Articles Tagged With: stroke
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Management of Nontraumatic Intracranial Emergencies: A Clinical Update
This article attempts to provide evidence-based, practical guidelines to the frontline clinician in the nontrauma intensive care setting.
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Stable Coronary Disease and Atrial Fibrillation Patients Best Treated With Rivaroxaban Alone
Monotherapy with rivaroxaban was noninferior to combination therapy for the primary efficacy endpoint of composite of stroke, systemic embolism, myocardial infarction, unstable angina, or death from any cause.
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What Is the Optimal Blood Pressure for Secondary Prevention of Stroke?
Investigators terminated a study early before they could draw any firm conclusions. Thus, there remains a lack of solid evidence to support a firm recommendation regarding optimal blood pressure management for secondary stroke prevention.
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First Stroke Can Lead to Major Heart Problems
Even those with no signs of underlying heart disease may experience serious issues.
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Subclinical Atrial Fibrillation Detected By Implanted Loop Recorders: Common, But How Burdensome?
In older patients with risk factors for stroke drawn from the general population, previously undiagnosed and asymptomatic episodes of atrial fibrillation are detected frequently via implantable loop recorder monitoring, allowing for early initiation of anticoagulation therapy.
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Plaintiffs Use Loss of Chance to Prevail in ED Malpractice Claim
Plaintiff attorneys do not always need to prove that an EP’s negligence directly caused a patient’s bad outcome. Instead, they allege only that the plaintiff was deprived of the possibility of a better outcome. Often, these “loss of chance” claims involve missed or delayed diagnosis of stroke.
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Emergency Medicine Specialty Most Likely to be Named in Acute Stroke Malpractice Claims
Emergency physicians (EPs) are the specialty most likely to be sued in acute stroke cases, according to a recent analysis. One-third of malpractice claims named EPs. In contrast, neurologists were named in just 17% of claims.
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Anticoagulation Decisions in Atrial Fibrillation
Using the Delphi method of arriving at a consensus among clinicians concerning for which patients with atrial fibrillation should oral anticoagulants be recommended, the risk of stroke, the risk of hemorrhage, and patient-specific factors emerged. Many of these factors are not included in the guidelines and should be studied further.
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Vegetarians and Stroke
A recent study revealed vegetarians have a 22% lower incidence of ischemic heart disease, but a 20% increased incidence of total stroke, mostly related to hemorrhagic stroke, when compared to meat eaters.
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Dual Antiplatelet Therapy Increases Serious Hemorrhages Following TIA or Minor Stroke
Caution should be taken and close observation of patients maintained when treating with dual antiplatelet therapies.