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Differences in the knowledge and compliance with secondary prevention of stroke between transient ischaemic attack patients with and without subsequent stroke
ConclusionsThe transient ischaemic attack patients with subsequent stroke exhibit a higher identification rate of most of the warning signs of stroke and a better compliance with antiplatelet agents and statins therapy of stroke compared with those without subsequent stroke. Thus, we suggest that transient ischaemic attack patients should receive additional health education to increase their awareness of the harms of stroke. Relevance to clinical practiceClinicians should be aware of conducting different health education to patients with transient ischaemic attack and stroke. Also, it is important to give health education ...
Source: Journal of Clinical Nursing - January 21, 2014 Category: Nursing Authors: Jingjing Zhao, Muke Zhou, Jian Guo, Jingjing Zhang, Yaqiong Yang, Fan Yu, Li He Tags: Original Article Source Type: research

Taking statins linked with 30% lower stroke risk
Regular use of cholesterol lowering drugs is associated with a significantly lower risk of stroke in healthy older adults, according to a French study.
Source: Nursing Times Breaking News - May 20, 2015 Category: Nursing Source Type: news

Assessing Patient Decision-Making Capacity: It’s About the Thought Process
Fred Jones is a 64-year-old man who presents to the emergency department with visual changes and left-sided facial numbness that started 2 hours earlier, after an argument with his wife. He states, “I want to make sure I’m not having a stroke.” His medical history is significant for hypertension. His medications include lisinopril, hydrochlorothiazide, and simvastatin. He is being evaluated for a cerebral vascular accident (CVA) with an onset of symptoms of less than 4 hours. Nursing assessment finds a National Institutes of Health Stroke Scale score of 1, with the loss of left upper quadrant peripheral visual fields.
Source: Journal of Emergency Nursing: JEN - January 9, 2015 Category: Nursing Authors: Melanie A. Mitchell Tags: Clinical Source Type: research

Statins and cardiovascular disease.
Authors: Abstract Essential facts Heart disease, stroke and peripheral arterial disease, known collectively as cardiovascular disease (CVD), cause one in three of all deaths in the UK. High levels of low-density lipoprotein (LDL) cholesterol can lead to hardening of the arteries, a risk factor for CVD. Statins are a group of drugs that act on the liver to lower LDL cholesterol rates in the blood. As many as seven million people in the UK currently take statins, at a cost of £285 million a year, according to the National Institute for Health and Care Excellence (NICE). PMID: 24641035 [PubMed - in process]
Source: Nursing Standard - March 19, 2014 Category: Nursing Tags: Nurs Stand Source Type: research

Evidence does not back primary CVD prevention with statins
Evidence does not support the widespread use of statins in healthy older people to prevent heart disease and stroke, according to the authors of a new Spanish study.
Source: Nursing Times - September 7, 2018 Category: Nursing Source Type: news

A Review of the 2018 Cholesterol Guidelines: Focus on Nonstatin Lipid-lowering Drugs
The 2018 Cholesterol Clinical Practice Guidelines were released and endorsed by multiple associations including the National Lipid Association, American Diabetes Association, American Pharmacists Association, American Society for Preventive Cardiology, and Preventive Cardiovascular Nurses Association, to name a few.1 Since the prior guideline and addendums, studies have been published showing the benefit of nonstatin lipid-lowering agents. Ezetimibe demonstrated atherosclerotic cardiovascular disease (ASCVD) morbidity reduction (specifically myocardial infarction and stroke) in patients with acute coronary syndrome when ad...
Source: The Journal for Nurse Practitioners - January 3, 2019 Category: Nursing Authors: Roda Plakogiannis Tags: Prescription Pad Source Type: research

Multimorbidity in Patients With Acute Coronary Syndrome Is Associated With Greater Mortality, Higher Readmission Rates, and Increased Length of Stay: A Systematic Review.
CONCLUSIONS: Multimorbid patients with ACS are at a greater risk for worse outcomes than their nonmultimorbid counterparts. Lack of consistent measurement makes interpretation of the impact of multimorbidity challenging and emphasizes the need for more research on multimorbidity's effects on postdischarge healthcare utilization. PMID: 32925234 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - September 8, 2020 Category: Nursing Authors: Breen K, Finnegan L, Vuckovic K, Fink A, Rosamond W, DeVon HA Tags: J Cardiovasc Nurs Source Type: research

Multimorbidity in Patients With Acute Coronary Syndrome Is Associated With Greater Mortality, Higher Readmission Rates, and Increased Length of Stay: A Systematic Review
Conclusions Multimorbid patients with ACS are at a greater risk for worse outcomes than their nonmultimorbid counterparts. Lack of consistent measurement makes interpretation of the impact of multimorbidity challenging and emphasizes the need for more research on multimorbidity's effects on postdischarge healthcare utilization.
Source: Journal of Cardiovascular Nursing - October 21, 2020 Category: Nursing Tags: Feature Article/Online Only Source Type: research

Malignant Hyperthermia: A Killer If Ignored
J Perianesth Nurs. 2022 Apr 9:S1089-9472(21)00353-1. doi: 10.1016/j.jopan.2021.08.018. Online ahead of print.ABSTRACTMalignant hypothermia (MH) is a potentially fatal hypermetabolic reaction of skeletal muscle. It is an autosomal dominant disorder that generally occurs in people with RYR1, CACNA1S, or STAC3 mutations. And these genetic abnormalities often cause the imperfection of calcium release channels of skeletal muscle. The incidence of MH among different racial groups across the world ranges from approximately 1:5,000-1:250,000, but there is no national statistic MH incidence in China. It is not clear whether there a...
Source: Journal of Perianesthesia Nursing - April 13, 2022 Category: Nursing Authors: Xin Bin Baisheng Wang Zhangui Tang Source Type: research