Acute stroke ischemic attack transient. Medical search. Frequent questions

We aimed to investigate the prognostic significance of AHR in patients with ischemic stroke or transient ischemic attack (TIA), and further examined the relationship between AHR and myocardial function, using two-dimensional speckle-Tracking echocardiography (2D-STE).Methods:A total of 244 consecutive patients with acute ischemic stroke (AIS) (n = 192) or TIA (n = 52), who were evaluated with 2D-STE within 7 days from admission, were retrospectively analysed. (ewha.ac.kr)
The primary endpoint was a composite of major adverse cardiovascular and cerebrovascular events (MACCE), including death, myocardial infraction or recurrent ischemic stroke.Results:Among the study population, AHR was observed in 161 (66%) patients. (ewha.ac.kr)
The focus is primary prevention in adults to reduce the risk of ASCVD (acute coronary syndromes, myocardial infarction, stable or unstable angina, arterial revascularization, stroke/transient ischemic attack, peripheral arterial disease), as well as heart failure and atrial fibrillation. (acc.org)

Early treatment remains the cornerstone of acute stroke therapy and it is of paramount importance that patients arriving in stroke units who are eligible for thrombolysis should be treated without delay. (science20.com)
Furthermore, the ECASS 3 data are complemented by similar findings from SITS-ISTR (Safe Implementation of Treatments in Stroke - International Stroke Thrombolysis Registry), an academic-driven acute stroke registry of thrombolysis for ischaemic stroke, which were published last week in The Lancet(7). (science20.com)
ECASS 3 was a randomised, double-blind, multicentre, placebo-controlled trial of Actilyse(R) in acute ischaemic stroke where thrombolysis is initiated between 3 and 4.5 hours after stroke onset. (science20.com)
The central premise of acute stroke thrombolysis is the recovery of the ischemic penumbra ( 6 , 7 ). (spandidos-publications.com)
Local intra-arterial thrombolysis is the preferred treatment option for acute lower limb ischaemia (ALLI) in many vascular centres. (springer.com)
Background Stroke thrombolysis is strongly supported as an effective therapy for selected cases of early stroke. (bmj.com)
Data at Scarborough DGH were compared with data from the SITS-MOST European-wide study of stroke thrombolysis. (bmj.com)
Conclusion Stroke thrombolysis can be effectively delivered in a non-specialist (a non-hyper-acute stroke centre) DGH in the UK. (bmj.com)
Since 2007, intravenous thrombolysis has been recommended for the treatment of ischaemic stroke initially within 3 h of symptom onset, 1-6 and more recently within 4 ½ h of symptom onset. (bmj.com)
An alternative model is for stroke and emergency medicine services to work collaboratively to provide thrombolysis at the location of the patient. (bmj.com)
Scarborough has adopted a collaborative approach that aims to deliver timely and appropriate thrombolysis for a population of stroke victims presenting to a district general hospital (DGH). (bmj.com)
The aim of this paper is to describe the service and to describe outcomes for stroke thrombolysis in a DGH setting. (bmj.com)

Does loading clopidogrel with aspirin reduce recurrent stroke after moderate to high-risk transient ischemic attack (TIA) or minor stroke if started within 24 hours of primary event? (the-hospitalist.org)

Transient ischemic attacks (TIAs) cause similar symptoms, but the blockage of blood flow to the brain is temporary. (cdc.gov)
Noncontrast CT is the first-line imaging of acute stroke symptoms to assess for intracranial hemorrhage and evidence of edema related to ischemia. (aneskey.com)
Head and neck CTA is useful in evaluation of acute stroke symptoms to detect LVO, dissection, or significant intracranial arterial stenoses. (aneskey.com)
Noncontrast head CT is the preferred imaging study for evaluation of acute stroke symptoms because of widespread availability, rapid scan times, and ease of detecting intracranial hemorrhage. (aneskey.com)
Symptoms may include headache, abnormal vision, any of the symptoms of stroke such as weakness of the face and limbs on one side of the body and seizures. (wikipedia.org)
Staphyloccoal or Streptococcal infections of the face, for example nasal or upper lip pustules may thus spread directly into the cavernous sinus, causing stroke-like symptoms of double vision, squint, as well as spread of infection to cause meningitis. (wikipedia.org)
CTP was performed within 24 h of the onset of symptoms in 20 patients with possible stroke. (spandidos-publications.com)
One study showed that women may experience longer delay from arrival to the emergency rooms to the time they are evaluated for stroke symptoms. (cmsdocs.org)
This may be due to possible gender differences in the reporting of acute stroke symptoms. (cmsdocs.org)
In a commonly referenced study of 1,189 admissions that ended with a validated stroke diagnosis in the emergency room, traditional stroke symptoms of postural imbalance (men 20% vs. 15% in women) and hemiparesis (men 24% vs. 19% in women) were more likely to be presenting symptoms for men than for women. (cmsdocs.org)
In addition, women were more likely to present with symptoms that were more atypical for stroke, including pain, and change in cognition and level of consciousness. (cmsdocs.org)
Acute management of TIA and minor stroke Patients who present with symptoms suggestive of minor stroke or TIA must undergo a comprehensive evaluation to confirm the diagnosis and begin treatment to reduce the risk of major stroke as soon as it is appropriate to the clinical situation. (slideserve.com)
Neurological symptoms related to microthrombosis are the hallmark of acute manifestations of acquired thrombotic thrombocytopenic purpura (TTP). (haematologica.org)
Our study demonstrates compromised memory and attention functions, persisting anxiety/depression symptoms and a generally reduced quality of life in patients recovering from acute acquired TTP. (haematologica.org)
It offers the best clinical advice on the diagnosis and acute management of stroke and TIA in the 48 hours after onset of symptoms. (bvsalud.org)
Should I change my use of exchange transfusion for neurological acute symptoms suggesting a stroke or transient ischemic attack? (cdc.gov)

Emergency departments play a critical role in the diagnosis and management of ischemic stroke and TIA. (cdc.gov)
Many potential biomarkers have been described to contribute to the diagnosis, prognosis of outcomes, and risk stratification after stroke. (viamedica.pl)
Technologies that increase the speed and accuracy of stroke diagnosis or assist in post-stroke rehabilitation can improve patient outcomes. (mdpi.com)
If a patient has no response to zolmitriptan treatment for the first migraine attack, reconsider the diagnosis of migraine before zolmitriptan is administered to treat any subsequent attacks. (nih.gov)
Depending on the clinical diagnosis and the treatment offered, the patient may stay in the mobile stroke unit and be transferred to the tertiary care facility or, if appropriate, sent back to the local hospital for further care ( Box 1 ). (cmaj.ca)
Magnetic resonance imaging (MRI) is increasingly being used in the diagnosis and management of acute ischemic stroke and is sensitive and relatively specific in detecting changes that occur after such strokes. (medscape.com)
Hospitalization for stroke (cerebrovascular disease) is defined as a first-listed diagnosis on the medical record of 430-438, as coded according to the International Classification of Diseases, 9th Revision, Clinical Modification . (cdc.gov)

While ticagrelor alone is not better than aspirin in preventing vascular events after stroke, its effect in combination with aspirin is not clearly established. (physiciansweekly.com)
Other studies have shown that a significant proportion of young women have elevated homocysteine serum levels, an independent risk factor for stroke and vascular disease. (cmsdocs.org)
The Canadian Stroke Strategy recommends target blood pressure levels as defined by CHEP guidelines for prevention of first stroke, recurrent stroke and other vascular events. (slideserve.com)
The UCLA Stroke Center is recognized as a world-leader in the management of cerebral vascular disease. (uclahealth.org)
The UCLA Sroke Center provides state-of-the-art care for a full range of central nervous system vascular disorders, including ischemic stroke, TIA, carotid stenosis, intracranial vascular stenosis, stroke in the young, intracerebral hemorrhage, subarachnoid hemorrhage, and moyamoya disease. (uclahealth.org)
Changes in MRI scans due to ischemic stroke follow the vascular territory of the occluded blood vessel, which is characteristic of cerebrovascular disease and helps in differentiating it from other disease entities. (medscape.com)

Adding clopidogrel to aspirin reduced recurrent cerebrovascular event after high-risk TIA or minor ischemic stroke in China, but generalizability to other patient populations is not clear. (the-hospitalist.org)
A number of studies considered the absolute value of the CBF ( 1 , 2 ), while others were based on the cerebrovascular autoregulation theory, proposing standards based on a combination of CBF and CBV values ( 1 - 5 , 11 , 12 ) to determine the presence of a cerebral infarction core and ischemic penumbra. (spandidos-publications.com)
Pregnancy does not appear to increase stroke rates significantly until the last trimester, although pregnancy can complicate pre-existing cerebrovascular disease. (cmsdocs.org)

The study population comprised 6177 patients, aged at least18 years admitted for acute stroke (4382 ischemic stroke and 476 intracerebral hemorrhage) or TIA (1227) and had data on BP levels on admission. (iucc.ac.il)
Just less than 60% of admissions were ischemic strokes (site-specific estimates ranged from 52% to 70%), with transient ischemic attack (18.5%) and intracerebral hemorrhage (8.8%) making up most of the remainder. (nih.gov)

We therefore compared cognitive outcomes in ACS with transient ischaemic attack (TIA) and minor stroke, diseases with similar risk factor burden generally considered to be at high risk of cognitive decline. (ox.ac.uk)
24) with a similar trend at 5 years, and ACS outcomes were more similar to minor stroke. (ox.ac.uk)
Memory and language versus frontal/ executive subtests were relatively more impaired in ACS than TIA and minor stroke patients. (ox.ac.uk)
Conclusions Risk of cognitive impairment after ACS is similar to minor stroke and higher than TIA with implications for clinical practice including consent and adherence with medication. (ox.ac.uk)
Clopidogrel with aspirin in acute minor stroke or transient ischemic attack. (nih.gov)
Recurrent stroke risk is highest during the first few weeks after TIA or minor stroke. (the-hospitalist.org)
Prognosis After a Transient Ischemic Attack or Minor Stroke Studies from more than 10 years ago showed that the risk for a stroke or cardiovascular event after a transient ischemic event was high. (medscape.com)

The use of three or more antihypertensive agents before stroke onset increased from 16.9% in 2004 to 20.0% in 2010 (P = 0.02). (iucc.ac.il)
First results from ECASS 3 (European Cooperative Acute Stroke Study) were presented today at the 6th World Stroke Congress in Vienna, Austria, showing that treatment with Actilyse(R) (alteplase) between 3 and 4.5 hours after stroke onset can improve clinical outcome. (science20.com)
These data, collected in a real life clinical setting, suggest that patients who are treated with alteplase in accordance with the current European summary of product characteristics, but in an extended time window of treatment initiation between 3 and 4.5 hours after stroke onset(*), can experience a similar clinical outcome as compared with patients who are treated earlier. (science20.com)
Acute onset of (or rapidly progressive) weakness e.g. (qld.gov.au)
The trial included 11 016 patients with a noncardioembolic, nonsevere ischemic stroke or high-risk TIA, including 10 803 with modified Rankin Scale score (mRS) recorded at 30 days.Interventions: Ticagrelor (180-mg loading dose on day 1 followed by 90 mg twice daily for days 2-30) or placebo within 24 hours of symptom onset. (kb.se)
We performed a systematic review of imaging biomarkers used in randomized controlled trials of acute ischemic stroke, in which a therapeutic intervention was trialed within 48 hours of symptom onset. (ajnr.org)
this process begins 6 hours after the onset of stroke and reaches a maximum 2-4 days after the onset of stroke. (medscape.com)
To assess the long-term neuropsychological consequences of acute TTP, we recruited 35 acquired TTP patients (77% females, median age at onset 41 years, interquartile range: 35-48) regularly followed at our out-patient clinic of thrombotic microangiopathies in Milan (Italy) from December 2015 to October 2016. (haematologica.org)

This article discusses ASL findings in patients with acute stroke and TIA, focusing on typical appearances, common artifacts, and comparisons with PWI. (radiologykey.com)
This paper summarizes the experiences of the Paul Coverdell National Acute Stroke Registry first four prototype registries in Georgia (GA), Massachusetts (MA), Michigan (MI), and Ohio (OH), and includes information on their sampling design, case ascertainment, and data collection methods, as well as some key findings. (nih.gov)
Flawed Studies Define International Stroke Conference Dr Christoph Diener explains why the latest findings from several major studies failed to impress. (medscape.com)
Epilepsy, Stroke, and More Stroke: New Data Dr Diener reviews recent findings on epilepsy and hypothermia, along with the risk for bleeding associated with anticoagulant medications. (medscape.com)
10 New Stroke Studies to Know Dr Christoph Diener summarizes the major findings from this year's International Stroke Conference. (medscape.com)

Objective Acute coronary syndrome (ACS) is associated with increased risk of cognitive decline when compared with controls, but case:control studies are subject to selection bias. (ox.ac.uk)

This study occurred in China, where the recurrent stroke rate was higher (near 10%) than the rate seen in primary stroke centers in more developed countries (3% to 5%), perhaps because of less emphasis on secondary risk prevention (including hypertension and hyperlipidemia) in China. (the-hospitalist.org)
Differences may also exist in stroke prevention. (cmsdocs.org)
Aspirin and warfarin are effective medications for stroke prevention in men and women. (cmsdocs.org)
Carotid endarterectomy (CEA) is another important treatment for primary and secondary prevention of stroke in patients with significant carotid stenosis. (cmsdocs.org)
Zolmitriptan tablets are not indicated for the prevention of migraine attacks. (nih.gov)
ZOMIG is not indicated for the prevention of migraine attacks. (nih.gov)
Should I change my use of exchange transfusion or regular blood transfusion for primary and secondary stroke prevention, secondary prevention of ACS, pain or priapism? (cdc.gov)
Four Studies on Stroke Treatment and Prevention Dr Diener discusses recent stroke studies that highlight prevention efforts and where we are falling short. (medscape.com)
2016 Stroke Research Highlights Dr Christoph Diener focuses on the 2016 studies that most expanded our understanding of stroke prevention and treatment. (medscape.com)
20 Years of Progress in Secondary Stroke Prevention Dr Diener discusses some of the milestones in the last 20 years for secondary stroke prevention. (medscape.com)

There is level 1 evidence that all patients with suspected acute stroke should receive emergent brain imaging on arrival, before initiating acute stroke therapy. (aneskey.com)
In patients with suspected acute stroke, immediate brain imaging, most frequently with computed tomography (CT), is essential to distinguish between an ischemic lesion and a hemorrhage. (cmaj.ca)

and (2) demographic, clinical or radiological differences between patients with known AF (and not treated) and patients with newly diagnosed AF, in a cohort of patients who presented with ischaemic stroke or transient ischaemic attack (TIA) not previously treated with anticoagulation. (bmj.com)
Participants Patients were eligible if they were adults who presented with ischaemic stroke or TIA and AF and had not been previously treated with oral anticoagulation. (bmj.com)
Main outcome measures Proportion of patients with known AF before index ischaemic stroke or TIA from a cohort of patients who have not been previously treated with oral anticoagulation. (bmj.com)
Conclusions About 1/3 of patients who present with stroke and have AF who have not been treated with oral anticoagulation have previously known AF. (bmj.com)

Men with stroke are more likely to have significant co-morbidities, such as higher rates of ischemic heart disease and diabetes compared with women who have higher rates of hypertension and atrial fibrillation. (cmsdocs.org)
Many of the ocular abnormalities are as a result of long-standing uncontrolled hypertension which caused the stroke. (bvsalud.org)

Noncontrast head CT shows hyperintense acute hypertensive hemorrhagic in the left basal ganglia ( arrow ) with local mass effect on the lateral ventricle. (aneskey.com)

The present study isa systematic review and meta-analysis to assess plasma copeptin concentrations, diagnostic and prognostic values for risk stratification after acute ischemic stroke and transient ischemic attack. (viamedica.pl)
The above systematic review and meta-analysis suggests that monitoring the copeptin levels may help predict the long-term prognosis of ischemic stroke efficiently. (viamedica.pl)

Since acute stroke and transient ischemic attack (TIA) are disruptions of brain hemodynamics, perfusion neuroimaging might be of clinical utility. (radiologykey.com)
CT and MR perfusion parameters have been established through clinical trials to stratify risk for revascularization in acute ICA and proximal MCA occlusion. (aneskey.com)
Later on, the SxS was applied to a variety of patient populations with diverse clinical presentations including those with acute coronary syndromes (ACS) undergoing primary PCI [ 5 , 6 ]. (hindawi.com)
The aim of this study was to determine the value of computed tomography perfusion (CTP) parameters, including cerebral blood flow (CBF), cerebral blood volume (CBV), mean transit time (MTT) and time-to-peak (TP), in a clinical study of patients with stroke. (spandidos-publications.com)
Current clinical algorithms use stroke risk to determine which patients should undergo revascularization without considering cognitive decline. (karger.com)
These stroke centers provide state-of-the-art clinical care 24/7 to prevent stroke, minimize disability in stroke survivors, and ensure the best possible outcomes for patients following a stroke. (cmsdocs.org)
1 In ischemic stroke, timely treatment with intravenous tissue plasminogen activator or thrombectomy results in substantial clinical improvement. (cmaj.ca)
The standard practice of suspected stroke management involves transfer via ambulance to a CT-equipped hospital, clinical assessment and brain imaging. (cmaj.ca)

Recent trials have evaluated the use of aspirin to prevent stroke after an ischemic stroke or transient ischemic attack (TIA). (physiciansweekly.com)
This objective of this study is to compare the effectiveness of aspirin versus aspirin and ticagrelor to prevent stroke or death after ischemic stroke or TIA. (physiciansweekly.com)
Ischemic stroke occurred in 345 (6.3%) patients in the aspirin group and 276 (5.0%) patients in the ticagrelor-aspirin. (physiciansweekly.com)
The research concluded that the risk of stroke or death in ischemic stroke or TIA patients was lower with ticagrelor-aspirin than with aspirin alone. (physiciansweekly.com)
All patients received aspirin, 300 to 325 mg on day 1 followed by 75 to 100 mg daily for days 2 to 30.Main Outcomes and Measures: Time to the occurrence of disabling stroke (progression of index event or new stroke) or death within 30 days, as measured by mRS at day 30. (kb.se)

The last four years have seen the development of Primary Stroke Centers (PSCs) in the Chicago area. (cmsdocs.org)
The UCLA Telestroke Network Partner Program gives Emergency Departments at community hospitals the opportunity for direct, immediate video consultation with stroke neurology experts at the UCLA Stroke Center , one of the world's leading stroke treatment centers. (uclahealth.org)

Emergency medicine physicians may diagnose sarcoidosis de novo or provide emergent management of its exacerbations, recurrences, and/or acute complications. (medscape.com)
Determining the copeptin level may help individualize the management of ischemic stroke patients, keep stroke risk lower, reduce post-stroke complications, including patient death, and minimize healthcare costs. (viamedica.pl)
Although carotid disease is more common in men, some studies have shown a higher rate of post-operative complications in women, with post-operative stroke seen more frequently in women than men. (cmsdocs.org)

No resource exists that comprehensively assesses artificial intelligence/machine learning (AI/ML)-enabled technologies indicated for the management of ischemic and hemorrhagic stroke. (mdpi.com)

A higher degree of impairment of memory domains was found in patients with neurological involvement at the time of presentation of the first acute TTP episode. (haematologica.org)
This guideline covers stroke rehabilitation for adults and young people aged 16 and over who have had a stroke with continuing impairment, activity limitation or participation restriction. (bvsalud.org)
Of the 63 patients with left sided stroke, 2 (2.4%), 4(4.8%) and 57(68.7%) had severe, moderate and mild and normal visual impairment respectively while of the 20 patients with right sided stroke, 3(3.6%) each had severe and moderate visual impairment and 14(16.9%) had normal or mild visual impairment. (bvsalud.org)

The Resolute Integrity Zotarolimus-Eluting Coronary Stent System is indicated for improving coronary luminal diameters in patients, including those with diabetes mellitus, with symptomatic ischemic heart disease due to de novo lesions of length ≤ 27 mm in native coronary arteries with reference vessel diameters of 2.25 mm to 4.20 mm. (medtronic.com)
The presence of diabetes mellitus is rarely addressed in acute lower limb ischaemia (ALLI). (springer.com)

However, the new ECASS 3 data show that stroke can be effectively managed also in patients who are unable to reach a stroke centre within three hours," commented Professor Werner Hacke, Department of Neurology, Ruprecht-Karls-University of Heidelberg, Germany, lead study investigator. (science20.com)
Updates in Stroke, Alzheimer's, Headache, and MS Dr Diener on a month in neurology research characterized by failures--but also some gains. (medscape.com)
Four New Updates in Stroke and Parkinson Disease Dr Hans-Christoph Diener presents four new neurology studies, two in stroke and two in Parkinson's. (medscape.com)

Stroke is an emergency in which delays in treatment can lead to significant loss of neurological function and be fatal. (mdpi.com)
Although repeated analysis of experimental data by the International Stroke and Neurological Disorder Association has identified no evidence for the efficacy of recombinant tissue plasminogen activator (R-TPA) in the first 3 h ( 8 , 9 ), the data also indicated that thrombolytic therapy beyond 3 h is safe ( 10 ). (spandidos-publications.com)

Artificial intelligence applications assist in acute stroke imaging assessment, identifying acute hemorrhage, and predicting risk of endovascular intervention in acute large vessel occlusion. (aneskey.com)
There are an increasing number of artificial intelligence (AI) applications that may assist in the acute stroke imaging assessment, to identify acute hemorrhage, and to predict risk of endovascular intervention in acute large vessel occlusion (LVO). (aneskey.com)
The Modified Rankin Scale is a numerical functional assessment scale used to rank levels of disability after stroke. (science20.com)
For patients with non-disabling stroke or TIA not requiring hospitalization, it is recommended that blood pressure lowering treatment be initiated (or modified) at the time of first medical assessment. (slideserve.com)

Acute intracranial hemorrhage. (aneskey.com)
Also, the distribution of stroke subtype in China (more intracranial atherosclerosis than in other populations) might have affected the study outcomes. (the-hospitalist.org)
His research focuses on acute ischemic stroke, transient ischemic attack, and intracranial stenosis. (cmsdocs.org)

TIAs markedly increase risk of stroke, beginning in the first 24 hours. (msdmanuals.com)

Cerebral venous sinus thrombosis (CVST) is a rare form of stroke which results from the blockage of the dural venous sinuses by a thrombus. (wikipedia.org)
Ischemic Stroke Ischemic stroke is sudden neurologic deficits that result from focal cerebral ischemia associated with permanent brain infarction (eg, positive results on diffusion-weighted MRI). (msdmanuals.com)
New Studies Refine Treatment Options in Cerebral Bleeding Dr Christoph Diener highlights data on intensive blood pressure lowering in cerebral hemorrhage and reduced anti-factor Xa activity in patients with acute major bleeding. (medscape.com)

For stroke and heart disease, commonly recognized risk factors of smoking, elevated cholesterol, previous stroke, and large artery atherosclerotic disease hold true for both men and women. (cmsdocs.org)
The primary end point was time to the occurrence of stroke or death within 30 days.Results:Of 11 016 randomized patients, 2351 (21.3%) patients had an ipsilateral atherosclerotic stenosis. (kb.se)

From 2004 through 2011, the percentage of emergency department visits for ischemic stroke or TIA in which the patient arrived by ambulance decreased 41% for patients under 75. (cdc.gov)
When a possible acute stroke patient is evaluated in a network partner hospital and telestroke consultation is desired, the emergency physician contacts the UCLA telestroke consult hotline. (uclahealth.org)
Within 15 minutes, a UCLA stroke neurologist can be interviewing and counseling the patient and family and performing the stroke-specific neurologic exam through a two-way video connection. (uclahealth.org)
UCLA stroke expert consulting with an emergency room physician and patient via telemedicine. (uclahealth.org)
The CT-equipped stroke ambulance - the mobile stroke unit - allows brain imaging to be completed at the patient's location, bringing the "hospital to the patient" 4 - 7 ( Figure 1 ). (cmaj.ca)
The mobile stroke unit, staffed with paramedics, a stroke fellow (in our program) and a radiology technologist, links the stroke physician (usually at a tertiary hospital) to the patient via a telemedicine connection. (cmaj.ca)
After completion of the telestroke evaluation and brain imaging, the stroke fellow can start treatment with intravenous tissue plasminogen activator, if appropriate, in the ambulance while the patient is being transferred to the stroke centre. (cmaj.ca)
In urban settings, the mobile stroke unit is deployed to where the patient is located. (cmaj.ca)
In rural settings, for speed and rapid access, an ambulance from the rural site brings the patient toward the outbound mobile stroke unit (in our program, within a 250 km radius of the university hospital) ( Figure 2 ). (cmaj.ca)
8 The ambulances meet at predetermined rendezvous sites, and the patient is transferred to the mobile stroke unit for further management. (cmaj.ca)
In addition, see eMedicineHealth's patient education articles Magnetic Resonance Imaging (MRI) and Stroke. (medscape.com)
In 2010, hospitalization rates per 10,000 population for stroke for males and females increased with increasing patient age. (cdc.gov)

The relationship between blood pressure (BP) control and short and long term outcomes in patients with acute ischemic stroke (AIS) is highly complex and not well understood with conflicting data. (scirp.org)
Method The outcomes of all stroke patients thrombolysed at Scarborough DGH from 2004 to January 2009 were reviewed. (bmj.com)
This manuscript reviews the epidemiologic studies of the bidirectional association between OSA and stroke, and the mechanisms and molecular signatures of OSA leading to transient ischemic attack and stroke as well as the randomized controlled trials and observational cohort studies examining continuous positive airway treatment efficacy on the impact of stroke outcomes. (lu.se)

It includes guidance on providing the best care and treatment for people with atrial fibrillation, including assessing and managing risks of stroke and bleeding. (bvsalud.org)

The difference between a transient ischemic attack and a stroke is that the blockage with a TIA is transient, or in other words temporary. (ipl.org)

To assess the incremental prognostic value of SYNTAX score II (SxSII) as compared to anatomical SYNTAX Score (SxS) and GRACE risk score in patients with acute coronary syndromes who underwent percutaneous coronary intervention. (hindawi.com)

Setting Patients were recruited from 79 hospital stroke centres throughout the UK and one centre in the Netherlands. (bmj.com)

Patients with ≥80% unilateral internal carotid artery stenosis with no history of stroke were recruited from inpatient and outpatient practices at a single, large, comprehensive stroke center. (karger.com)
Forty-two patients with unilateral high-grade internal carotid artery stenosis without stroke were enrolled (26 males, age = 74 ± 9 years, education = 16 ± 3 years). (karger.com)

Noncontrast head computed tomography (CT) scans are used to exclude hemorrhage, evaluate for early brain injury, and exclude stroke mimics. (aneskey.com)

however, the underlying pathophysiology of the association is poorly understood and its prognostic impact in ischemic stroke remains unclear. (ewha.ac.kr)

For many years, stroke was a condition that was primarily diagnosed by emergency physicians, but frustratingly few effective interventions were available in the emergency department (ED) to reduce the burden of this disease. (bmj.com)
Management recommendations may include supportive care, additional diagnostic tests, the use of tPA, or, if available, use of FDA-approved acute endovascular interventions, such as mechanical clot retrieval (Merci Retrieval System) or clot aspiration (Penumbra System). (uclahealth.org)
Quality improvement interventions, targeted primarily at the healthcare systems level, are needed to improve acute stroke care in the United States. (nih.gov)
This guideline covers interventions in the acute stage of a stroke or transient ischaemic attack (TIA). (bvsalud.org)

Methods: Subjects enrolled to the TABASCO (Tel Aviv Brain Acute Stroke Cohort) study, a prospective study which includes consecutive first-ever mild-to-moderate stroke patients, were included. (tau.ac.il)
A retrospective cohort study was conducted to evaluate the independent and interactive effects of pulse pressure and antihypertensive class (specifically angiotensin converting enzyme inhibitor/angiotensin type 1 receptor blocker, or beta blocker) on mortality following acute ischemic stroke. (scirp.org)

Methods: Data were based on the National Acute Stroke Israeli Registry. (iucc.ac.il)
The aim of the present study was to assess the predictive performance of SxSII in patients presenting with ACS undergoing PCI and to compare it to the previously validated SxS and the commonly used Global Registry of Acute Coronary Events (GRACE) risk score [ 13 ]. (hindawi.com)

Imaging biomarkers are increasingly used to provide a better understanding of the pathophysiology of acute ischemic stroke. (ajnr.org)

pathways can produce severe ocular defects such as Data analysis was carried out using Statistical transient monocular visual loss, visual field defect Package for Social Sciences (SPSS) for Windows, 1-3 or ocular motility restrictions. (bvsalud.org)

One study found that women with stroke had an elevated tissue plasminogen activator antigen, which was an independent risk factor for stroke in non-diabetic women ages 15 to 44. (cmsdocs.org)
Tissue plasminogen activator (tPA), a thrombolytic (clot-busting) agent, is the only drug currently approved by the U.S. Food and Drug Administration (FDA) for the acute treatment of ischemic stroke. (uclahealth.org)
Mobile stroke units improve time to treatment with intravenous tissue plasminogen activator. (cmaj.ca)

8 In many areas this has led to the development of stroke centres and/or pathways, with patients moving to the specialist centres for management. (bmj.com)
Management of stroke may differ based on gender issues, similar to the well-documented gender differences in the treatment of cardiac disease, where women are less likely to receive major diagnostic and therapeutic procedures. (cmsdocs.org)

Stroke is one of the most common disorders in Germany, with an estimated 200 000 first events and 66 000 recurrent events in 2008 ( 1 ). (aerzteblatt.de)
Anterior and posterior segments, together with neuro-ophthalmic disorders were found among stroke patients in this study. (bvsalud.org)
Ocular disorders among stroke patients. (bvsalud.org)
Thirty-nine patients (47.0%) were dearth of information on the pattern of ocular between ages of 51 and 60, while 1 (1.2%) was disorders in patients with stroke. (bvsalud.org)

This finding is important as it demonstrates that alteplase can increase the likelihood of achieving only minimal or no disability post-stroke, now shown for the first time beyond 3 hours and up to 4.5 hours. (science20.com)
New approaches that can be offered to the majority of ischemic stroke patients, can be continued throughout post-stroke care, can limit stroke severity, and can complement or even enhance rehabilitation, would transform ischemic stroke recovery. (lu.se)

Rapid and accurate detection of stroke by emergency clinicians at the time of first contact is crucial for timely initiation of appropriate treatment of AIS patients. (aneskey.com)
Once women have been diagnosed with stroke, their medical treatment may differ from that of men. (cmsdocs.org)
In this case study of hyperacute stroke wards which provide initial stroke investigation, treatment and care, we explored temporal structuring patterns to explain how these may affect quality of care. (bmj.com)
Zolmitriptan tablets are indicated for the acute treatment of migraine with or without aura in adults. (nih.gov)
The recent installation of portable scanners in ambulances (i.e., mobile stroke unit) facilitates rapid evaluation and treatment of patients with acute stroke. (cmaj.ca)
ZOMIG Nasal Spray is indicated for the acute treatment of migraine with or without aura in adults and pediatric patients 12 years of age and older. (nih.gov)
Greater effort to prospectively use consistent imaging biomarkers should help improve the development of novel treatment strategies in acute stroke and improve comparison between studies. (ajnr.org)
Treatment options for patients with acute ischemic stroke are limited. (ajnr.org)
Despite major advances in cardiovascular and stroke treatment over the past two decades, millions of patients currently remain untreated or undertreated due to the risk of bleeding, but for whom thrombotic events could be prevented," said Robert Harrington, M.D., Arthur L. Bloomfield professor of medicine and chair of the Department of Medicine, Stanford University, Librexia program chair. (jnj.com)
For milvexian to receive Fast Track Designation from the FDA for all three indications demonstrates the enormous unmet need that still exists for the treatment of thrombotic events, like heart attack and stroke," said James F. List, M.D., Ph.D., Global Therapeutic Area Head, whose team oversees a portfolio of programs, including milvexian, at Janssen Research & Development, LLC. (jnj.com)
The treatment of obstructive sleep apnea (OSA) in patients with acute ischemic stroke may represent one such approach. (lu.se)
Since 1994 a number of regional stroke registers have been established for the purpose of external quality assurance in acute inpatient stroke treatment. (aerzteblatt.de)

CT angiography (CTA) can assist in identifying proximal vessel occlusions, dissection, or high-grade arterial stenoses, which may be responsible for the ischemic deficit. (aneskey.com)

UCLA was the first center certified as a Primary Stroke Center in Los Angeles County by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and is the only center in Los Angeles County unded by the National Institutes of Health to perform translational research to develop new diagnostic and therapeutic approaches to stroke care. (uclahealth.org)

A transient ischemic attack (TIA) is focal brain ischemia that causes sudden, transient neurologic deficits and is not accompanied by permanent brain infarction (eg, negative results on diffusion-weighted MRI). (msdmanuals.com)

Most strokes are ischemic strokes - the result of a blood clot that has traveled from elsewhere in the body and become lodged in a blood vessel in the brain, blocking blood flow. (uclahealth.org)

It defines the time duration for spins to travel from the labeling plane or volume to the imaged slices and is typically between 1500 and 2000 ms. Because ischemic stroke is defined by reduced flow via proximal routes, any remaining flow to the tissue is often supplied via collateral routes, which leads to increased delays between the labeling of the spins and the arrival of those spins in the imaged voxel. (radiologykey.com)
The first data pooling exercise was undertaken for the years 2000 to 2005 and supported by the German stroke competence network ( 5 ). (aerzteblatt.de)

Most of these risk factors are ones that can be controlled and although many people don't think about strokes until they have one or realize they are at risk, it's important to be aware and take preventative measures before it's too late. (ipl.org)
As you grow older you become more at risk for a stroke and generally women have a higher risk of having a stroke in their lifetime than men do. (ipl.org)
Lastly your risk of stroke is much higher if someone in your immediate family such as a parent or sibling has a history of stroke. (ipl.org)
Specific differences, though, have been found in some risk factors that may predispose women to stroke. (cmsdocs.org)
All persons at risk for stroke should have their blood pressure measured at each healthcare encounter but no less than once annually. (slideserve.com)
Carotid endarterectomy or stenting, antiplatelet medications, and anticoagulants decrease risk of stroke after certain types of TIA. (msdmanuals.com)
Risk factors for TIA are the same as those for ischemic stroke. (msdmanuals.com)
PFO Closure Reduces Strokes, and PPIs Increase Dementia Risk? (medscape.com)
New research suggests that reducing patent foramen ovale size could lessen stroke risk, while other work explores the role that PPIs might play in causing dementia. (medscape.com)

It aims to improve rehabilitation for people who have had a stroke by specifying how stroke units and multidisciplin. (bvsalud.org)

The absence of 24 h stroke specialists in district general hospitals (DGHs) has led to the suggestion that regional hyper-acute stroke centres should be developed. (bmj.com)
Scarborough Acute Trust is a geographically isolated, 320-bed DGH that lies 50 miles (90 min ambulance road time) from the next nearest hospitals. (bmj.com)
The legend shows the available hospitals with computed tomography (CT) (i.e., primary stroke centres) and without CT scanners within the region. (cmaj.ca)
The regional quality assurance projects that cooperate in the framework of the German Stroke Registers Study Group (Arbeitsgemeinschaft Deutscher Schlaganfall-Register, ADSR) collected data on the care of stroke patients in 627 hospitals in 2012. (aerzteblatt.de)
The registers participating in the ADSR compare the regional and supraregional stroke care of the participating hospitals under scientific, quality relevant, and epidemiological aspects, while anonymity is guaranteed. (aerzteblatt.de)
Hospitalization for stroke in U.S. hospitals, 1989-2009. (cdc.gov)

abstract = "Background/Aims: Even mild stroke survivors may sometimes experience residual cognitive damage. (tau.ac.il)
abstract = "Objective: Elevated blood pressure (BP) is common during an acute stroke and is associated with unfavorable outcome. (iucc.ac.il)

Anatomy10

Diseases71

Chemicals and Drugs22

Analytical, Diagnostic and Therapeutic Techniques and Equipment98

Psychiatry and Psychology4

Phenomena and Processes17

Disciplines and Occupations4

Anthropology, Education, Sociology and Social Phenomena9

Technology, Industry, Agriculture2

Humanities1

Information Science11

Named Groups3

Health Care74

Geographicals7

Myocardial3

Thrombolysis12

High-risk transient1

Symptoms16

Diagnosis7

Vascular6

Cerebrovascular3

Intracerebral hemorrhage2

Minor stroke7

Onset8

Findings5

Syndrome1

Prevention10

Patients with suspected acute stroke2

Anticoagulation4

Hypertension2

Hypertensive1

Systematic review2

Clinical8

Aspirin5

Centers2

Complications3

Hemorrhagic1

Impairment3

Diabetes mellitus2

Neurology3

Neurological2

Assessment4

Intracranial3

TIAs1

Cerebral3

Atherosclerotic2

Patient12

Outcomes3

Atrial1

Blockage1

Coronary syndromes1

Centre1

Stenosis2

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Prognostic1

Interventions4

Cohort2

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Pathophysiology1

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Management2

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Treatment12

Arterial1

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Blood vessel1

20002

Risk9

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Abstract2