Tag: ischemic stroke

1. Transferred patients with a large vessel occlusion stroke undergoing endovascular thrombectomy may have faster treatment and improved outcomes from a direct to angiography (DTA) approach versus repeated imaging. 2. Optimizing endovascular thrombectomy workflow using a DTA approach when appropriate may be associated with faster and safer reperfusion therapy. Evidence Rating:...

1. Compared to patients only receiving rate-control treatment, those who received rhythm-control treatment within one year of diagnosis of atrial fibrillation had a lower risk of adverse cardiovascular outcomes. 2. This association was not seen if the treatment was initiated over one year after the diagnosis of atrial fibrillation. Evidence Rating...

1. In patients with recent ischemic stroke and no diagnosed atrial fibrillation (AF), there were increased AF diagnoses in those who received an implantable loop recorder compared with those who received an external loop recorder within 12 months of the intervention. Evidence Rating Level: 1 (Excellent) Study Rundown: Atrial fibrillation (AF)...

1. Individuals with moderate-to-severe arm impairment after ischemic stroke experienced greater improvements in arm function after vagus nerve stimulation therapy as compared to those without. 2. There were no severe adverse events reported as related to the trial device. Evidence Rating Level: 1 (Excellent) Study Rundown: Loss of motor function is one of the most...

1. The rate of acute ischemic stroke was elevated in South Asian males recovering from asymptomatic SARS-CoV-2 2019 (COVID-19) infection. Evidence Rating Level: 4 (Below Average) Study Rundown: There is growing evidence to suggest that acute SARS-CoV-2 (COVID-19) infections may increase the risk of acute ischemic stroke (AIS). However, AIS in...

1. Patients who received a direct oral anticoagulant had a lower risk of thromboembolic events and major bleeds compared to patients who received warfarin. 2. The between-group differences were consistent across all prespecified clinically relevant subgroups. Evidence Rating Level: 2 (Good) Study Rundown: It is recommended for patients with atrial fibrillation to...

1. In patients who had a stroke with unknown time of onset and DWI-FLAIR or perfusion mismatch, IV alteplase resulted in better functional outcomes at 90 days compared to placebo or current standard care. 2. The prevalence of severe disability or death was lower with IV alteplase, but was also...

1. Ticagrelor and aspirin taken after a mild-to-moderate acute non-cardioembolic stroke or high-risk transient ischemic attack led to a lower rate of subsequent stroke within 30 days. 2. The incidence of overall disability at 30 days did not differ between groups. Evidence Rating Level: 1 (Excellent) Study Rundown: Following an acute ischemic...

1. Women with migraines are at an increased risk of stroke during and after pregnancy compared to those without migraines. Evidence Rating Level: 2 (Good) Increased risk of maternal stroke is associated with migraines during the perinatal period, with the belief that hypertension and related disorders mediate this relationship. However,...

1. Stroke patients who received endovascular treatment plus standard medical treatment in the public care system in Brazil showed significantly less severe disability at 90 days versus those who received standard care alone. 2. Asymptomatic cranial hemorrhage was judged to have occurred nearly twice as frequently in the thrombectomy group,...