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Condition: Atrial Fibrillation
Education: Training
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Total 176 results found since Jan 2013.
How long should we wait to start oral anticoagulation after cardioembolic stroke?
As a neurology resident many years ago, I carried in the pocket of my white coat a small notebook. I used this as a quick reference guide, recording the diagnostic and treatment recommendations of the neurology professors training me. I still have the book, and occasionally amuse myself by perusing the entry for acute stroke, satisfying in its pure simplicity: "If Afib present > start IV heparin; if no Afib > start aspirin." As is so often the case, clinical trial data soon enough proved this received wisdom wrong. In the Heparin in Acute Embolic Stroke Trial, which enrolled patients with stroke and atrial fibrillati...
Source: Neurology - October 30, 2016 Category: Neurology Authors: Cucchiara, B. Tags: Stroke prevention, Clinical trials Observational study (Cohort, Case control) EDITORIALS Source Type: research
Check the pulse to track irregular heartbeats after a stroke
The rapid, irregular heartbeat known as atrial
fibrillation is a key cause of stroke. New research suggests that it's to blame
for more strokes than doctors realized, and that simply measuring the pulse could
help detect unrecognized atrial fibrillation and avert a second stroke, reports
the October 2014 Harvard Heart Letter.
Atrial fibrillation can come and go,
lasting from a few seconds to several days. Some people have distressing
symptoms such as palpitations, dizziness, or chest pressure. For many others, atrial
fibrillation passes silently. Either way, blood can pool in the heart's upper
chambers, or atria. This stag...
Source: New Harvard Health Information - September 30, 2014 Category: Consumer Health News Source Type: news
Fast-Track Long Term Continuous Heart Monitoring in a Stroke Clinic: A Feasibility Study
Conclusion: It is feasible to implement a fast-track cardiac monitoring as part of a stroke clinic with proper training of stroke providers, clinic staff, and support from a cardiology team.
Source: Frontiers in Neurology - January 20, 2020 Category: Neurology Source Type: research
Addressing Disparities in Stroke Prevention for Atrial Fibrillation: Educational Opportunities
This study identified barriers to optimal stroke prevention to develop a framework for clinician education. A comprehensive educational needs assessment was developed focusing on clinicians within the Stroke Belt. The mixed qualitative-quantitative approach included regional surveys and one-on-one clinician interviews. Identified contributors to disparities included implicit racial biases, lack of awareness of racial disparities in AF stroke risk, and lack of effective multicultural awareness and training. Additional barriers affecting disparities included patient medical mistrust and clinician-patient communication challe...
Source: American Journal of Medical Quality - June 30, 2016 Category: Health Management Authors: Karcher, R., Berman, A. E., Gross, H., Hess, D. C., Jauch, E. C., Viser, P. E., Solenski, N. J., Wolf, A. M. D. Tags: Articles Source Type: research
Risk factor identification and prediction models for prolonged length of stay in hospital after acute ischemic stroke using artificial neural networks
ConclusionThe artificial neural network model achieved adequate discriminative power for predicting prolonged length of stay after acute ischemic stroke and identified crucial factors associated with a prolonged hospital stay. The proposed model can assist in clinically assessing the risk of prolonged hospitalization, informing decision-making, and developing individualized medical care plans for patients with acute ischemic stroke.
Source: Frontiers in Neurology - February 9, 2023 Category: Neurology Source Type: research
Agreement between ambulance and hospital records for information promoting urgent stroke treatment decisions
Conclusion: In a retrospective cohort of stroke patients admitted by emergency ambulance, standard practice did not consistently result in prehospital documentation of information that could promote rapid treatment decisions. Training emergency practitioners and/or providing clinical protocols could facilitate early stroke treatment decisions, but prehospital information availability is likely to be a limiting factor.
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles 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
C1QC, VSIG4, and CFD as Potential Peripheral Blood Biomarkers in Atrial Fibrillation-Related Cardioembolic Stroke
Oxid Med Cell Longev. 2023 Jan 5;2023:5199810. doi: 10.1155/2023/5199810. eCollection 2023.ABSTRACTAtrial fibrillation (AF) is a major risk factor for ischemic stroke. We aimed to identify novel potential biomarkers with diagnostic value in patients with atrial fibrillation-related cardioembolic stroke (AF-CE).Publicly available gene expression profiles related to AF, cardioembolic stroke (CE), and large artery atherosclerosis (LAA) were downloaded from the Gene Expression Omnibus (GEO). Differentially expressed genes (DEGs) were identified and then functionally annotated. The support vector machine recursive feature elimi...
Source: Atherosclerosis - January 16, 2023 Category: Cardiology Authors: Qian Ding Juan Xing Fanghui Bai Wei Shao Kaiqi Hou Shoudu Zhang Yuanzheng Hu Baochao Zhang Hui Zhao Qian Xu Source Type: research
Joint efficacy of the three biomarkers SNCA, GYPB and HBG1 for atrial fibrillation and stroke: Analysis via the support vector machine neural network
In this study, a total of 30 participants were recruited, including 10 controls, 10 patients with AF and 10 patients with AF and stroke (AF + STROKE). Differentially expressed genes (DEGs) were identified, and functional annotation of DEGs, comparative toxicogenomic database analysis associated with cardiovascular diseases, and predictions of miRNAs of hub genes were performed. Using RT-qPCR, biological process and support vector machine neural networks, numerous DEGs were found to be related to AF. HBG1, SNCA and GYPB were found to be upregulated in the AF group. Higher expression of hub genes in AF and AF + STROKE groups...
Source: J Cell Mol Med - February 9, 2022 Category: Molecular Biology Authors: Xiang Wang Xuyang Meng Lingbing Meng Ying Guo Yi Li Chenguang Yang Zuowei Pei Jiahan Li Fang Wang Source Type: research
Prediction of incident atrial fibrillation in post-stroke patients using machine learning: a French nationwide study
ConclusionsML algorithms predict incident AF post-stroke with a better ability than previously developed clinical scores.Graphic AbstractAF: atrial fibrillation; DNN: deep neural network; IS: ischemic stroke; KNN: K-nearest neighbors; LR: logistic regression; RFC: random forest classifier; XGBoost: extreme gradient boosting
Source: Clinical Research in Cardiology - December 17, 2022 Category: Cardiology Source Type: research
