Stroke Rounds: Kidney Disease Not Always a Barrier to tPA (CME/CE)
(MedPage Today) -- CKD need not prohibit thrombolytic therapy in otherwise eligible stroke patients. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - September 25, 2014 Category: Cardiology Source Type: news

Stroke Rounds: Guidelines on rtPA Brain Bleeds Lack Data (CME/CE)
(MedPage Today) -- Current guidelines for treating brain bleeds caused by thrombolytic therapy for strokes are based on empirical evidence alone and widely used treatments may not be adequate, researchers suggested. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - July 29, 2014 Category: Cardiology Source Type: news

Mixed Results for Thrombolysis in Pulmonary Embolism (FREE)
By Larry Husten Edited by David G. Fairchild, MD, MPH Among patients with acute pulmonary embolism (PE), thrombolytic therapy reduces mortality relative to standard anticoagulation, but at the cost of increased bleeding, a JAMA meta-analysis finds. Researchers analyzed … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - June 18, 2014 Category: Primary Care Source Type: news

Mixed Results for Thrombolysis in Pulmonary Embolism
The role of thrombolytic therapy for the treatment of pulmonary embolism has been unclear, as it has been difficult to measure the precise balance between enhanced clot-dissolving efficacy and greater bleeding risk produced by thrombolysis when compared with conventional anticoagulation. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - June 17, 2014 Category: Pharmaceuticals Authors: Larry Husten Source Type: news

Thrombolysis Aids PE Survival, but Ups Bleeding Risk (CME/CE)
(MedPage Today) -- Thrombolytic therapy nearly halved mortality in patients with pulmonary embolism (PE), but at the cost of a higher risk of major bleeding, especially in the elderly, a meta-analysis found. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - June 17, 2014 Category: Cardiology Source Type: news

Effectiveness of Early Stroke Thrombolysis Confirmed in Community-Based Study (FREE)
By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and André Sofair, MD, MPH The effectiveness of early thrombolytic therapy after acute stroke observed in randomized trials persists in everyday clinical practice, according to a large, … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - June 3, 2014 Category: Primary Care Source Type: news

Stroke Rounds: Score Predicts Response to Clot Busters
(MedPage Today) -- Higher-risk patients according to a simple risk score incorporating age and stroke severity appear to derive the most benefit from thrombolytic therapy for an acute ischemic stroke, an observational study showed. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - May 6, 2014 Category: Cardiology Source Type: news

Stroke Rounds: Speeding tPA Use, Assuming Consent (CME/CE)
(MedPage Today) -- This week, JAMA released a theme issue on neurology, which contained several studies related to stroke. They included two studies evaluating ways to improve the speed with which thrombolytic therapy is administered and one looking at whether consent to thrombolytic therapy can be assumed. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - April 24, 2014 Category: Cardiology Source Type: news

Drug for Clot in Lung Helps -- at a Price (CME/CE)
(MedPage Today) -- A shot of thrombolytic therapy substantially improved outcomes in intermediate-risk pulmonary embolism in a randomized trial, but the improvement came at a price in bleeding and stroke that is likely to keep acceptance low. (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - April 9, 2014 Category: Emergency Medicine Source Type: news

Stroke Rounds: Early Surgery Looks Safe After tPA
(MedPage Today) -- Performing carotid endarterectomy or stenting in patients who were recently treated with thrombolytic therapy for an acute stroke appeared to be safe, an observational study showed. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - March 11, 2014 Category: Cardiology Source Type: news

Stroke: Initiative Cuts Time to tPA (CME/CE)
SAN DIEGO (MedPage Today) -- An effort to shorten the time between when patients with acute ischemic stroke arrive at the hospital and when they receive intravenous thrombolytic therapy -- the door-to-needle time -- proved successful, researchers found. (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - February 17, 2014 Category: Primary Care Source Type: news

Stroke Rounds: Uric Acid Post tPA (CME/CE)
SAN DIEGO (MedPage Today) -- Despite missing its primary endpoint, a randomized trial suggested that giving uric acid after intravenous thrombolytic therapy to patients with acute ischemic stroke might help improve outcomes. (Source: MedPage Today Meeting Coverage)
Source: MedPage Today Meeting Coverage - February 13, 2014 Category: Journals (General) Source Type: news

Stroke in a young patient? Ask about synthetic cannabinoids
3 out of 5 stars Ischemic stroke after use of synthetic marijuana “spice”. Freeman MJ et al. Neurology 2013;81:1-4. Abstract This interesting paper, from the University of South Florida in Tampa, describes a brother and sister who at different times both developed ischemic strokes shortly after smoking a synthetic marijuana product. The 26-year-old brother presented with dysarthria, expressive aphasia, and right-sided weakness after smoking “Spice” a few hours previously. Head CT showed a clot in the proximal middle cerebral artery. His symptoms resolved after treatment with thrombolytics. The 19-y...
Source: The Poison Review - December 11, 2013 Category: Toxicology Authors: Leon Tags: Medical cerebral ischemia jwh-018 spice stroke synthetic cannabinoid Source Type: news

Clot-Busting Drugs Used More Often in Stroke (CME/CE)
(MedPage Today) -- Stroke patients eligible for thrombolytic therapy have significantly better odds of receiving the therapy than they did a few years ago, according to a review of more than a million stroke cases. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - August 23, 2013 Category: Cardiology Source Type: news

Earlier the Better for Stroke Treatment (CME/CE)
(MedPage Today) -- The earlier within the recommended treatment window that intravenous thrombolytic therapy was administered, the better the outcomes following ischemic stroke, an observational study showed. (Source: MedPage Today State Required CME)
Source: MedPage Today State Required CME - August 22, 2013 Category: Consumer Health News Source Type: news