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Study Finds: Blood Pressure Medication and Stain Cholesterol Fighter Decreases the Risk of Heart Attack and Stroke in Patients with Hypertension and Moderate Risk of Heart Disease
April 13, 2016
(Reuters) - Patients with hypertension and moderate risk of heart disease slashed their long-term risk of heart attack and stroke 40 percent by taking a blood pressure medication as well as a statin cholesterol fighter, according to a large global study that could change medical practice. Results
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ATRIA Better at Predicting Stroke Risk in Patients with Atrial Fibrillation Than CHADS2, CHA2DS2-VAS
March 18, 2016
Clinical question: Does the Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) risk score more accurately identify patients with atrial fibrillation (Afib) who are at low risk for ischemic stroke than the CHADS2 or CHA2DS2-VASc score? Background: More accurate and reliable stroke ris
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Dabigatran and Warfarin are Both Used for Stroke-prevention in Patients with AF but their Side effects Differ
February 19, 2016
NEW YORK (Reuters Health) - Dabigatran and warfarin offer similar stroke-prevention efficacy in patients with atrial fibrillation (AF), but their side effect profiles differ, according to a systematic review and meta-analysis of real-world clinical practice. "There could be many reasons for the d
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CHA2DS2-Vasc Score Modestly Predicts Stroke, Thromboembolism, Death
December 1, 2015
Clinical question: For patients with heart failure (HF), with and without concurrent Afib (AF), does the CHA2DS2-VASc score predict ischemic stroke, thromboembolism, and death? Background: Factors in the CHA2DS2-VASc score predict increased risk of stroke, thromboembolism, and death, regardless o
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What Are the Strategies for Secondary Stroke Prevention after Transient Ischemic Attack?
December 1, 2015
Case Mr. G is an 80-year-old man with a pacemaker, peripheral artery disease, atrial fibrillation (AF) on warfarin, and tachy-brady syndrome. He presented after experiencing episodes in which he was unable to speak and had weakness on his right side.
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Functional Outcomes Better With Endovascular Thrombectomy for Acute Ischemic Stroke
November 30, 2015
Clinical question: Does endovascular thrombectomy improve clinical outcomes in patients presenting with acute ischemic stroke? Bottom line: High-quality evidence shows that endovascular therapy using mechanical thrombectomy for the treatment of acute ischemic stroke leads to improved functional o
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Differences in Care, Outcomes for In-Hospital Versus Community-Onset Stroke
November 4, 2015
Clinical question: Are there any differences in care and outcomes for in-hospital versus community-onset stroke? Background: In-hospital stroke accounts for 4%-17% of all strokes. Hospitalists and other non-neurological services have to identify and treat subsequent stroke in their patients.
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Thrombectomy within Eight Hours of Stroke Onset Reduces Poststroke Disability
October 20, 2015
Clinical question: Does thrombectomy, in conjunction with medical therapy, improve functional independence in patients with an acute proximal anterior stroke? Background: Revascularization of proximal anterior strokes with alteplase alone occurs less than 50% of the time.
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Thrombectomy Within Eight Hours of Stroke Onset Reduces Post-Stroke Disability
October 6, 2015
Clinical question: Does thrombectomy, in conjunction with medical therapy, improve functional independence in patients with an acute proximal anterior stroke? Background: Revascularization of proximal anterior strokes with alteplase alone occurs less than 50% of the time.
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CHADS2 Variant Calculates Stroke Risk in Heart Failure Patients
September 18, 2015
NEW YORK - A variant of the CHADS2 score that's used to estimate ischemic stroke risk in patients with atrial fibrillation (AF) is also modestly accurate in heart failure patients, even in those without AF, researchers say. The variant, CHA2DS2-VASc, calculates stroke risk based on 10 possible point