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Specialty: Internal Medicine
Source: Mayo Clinic Proceedings
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Total 82 results found since Jan 2013.
Contemporary Management of Acute Ischemic Stroke Across the Continuum
In this comprehensive contemporary review of acute ischemic stroke management, what is new and different will be highlighted beginning with prehospital stroke systems of care, emergency medical systems, and mobile stroke units, followed by hospital stroke teams, emergency evaluation, telemedicine, and brain and vascular imaging, and finishing with emergency treatments including thrombolysis and mechanical thrombectomy.
Source: Mayo Clinic Proceedings - June 30, 2020 Category: Internal Medicine Authors: Bart M. Demaerschalk, Eugene L. Scharf, Harry Cloft, Kevin M. Barrett, Kara A. Sands, David A. Miller, James F. Meschia Tags: Thematic review on neurovascular diseases Source Type: research
Impact of the Physical Activity and Fitness Components on the Genetic Risk of Stroke
Stroke is a leading cause of morbidity and mortality worldwide, causing enormous health care costs. Physical fitness components, mainly cardiorespiratory fitness (CRF) and muscle strength, and habitual physical activity (PA) are well-evidenced modifiable factors promoting decreases in cardiovascular diseases (CVDs),1,2 stroke,3,4 and all-cause mortality, and even specific mortality types such as sudden cardiac death.5,6 In particular, muscle strength has been found to be inversely associated with stroke risk,3,4 and CRF and PA have also been highlighted for their beneficial influence in reducing the risk of stroke.
Source: Mayo Clinic Proceedings - July 1, 2021 Category: Internal Medicine Authors: David Jim énez-Pavón, Jari A. Laukkanen Tags: Editorial Source Type: research
Ischemic Stroke in Patients With Malignancy
Approximately one-quarter to one-third of patients with ischemic stroke have an embolic stroke of undetermined source (ESUS). An estimated 5% to 10% of patients with ESUS have an active cancer diagnosis. Presence of cancer potentially increases the risk of acute ischemic stroke through various mechanisms such as cancer-related hypercoagulability, intracranial tumors leading to an arterial compression, or intracardiac tumors leading to cardioembolism. Certain cancer therapeutics can also contribute to risk of ischemic stroke.
Source: Mayo Clinic Proceedings - November 1, 2022 Category: Internal Medicine Authors: Ugur Sener, Zafer Keser Tags: Concise review Source Type: research
Time Is Brain: Prehospital Emergency Medical Services Response Times for Suspected Stroke and Effects of Prehospital Interventions
To compare prehospital time for patients with suspected stroke in Florida with the American Stroke Association (ASA) time benchmarks, and to investigate the effects of dispatch notification and stroke assessment scales on prehospital time.
Source: Mayo Clinic Proceedings - March 10, 2021 Category: Internal Medicine Authors: Johan L. Heemskerk, Ricardo A. Domingo, Rabih G. Tawk, Tito G. Vivas-Buitrago, Josephine F. Huang, Ashley Rogers, Alfredo Quinones-Hinojosa, Kingsley Abode-Iyamah, William D. Freeman Tags: Original article Source Type: research
Increased Risk of First-Ever Stroke in Younger Patients With Atrial Fibrillation Not Recommended for Antithrombotic Therapy by Current Guidelines: A Population-Based Study in an East Asian Cohort of 22 Million People
To assess the risk of first-ever ischemic stroke in younger patients with atrial fibrillation (AF) who have none of the CHA2DS2-VASc (congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, previous stroke/transient ischemic attack, vascular disease, age 65-74 years, sex category [female sex]) risk factors (excluding female sex) by using the National Health Insurance research database in Taiwan.
Source: Mayo Clinic Proceedings - November 1, 2014 Category: Internal Medicine Authors: Kuan-Cheng Chang, Yu-Chen Wang, Po-Yen Ko, Hung-Pin Wu, Yu-Wei Chen, Chih-Hsin Muo, Fung-Chang Sung, Tsai-Chung Li, Chung Y. Hsu Tags: Original article Source Type: research
CHADS Scores as a Predictor of Ischemic Stroke in Patients With Peripheral Artery Disease
To assess the predictive value of CHADS2 (congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, stroke) scores for stroke risk in patients with peripheral artery disease (PAD).
Source: Mayo Clinic Proceedings - December 8, 2015 Category: Internal Medicine Authors: Yu-Wan Yang, Yi-Hsin Chen, Chia-Chun Hsu, Ching-Chih Lee, Yu-Hung Kuo, Hsun-Yang Chuang, Teng-Fu Hsieh Tags: Original article Source Type: research
The Pooled Cohort Equations for Predicting Risk of Myocardial Infarction and Stroke: Validated in Representative Natural History Populations
The American College of Cardiology (ACC)/American Heart Association (AHA) Pooled Cohort equations (PCEs) were introduced in late 2013 and published in mid-2014.1 Unlike the Framingham score used to determine coronary heart disease (CHD) risk in the National Cholesterol Education Program Adult Treatment Panel III guidelines,2 the new PCEs focused on estimating risk of CHD and stroke and additionally provided specific risk assessment for African American individuals. Because stroke may occur before CHD, particularly in women and African Americans, the PCEs were seen as a major advance in disease prognostication.
Source: Mayo Clinic Proceedings - May 10, 2016 Category: Internal Medicine Authors: Neil J. Stone, Donald M. Lloyd-Jones Tags: Editorial Source Type: research
Association of Low Urinary Sodium Excretion With Increased Risk of Stroke
We examined the association of urinary sodium excretion (UNaV) as an accurate estimate of intake with risk of stroke. We studied 7330 individuals free of cardiovascular events at baseline in the Prevention of Renal and Vascular End-stage Disease (PREVEND) study, a prospective, population-based cohort of Dutch men and women.
Source: Mayo Clinic Proceedings - September 20, 2018 Category: Internal Medicine Authors: Lyanne M. Kieneker, Michele F. Eisenga, Ron T. Gansevoort, Rudolf A. de Boer, Gerjan Navis, Robin P.F. Dullaart, Michel M. Joosten, Stephan J.L. Bakker Tags: Brief report Source Type: research
Perception of the Risk of Stroke and the Risks and Benefits of Oral Anticoagulation for Stroke Prevention in Patients With Atrial Fibrillation: A Cross-Sectional Study
To assess the perception of the risk of stroke and the risks and benefits of oral anticoagulation (OAC) in patients with atrial fibrillation (AF).
Source: Mayo Clinic Proceedings - March 28, 2019 Category: Internal Medicine Authors: Mohammad Hijazi, Sami Aljohani, Fahad Alqahtani, Zakeih Chaker, Muhammad Al Hajji, Ahmad Al Hallak, Mohamad Alkhouli Tags: Original article Source Type: research
Stroke Prevention in Very Elderly Patients With Nonvalvular Atrial Fibrillation Revisited
Stroke prevention is the cornerstone in the management of patients with atrial fibrillation (AF). Oral anticoagulation (OAC) has been the main strategy to reduce the risk of thromboembolism in most AF patients.1 However, its effective use is hampered by several challenges, including the attended bleeding risk, noncompliance, and cost.2 Elderly patients are further disadvantaged with additional factors that may limit the use of OAC, such as frailty, polypharmacy, and functional dependence.3 In addition, there are limited data to guide stroke prevention decisions in these patients; octogenarians are typically excluded from c...
Source: Mayo Clinic Proceedings - January 1, 2021 Category: Internal Medicine Authors: Mohamad Alkhouli Tags: Editorial Source Type: research
Genetic Risk, Muscle Strength, and Incident Stroke: Findings From the UK Biobank Study
To examine the associations of muscle strength and genetic risk for stroke with stroke incidence.
Source: Mayo Clinic Proceedings - July 1, 2021 Category: Internal Medicine Authors: Youngwon Kim, Semi Hwang, Stephen J. Sharp, Shan Luo, Shiu Lun Au Yeung, Craig C. Teerlink Tags: Original article Source Type: research
Risk of Stroke and Myocardial Infarction After Herpes Zoster in Older Adults in a US Community Population
To assess the risk of stroke and myocardial infarction (MI) after herpes zoster in a US community population of older adults.
Source: Mayo Clinic Proceedings - December 15, 2015 Category: Internal Medicine Authors: Barbara P. Yawn, Peter C. Wollan, Maria A. Nagel, Don Gilden Tags: Original article Source Type: research
Diagnosis and Management of Acute Ischemic Stroke
Acute ischemic stroke (AIS) is among the leading causes of death and long-term disability. Intravenous tissue plasminogen activator has been the mainstay of acute therapy. Recently, several prospective randomized trials documented the value of endovascular revascularization in selected patients with large-vessel occlusion within the anterior circulation. This finding has led to a paradigm shift in the management of AIS, including wide adoption of noninvasive neuroimaging to assess vessel patency and tissue viability, with the supplemental and independent use of intravenous tissue plasminogen activator to improve clinical outcomes.
Source: Mayo Clinic Proceedings - April 1, 2018 Category: Internal Medicine Authors: Tasneem F. Hasan, Alejandro A. Rabinstein, Erik H. Middlebrooks, Neil Haranhalli, Scott L. Silliman, James F. Meschia, Rabih G. Tawk Tags: Thematic reviews on neurosciences Source Type: research
Racial Differences in the Association Between Nonexercise Estimated Cardiorespiratory Fitness and Incident Stroke
To examine the association between estimated cardiorespiratory fitness (eCRF) and incident stroke by black and white race.
Source: Mayo Clinic Proceedings - June 11, 2018 Category: Internal Medicine Authors: Xuemei Sui, Virginia J. Howard, Michelle N. McDonnell, Linda Ernstsen, Matthew L. Flaherty, Steven P. Hooker, Carl J. Lavie Tags: Original article Source Type: research
Stroke Risk Before and After Central Retinal Artery Occlusion in a US Cohort
To determine the risk of ischemic stroke, transient ischemic attack (TIA), and amaurosis fugax around the time of central retinal artery occlusion (CRAO).
Source: Mayo Clinic Proceedings - January 31, 2019 Category: Internal Medicine Authors: Kevin D. Chodnicki, Jose S. Pulido, David O. Hodge, James P. Klaas, John J. Chen Tags: Original article Source Type: research
