the 2015 Taiwan Stroke Society (TSS) blood pressure (BP) Control for Treatment and Prevention of Stroke guideline (2015 TSS BP guideline). Since the publication of the 2015 TSS BP guideline, several clinical studies have addressed (1) whether a stricter BP target would be more effective for stroke prevention, (2) whether the older population requires a different BP goal for stroke prevention, or (3) the effect of different stroke etiologies, particularly large-artery atherosclerosis ...
Source: Atherosclerosis - May 4, 2022 Category: Cardiology Authors: Nai-Fang Chi Chih-Ping Chung Hao-Ming Cheng Chi-Hung Liu Chun-Jen Lin Li-Chi Hsu Sung-Chun Tang Jiunn-Tay Lee Helen Po Jiann-Shing Jeng Tzung-Dau Wang I-Hui Lee Taiwan Stroke Society Guideline Consensus Group Source Type: research

A Post-hoc Study of D-Amino Acid Oxidase in Blood as an Indicator of Post-stroke Dementia
In conclusion, our data support that plasma DAO levels were increased in PSD patients and correlated with brain WMH, independent of age, gender, hypertension, and renal function. Plasma DAO levels may therefore aid in PSD diagnosis. Introduction Stroke is a risk factor for both vascular dementia and Alzheimer's disease (1, 2). Functional recovery develops over the course of 26 weeks after a stroke (3), but the survivors are often left with disabilities. In addition to the sequelae of acute neuronal damage, the 1-year post-stroke dementia (PSD) rates after first-ever and recurrent stroke are ~10 and 30...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

Risk of Ischemic Stroke, Hemorrhagic Stroke, and All-Cause Mortality in Retinal Vein Occlusion: A Nationwide Population-Based Cohort Study.
Conclusions: People with RVO are at a significantly greater risk of developing stroke, ischemic stroke, and hemorrhagic stroke. However, RVO does not significantly increase the risk of all-cause mortality. PMID: 30271630 [PubMed]
Source: Journal of Ophthalmology - October 3, 2018 Category: Opthalmology Tags: J Ophthalmol Source Type: research

Malnutrition in Acute Stroke Patients Stratified by Stroke Severity- A Hospital Based Study.
CONCLUSION: Nutritional status was poor in stroke patients across all stroke severities within weeks. Further longitudinal outcome studies to identify the poor outcome and the evolution of nutritional status are warranted. PMID: 29468620 [PubMed - in process]
Source: Acta Neurologica Taiwanica - February 24, 2018 Category: Neurology Tags: Acta Neurol Taiwan Source Type: research

Association between heat stroke and ischemic heart disease: A national longitudinal cohort study in Taiwan.
In conclusion, clinicians should be aware about evaluating the IHD risk following a heat stroke episode in a patient. PMID: 30297250 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - October 5, 2018 Category: Internal Medicine Authors: Tseng MF, Chou CL, Chung CH, Chien WC, Chen YK, Yang HC, Chu P Tags: Eur J Intern Med Source Type: research

Stroke risk in hypertrophic cardiomyopathy patients with atrial fibrillation: a nationwide database study.
This study aimed to determine the incidence of stroke and its risk factors in HCM patients with AF during a long-term follow-up. Using a national database, we retrospectively investigated 18,724 HCM patients from a systematic sample of 1,000,000 Taiwanese people between 1997 and 2013. The incidences of AF and stroke were estimated. Data were analyzed using Cox regression models. AF was identified in 598 patients (262 men, mean age 66.3±13.0 years) during a median follow-up of 7.0 years. The AF incidence in HCM patients was 5.83 per 1000 person-years, and the overall incidence of AF-associated stroke was 24.14 per 1000 per...
Source: Aging - November 23, 2020 Category: Biomedical Science Authors: Hsu JC, Huang YT, Lin LY Tags: Aging (Albany NY) Source Type: research

Women With Osteoarthritis Are at Increased Risk of Ischemic Stroke: A Population-Based Cohort Study.
CONCLUSION: Women with OA are at an elevated risk of ischemic stroke. A close monitoring of hypertension, atrial fibrillation, and other stroke related comorbidities is required for stroke prevention for OA patients. PMID: 33536376 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - February 6, 2021 Category: Epidemiology Tags: J Epidemiol Source Type: research

The Effect of Health Education on Taiwanese Hypertensive Patients’ Knowledge and Cognition of Stroke
ConclusionsFurther studies with a longer follow‐up (6 months or 1 year) are needed to evaluate the long‐term effects of health education on stroke knowledge and cognition among patients with hypertension. Linking Evidence to ActionAn outpatient health education program using a CD‐ROM and printed information for hypertensive patients can improve the patients’ knowledge and cognition of stroke.
Source: Worldviews on Evidence-Based Nursing - February 1, 2015 Category: Nursing Authors: Yu‐Hsuan Tang, Chich‐Hsiu Hung, Hsing‐Mei Chen, Tsung‐Hsien Lin, Yi Liu Tags: Original Article Source Type: research

Predicting the Risk of Ischemic Stroke among Patients with Rheumatoid Arthritis Using a Simplified RA-CHADSV Score Based on the CHA2DS2-VASc Score.
CONCLUSIONS: A simplified RA-CHADSV score, with comparable efficiency as the CHA2DS2-VASc score, but easier to use clinically was developed for predicting the risk of ischemic stroke among non-AF RA patients. PMID: 32059458 [PubMed - in process]
Source: Medicina (Kaunas) - February 11, 2020 Category: Universities & Medical Training Authors: Hsu CW, Ng KJ, Lu MC, Koo M Tags: Medicina (Kaunas) Source Type: research

Age Threshold for Increased Stroke Risk Among Patients With Atrial Fibrillation A Nationwide Cohort Study From Taiwan
This study hypothesized that the age threshold (65 years) used in the CHA2DS2-VASc system for initiating oral anticoagulants (OACs) might be lower in Taiwanese AF patients than in non-Asians.MethodsWe used the National Health Insurance Research Database in Taiwan to study 186,570 nonanticoagulated AF patients. There were 9,416 males with a CHA2DS2-VASc score of 0 and 6,390 females with a CHA2DS2-VASc score of 1. Their risk of ischemic stroke was analyzed with stratification on the basis of age.ResultsThe annual risks of ischemic stroke for males (score 0) and females (score 1) were 1.15% and 1.12%, respectively, and contin...
Source: Journal of the American College of Cardiology - September 14, 2015 Category: Cardiology Source Type: research

Patients with periodontitis are at a higher risk of stroke: A Taiwanese cohort study
CONCLUSION: Therefore, this study suggests a high risk of stroke in patients with periodontitis.PMID:36000972 | DOI:10.1097/JCMA.0000000000000797
Source: Atherosclerosis - August 24, 2022 Category: Cardiology Authors: Pei-Wei Hsu Yen-Wen Shen Syamsiah Syam Wen-Miin Liang Trong-Neng Wu Jui-Ting Hsu Lih-Jyh Fuh Source Type: research

Functional outcome prediction of ischemic stroke patients with atrial fibrillation accepting post-acute care training
ConclusionIn the current study, nearly half of the enrolled patients showed favorable functional recovery. The outcome assessments seem to correlate well with NIHSS and Barthel Index scores, rather than mRS. The anxiety/depression and usual activities domains of the EQ-5D results are associated with and have a great impact after the patients undertake the PAC rehabilitative strategy. Moreover, the variables obtained through carotid duplex and plaque index might also play a significant role in determining the patient's functional outcome.
Source: Frontiers in Neurology - September 23, 2022 Category: Neurology Source Type: research

Monotherapy of aspirin or warfarin for prevention of ischemic stroke in low-risk atrial fibrillation: A Easter Asian population-based study.
CONCLUSIONS: Warfarin is suggested to be prescribed in preventing ischemic stroke for low-stroke-risk atrial fibrillation patients with hypertension and hyperlipidemia. PMID: 29718533 [PubMed - as supplied by publisher]
Source: Cardiology Journal - May 2, 2018 Category: Cardiology Authors: Liu CY, Chen HC Tags: Cardiol J Source Type: research

Post-traumatic stress disorder was associated with a threefold increased risk for stroke in a Taiwanese National Health Insurance Database
ABSTRACT FROM: Chen MH, Pan TL, Li CT, et al. Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study. Br J Psychiatry 2015;206:302–7. What is already known on this topic People with post-traumatic stress disorder (PTSD) are more likely to have psychiatric comorbidities and cardiovascular risk factors, including diabetes mellitus, hypertension, smoking and dyslipidemia.1 2 While stroke can trigger PTSD,3 prior to this study it was not known whether PTSD increases the risk for stroke. Methods of the study This was a longitudinal follow-up study to assess for development of stro...
Source: Evidence-Based Mental Health - October 22, 2015 Category: Psychiatry & Psychology Authors: Goldfinger, J. Z. Tags: Electronic pages Source Type: research

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