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Clinical risk factors for acute ischaemic and haemorrhagic stroke in patients with infective endocarditis
Internal Medicine Journal,Volume 48, Issue 9, Page 1072-1080, September 2018.
Source: Internal Medicine Journal - September 5, 2018 Category: Internal Medicine Authors: Ives Valenzuela , Madeleine D. Hunter , Kathryn Sundheim , Bradley Klein , Lauren Dunn , Robert Sorabella , Sang M. Han , Joshua Willey , Isaac George , Jose Gutierrez Source Type: research

Clinical Risk Factors for Acute Ischemic and Hemorrhagic Stroke in Patients with Infective Endocarditis
Internal Medicine Journal,Volume 0, Issue ja, -Not available-.
Source: Internal Medicine Journal - May 9, 2018 Category: Internal Medicine Authors: Ives Valenzuela , Madeleine D Hunter , Kathryn Sundheim , Bradley Klein MD , Lauren Dunn MD , Robert Sorabella MD , Sang M Han , Joshua Willey MD , Isaac George MD , Jose Gutierrez MD Source Type: research

Urolithiasis is associated with an increased risk of stroke: A population ‐based 5‐year follow‐up study
ConclusionsIn conclusion, the present study detected an increased risk of both ischemic and hemorrhagic stroke in patients with urolithiasis, particularly in those older than 40 years old.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Authors: Ping ‐Song Chou, Wei‐Pin Chang, Yii‐Her Chou Tags: Original Article Source Type: research

Reflection on Stroke Deaths and end ‐of‐life stroke care
ConclusionIn this cohort, palliative care referral and EOLCP were commenced in less than 50% of patients, highlighting significant variations in clinical care. These data support the need to promote awareness of ACP, particularly in patients with prior stroke or significant co‐morbidities. This may help reduce potentially futile invasive investigations and treatment.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Authors: Syed Zujajuddin Quadri, Thang Huynh, Cecilia Cappelen ‐Smith, Nirupama Wijesuriya, Abul Mamun, Roy Beran, Alan Mcdougall, Dennis Cordato Tags: Original Article Source Type: research

Recurrent contrast ‐induced encephalopathy following coronary angiography
Contrast‐induced encephalopathy (CIE) is an acute and reversible neurological disturbance associated with the intra‐arterial administration of iodinated contrast medium during cardiac catheterisation. It may manifest with encephalopathy, motor and sensory disturbances; vision disturbances, including cortical blindness, ophthalmoplegia, aphasia; and seizures. Disruption of the blood–brain barrier and direct neuronal toxicity are believed to be implicated in the pathophysiology of the syndrome. Symptoms appear soon after contrast administration and resolve completely within 24–48 h. Risk factors may include hypertens...
Source: Internal Medicine Journal - February 14, 2017 Category: Internal Medicine Authors: Roberto Spina, Neil Simon, Romesh Markus, David W. M. Muller, Krishna Kathir Tags: Brief Communication Source Type: research

Atrial fibrillation in older inpatients: are there any differences in clinical characteristics and pharmacological treatment between the frail and the non‐frail?
ConclusionsFrailty status had little impact on antithrombotic prescription and no impact on anti‐arrhythmic prescription.
Source: Internal Medicine Journal - September 19, 2015 Category: Internal Medicine Authors: T. N. Nguyen, R. G. Cumming, S. N. Hilmer Tags: Original Article Source Type: research

Victorian Stroke Telemedicine Project: Implementation of a new model of translational stroke care for Australia
ConclusionsThe VST pilot implementation provides evidence that telemedicine can enhance the quality of acute stroke care in a regional hospital. Expanding VST to 16 regional hospitals, Australia's largest telestroke program, will allow for a more comprehensive clinical and economic analysis.
Source: Internal Medicine Journal - May 26, 2015 Category: Internal Medicine Authors: CF Bladin, N Molocijz, S Ermel, KL Bagot, M Kilkenny, M Vu, DA Cadilhac, Tags: Original Article Source Type: research

Stroke physician versus stroke neurologist: can anyone thrombolyse?
ConclusionDue to the single‐centre, observational nature of this study, the equivalent outcomes between those thrombolysed by a stroke neurologist versus those thrombolysed by a stroke physician must be interpreted with caution pending further studies. Nevertheless, in the current setting, no signal for harm has been detected. This study is unique as it is the first to our knowledge comparing outcomes between a neurologist and non‐neurologist following thrombolysis.
Source: Internal Medicine Journal - March 3, 2015 Category: Internal Medicine Authors: A. Lee, A. Gaekwad, M. Bronca, L. Cheruvu, O. Davies, C. Whitehead, M. Agzarian, C. Chen Tags: Original Article Source Type: research

Stroke physician vs stroke neurologist – can anyone thrombolyse?
ConclusionDue to the single center, observational nature of this study, the equivalent outcomes between those thrombolysed by a stroke neurologist vs those thrombolysed by a stroke physician must be interpreted with caution pending further studies. Nevertheless, in the current setting, no signal for harm has been detected. This study is unique as it is the first to our knowledge comparing outcomes between a neurologist and non‐neurologist following thrombolysis.
Source: Internal Medicine Journal - December 23, 2014 Category: Internal Medicine Authors: Andrew Lee, Aaron Gaekwad, Michelle Bronca, Lata Cheruvu, Owen Davies, Craig Whitehead, Marc Agzarian, Celia Chen Tags: Original Article Source Type: research

Left atrial appendage occlusion with the Watchman device in a patient with paroxysmal atrial fibrillation and intolerance of all forms of anticoagulation due to hereditary haemorrhagic telangiectasia
Abstract An elderly woman presented to our attention because of paroxysmal atrial fibrillation and cerebrovascular events requiring systemic anticoagulation and a concomitant, serious bleeding diathesis (the Osler‐Weber‐Rendu syndrome, or hereditary haemorrhagic telangiectasia). Her risk of suffering a major stroke was significant given a CHA2DS2VASc score of 6. However, she was unable to tolerate any form of anticoagulation because of torrential epistaxis and previous gastrointestinal haemorrhage on antiplatelet therapy. We proceeded with percutaneous occlusion of the left atrial appendage with a Watchman device. Ten ...
Source: Internal Medicine Journal - March 13, 2014 Category: Internal Medicine Authors: R. Spina, B. Gunalingam Tags: Brief Communication Source Type: research

Intravenous thrombolysis is unsafe in stroke due to infective endocarditis
We describe a patient with occult endocarditis who was treated with thrombolysis for acute stroke and review other cases reported in the literature.
Source: Internal Medicine Journal - February 17, 2014 Category: Internal Medicine Authors: W. J. Brownlee, N. E. Anderson, P. A. Barber Tags: Brief Communication Source Type: research