Search results for "Stroke"
Decision aids improved afib patients' knowledge
A trial of decision aids for patients and clinicians found that patients with atrial fibrillation engaged in better shared decision making about stroke prevention treatment with these interventions than if they were randomized to usual care.
https://immattersacp.org/weekly/archives/2025/01/14/1.htm
14 Jan 2025
Pathway offers practical approaches to monitoring for poststroke arrhythmia
The guidance from the American College of Cardiology involves a three-step pathway including multidisciplinary evaluation, risk assessment, and selection of a monitoring strategy.
https://immattersacp.org/weekly/archives/2024/12/31/1.htm
31 Dec 2024
Many stroke survivors don't follow recommendations for physical activity, study finds
Survey data found that overall rates of adherence to 2011, 2014, and 2021 physical activity guidelines for stroke survivors were 78.1%, 42.1%, and 69.9% among stroke survivors who were independently mobile, with those ages 65 years and older more likely to adhere to recommendations than younger survivors when the 2021 guidelines were used as a benchmark.
https://immattersacp.org/weekly/archives/2024/12/10/2.htm
10 Dec 2024
New recommendations released on primary prevention of stroke
The updated guideline from the American Heart Association and American Stroke Association addresses lifelong stroke prevention and includes new sex-and gender-specific recommendations.
https://immattersacp.org/weekly/archives/2024/10/29/1.htm
29 Oct 2024
Women less likely to receive guideline-directed medical therapy after ischemic stroke
Statin, antihypertensive, and anticoagulant prescriptions within 30 days of discharge were less common in women than in men, and women were less likely to be adherent to statins and antihypertensive treatments at one year.
https://immattersacp.org/weekly/archives/2024/10/08/4.htm
8 Oct 2024
Poststroke patients with cognitive impairment at increased risk for recurrent stroke, death
Poststroke neurocognitive assessments may identify patients at a higher risk for sequelae who may require more aggressive interventions, according to the authors of a recent meta-analysis of ischemic stroke studies.
https://immattersacp.org/weekly/archives/2024/09/17/4.htm
17 Sep 2024
Intensive statin therapy after stroke associated with higher risk of hemorrhage
No difference was found in risk of stroke recurrence between moderate- and high-intensity statin therapy, but the latter resulted in a higher risk for intracranial hemorrhage, a Chinese study found.
https://immattersacp.org/weekly/archives/2024/07/16/2.htm
16 Jul 2024
Discontinuing OAC associated with heightened risk of recurrent stroke, study finds
Among patients with atrial fibrillation prescribed oral anticoagulation (OAC) after a stroke, recurrent stroke rates were 13.4% versus 6.8% in those who did and did not discontinue OAC therapy, a Danish study found.
https://immattersacp.org/weekly/archives/2024/07/02/4.htm
2 Jul 2024
Two speech therapies appear effective, cost-effective for chronic aphasia after stroke
A recent Australian trial found that high-intensity aphasia therapy outperformed usual care and proved cost-effective due to improvements in patient outcomes, measured in quality-adjusted life-years.
https://immattersacp.org/weekly/archives/2024/02/20/4.htm
20 Feb 2024
Timing of stroke treatment, preventive therapies presented at stroke meeting
Results of multiple studies examining transfers of acute stroke patients for thrombectomy, delayed use of thrombolysis plus thrombectomy or tenecteplase, and anticoagulation for secondary prevention after cryptogenic stroke were reported at the International Stroke Conference.
https://immattersacp.org/weekly/archives/2024/02/13/2.htm
13 Feb 2024
Study of DAPT after TIA or minor stroke finds high-risk subgroup benefits more, has higher bleeding rates
The absolute but not the relative efficacy of dual antiplatelet therapy (DAPT) over aspirin varied by stroke risk among patients who had already had a transient ischemic attack (TIA) or minor ischemic stroke.
https://immattersacp.org/weekly/archives/2024/01/09/2.htm
9 Jan 2024
Cognitive impairment common after stroke
A scientific statement from the American Heart Association/American Stroke Association called for collaboration among primary care physicians, subspecialist doctors, and other health professionals to identify and manage cognitive problems after stroke.
https://immattersacp.org/weekly/archives/2023/05/09/4.htm
9 May 2023
Take TIAs as seriously as a stroke
Internal medicine physicians play a critical role in educating patients about the seriousness of transient ischemic attacks and preventing their recurrence.
https://immattersacp.org/archives/2023/05/take-tias-as-seriously-as-a-stroke.htm
1 May 2023
Only half of patients with mood problems after stroke receive mental health care
Factors associated with receiving post-stroke mental health care included pre-stroke mental health care, younger age at stroke, and female gender, a retrospective study in Australia found.
https://immattersacp.org/weekly/archives/2023/04/04/4.htm
4 Apr 2023
Outcomes after TIA appear similar with outpatient vs. inpatient care
A systematic review and meta-analysis found that patients with transient ischemic attack (TIA) or minor ischemic stroke who were cared for at a TIA clinic had a similar risk for subsequent stroke as patients admitted to a hospital.
https://immattersacp.org/weekly/archives/2022/01/11/5.htm
11 Jan 2022
Scientific statement addresses primary care's role in poststroke care
Effective communication by primary care clinicians can improve adherence to necessary interventions after stroke, boost patient motivation, and reduce barriers to care, the American Heart Association and American Stroke Association advised.
https://immattersacp.org/weekly/archives/2021/07/27/2.htm
27 Jul 2021
Nonpharmaceutical interventions have strongest evidence support for poststroke rehab
Recently updated Veterans Affairs guidelines on rehabilitation after stroke were based on this review of pharmacologic and nonpharmacologic therapies for motor deficits or mood disorders after stroke.
https://immattersacp.org/weekly/archives/2019/11/19/2.htm
19 Nov 2019
Dabigatran not superior to aspirin for recurrent stroke prevention in certain patients
The industry-funded multicenter randomized, double-blind trial compared dabigatran, 150 mg or 110 mg twice daily, with aspirin, 100 mg once daily, in patients who had had an embolic stroke of undetermined source.
https://immattersacp.org/weekly/archives/2019/05/21/4.htm
21 May 2019
Risk of ischemic stroke may be higher in afib patients on newer anticoagulants vs. on warfarin
The increase in stroke risk was particularly high among patients taking apixaban and dabigatran, whereas the results for rivaroxaban and edoxaban were more ambiguous.
https://immattersacp.org/weekly/archives/2018/10/23/4.htm
23 Oct 2018
Migraine may be linked to perioperative stroke, hospital readmission
Use of high-dose vasopressors during surgery and history of a possible right-to-left shunt might be modifiable risk factors in patients who have migraine with aura, and close postoperative monitoring for early detection of stroke symptoms in high-risk patients is essential, researchers said.
https://immattersacp.org/weekly/archives/2017/01/24/5.htm
24 Jan 2017