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Condition: Stroke
Procedure: Percutaneous Coronary Intervention

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Total 3177 results found since Jan 2013.

Choosing a particular oral anticoagulant and dose for stroke prevention in individual patients with non-valvular atrial fibrillation: part 1
<span class="paragraphSection">Patients with atrial fibrillation (AF) have a high risk of stroke and mortality, which can be considerably reduced by oral anticoagulants (OAC). Recently, four non-vitamin-K oral anticoagulants (NOACs) were compared with warfarin in large randomized trials for the prevention of stroke and systemic embolism. Today's clinician is faced with the difficult task of selecting a suitable OAC for a patient with a particular clinical profile or a particular pattern of risk factors and concomitant diseases. We reviewed analyses of subgroups of patients from trials of vitamin K antagonists vs. NOA...
Source: European Heart Journal - February 4, 2016 Category: Cardiology Source Type: research

Left Atrial Size and Ischemic Events after Ischemic Stroke or Transient Ischemic Attack in Patients with Nonvalvular Atrial Fibrillation
Conclusion: Severe LAE was associated with increased risk of ischemic events after ischemic stroke or TIA in patients with NVAF.Cerebrovasc Dis
Source: Cerebrovascular Diseases - November 11, 2020 Category: Neurology Source Type: research

Low Incidence of Ischemic Stroke Associated With Thrombus Aspiration in STEMI Patients Undergoing Primary PCI
CONCLUSIONS: Very low stroke rates immediately post STEMI were seen in patients undergoing TA and PPCI in this real-world study. TA can be performed safely in STEMI patients undergoing PPCI with a short-term stroke risk equivalent to risk without TA. Further studies may be needed to explain the increased incidence of late stroke noted after TA and elucidate causative mechanisms.PMID:34433694
Source: The Journal of Invasive Cardiology - August 26, 2021 Category: Cardiology Authors: Siddharth J Trivedi Mark J Cooper Andrew T L Ong A Robert Denniss Source Type: research

The incidence and risk factors of stroke in patients with acute myocardial infarction treated invasively and concomitant impaired renal function.
Abstract BACKGROUND: Impaired : renal function is a marker of poor prognosis in patients with acute myocardial infarction (AMI). The aim of the study was to assess the incidence and independent predictors of stroke in population of patients with AMI treated invasively and concomitant impaired renal function (IRF). METHODS: We analyzed 2,520 consecutive AMI-patients admitted to our Center between 2003 and 2007 and treated with percutaneous coronary intervention. The whole population was divided into patients with IRF, defined as glomerular filtration rate < 60 ml/min/1.73m² or contrast induced nephropathy (IRF-...
Source: Cardiology Journal - May 15, 2013 Category: Cardiology Authors: Podolecki TS, Lenarczyk R, Kowalczyk J, Swiątkowski A, Chodór P, Pruszkowska-Skrzep P, Sędkowska A, Poloński L, Kalarus Z Tags: Cardiol J Source Type: research

Patients with Acute Coronary Syndrome and Stroke Throughout the Acute Healthcare Chain
For patients with acute coronary syndrome (ACS) and stroke, prompt diagnosis and treatment is essential. In most cases of myocardial infarction, blood flow needs to be restored through percutaneous coronary intervention (PCI) or through thrombolytic medications. Treatments are most effective if started as early as possible. For patients with ST-elevated myocardial infarction (STEMI), PCI should be started within 90 min. For ischemic stroke patients, thrombolysis with recombinant tissue plasminogen activator needs to be given within 4.5 h after onset of symptoms. Before a patient reaches a PCI center or stroke unit, he may ...
Source: The Journal of Emergency Medicine - January 23, 2014 Category: Emergency Medicine Authors: R. Egberink, M. Zwerink, H. Droste, P. Brouwers, G. Van Houwelingen, C. Doggen Source Type: research

Can we make stroke during cardiac surgery a never event?
Stroke has been and continues to be the Achilles heel of cardiac surgery. Periprocedural neurologic events during cardiac surgery remain prevalent, with stroke reported in 2.0% to 4.6% of patients undergoing cardiac surgery and increasing to at least 12.8% in octogenarians.1-3 The fear of stroke or other adverse neurologic outcomes, including so-called pump head, is a deterrent for patients to undergo the otherwise successful, life-saving operations that we perform. The interpretation of the SYNTAX trial “that with coronary artery bypass grafting (CABG) the patient is trading a 3 times higher risk of stroke (2.2% vs 0.6%...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 28, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Michael Mack Tags: Editorial commentary Source Type: research

An Unusual Case of Acquired Alexia without Agraphia Caused by Perioperative Stroke (P4.368)
Conclusions: Though rare, perioperative strokes occur and are often unidentified. Proceduralists and anesthesiologists should not delay emergent neurological assessment for fear of treatment futility. Though many postoperative patients are not candidates for intravenous thrombolysis, endovascular catheter-based interventions can be considered.Disclosure: Dr. Sener has nothing to disclose. Dr. Siegel has nothing to disclose. Dr. Eidelman has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sener, U., Siegel, J., Eidelman, B. Tags: Cerebrovascular Case Reports Source Type: research

Acute myocardial infarction complicating ischemic stroke: is there room for cangrelor?
We report two cases of patients with AMI complicating ischemic stroke, successfully treated with cangrelor infusion, which was started during PCI and maintained up to 48 h at bridge therapy dosage (0.75 mcg/kg/min). Both patients underwent successful PCI in the acute phase, and neither ischemic nor hemorrhagic complications occurred during in-hospital stay. PMID: 31066332 [PubMed - as supplied by publisher]
Source: Platelets - May 10, 2019 Category: Hematology Tags: Platelets Source Type: research

Mean Platelet Volume-To-Lymphocyte Ratio Predicts Poor Functional Outcomes Among Ischemic Stroke Patients Treated With Intravenous Thrombolysis
Conclusions: Both the values of MPVLR at admission and 18–24 h after intravenous thrombolysis were independently associated with poor functional outcomes. MPVLR may serve as an activity marker for a poor prognosis in patients with acute ischemic stroke receiving intravenous thrombolysis.
Source: Frontiers in Neurology - December 9, 2019 Category: Neurology Source Type: research

Rural-Urban Disparities in Outcomes of Myocardial Infarction, Heart Failure, and Stroke in the United States
CONCLUSIONS: Clinical, public health, and policy efforts are needed to improve rural-urban gaps in care and outcomes for acute cardiovascular conditions.PMID:35057913 | DOI:10.1016/j.jacc.2021.10.045
Source: Rural Remote Health - January 21, 2022 Category: Rural Health Authors: Em éfah C Loccoh Karen E Joynt Maddox Yun Wang Dhruv S Kazi Robert W Yeh Rishi K Wadhera Source Type: research

Using Artificial Intelligence in Predicting Ischemic Stroke Events After Percutaneous Coronary Intervention
CONCLUSIONS: The RF model accurately predicts short- and long-term risk of IS and outperforms logistic regression analysis in patients undergoing PCI. Patients with periprocedural stroke may benefit from aggressive management to reduce the future risk of IS.PMID:37410747
Source: The Journal of Invasive Cardiology - July 6, 2023 Category: Cardiology Authors: Chieh-Ju Chao Pradyumna Agasthi Timothy Barry Chia-Chun Chiang Panwen Wang Hasan Ashraf Farouk Mookadam Amith R Seri Nithin Venepally Mohamed Allam Sai Harika Pujari Anil Sriramoju Mohamed Sleem Said Alsidawi Mackram Eleid Nirat Beohar Floyd D Fortuin Eri Source Type: research