Stroke and TIA

May 01, 2022 Issue
Dual Antiplatelet Therapy With Aspirin Plus Clopidogrel for 30 Days Is the Best Option After Minor Stroke or TIA [POEMs]

For patients with minor stroke or transient ischemic attack, dual antiplatelet therapy with aspirin plus clopidogrel for up to 30 days reduces the likelihood of subsequent stroke more than aspirin monotherapy, with a small increase in the risk of major hemorrhage. A longer duration of therapy increa...

Mar 01, 2022 Issue
Salt Substitute Reduces Mortality and Stroke in Older Adults Who Have a History or Are at Risk of Stroke [POEMs]

For older adults who have a history or are at risk of stroke, the use of a salt substitute safely reduces their risk of death or stroke.

Jan 01, 2022 Issue
Secondary Prevention of Ischemic Stroke: Updated Guidelines From AHA/ASA [Practice Guidelines]

Stroke is a common source of morbidity and mortality in the United States. The American Heart Association and American Stroke Association (AHA/ASA) published updated guidelines for preventing recurrent ischemic stroke, focusing on overall cardiovascular risk reduction and targeted secondary prevention.

Dec 01, 2021 Issue
Left Atrial Appendage Occlusion During Cardiac Surgery for Another Reason Reduces the Risk of Stroke [POEMs]

Surgical closure of the left atrial appendage during cardiac surgery for another reason safely reduces the risk of ischemic stroke. Because the risk of stroke in the first 30 days after any cardiac surgery is approximately 2% and the absolute reduction in the risk of stroke with the procedure was ap...

Nov 01, 2021 Issue
Dual Antiplatelet Therapy Is Superior to Aspirin in Preventing Short-Term Recurrent Stroke at the Cost of More Major Bleeding [POEMs]

If the authors have found all the relevant studies, administering dual antiplatelet therapy within 24 hours of a mild to moderate stroke or TIA is more effective than aspirin at decreasing recurrent stroke over the subsequent 90 days. There is a low overall risk of major bleeding, but it is signific...

May 15, 2021 Issue
Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement [U.S. Preventive Services Task Force]

The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

May 15, 2021 Issue
Screening for Asymptomatic Carotid Artery Stenosis [Putting Prevention into Practice]

A 67-year-old man comes to your office for a regularly scheduled visit. He has type 2 diabetes mellitus and a 40-pack-year smoking history, but he quit smoking two years ago. He takes lisinopril and atorvastatin (Lipitor); his blood pressure today is normal.

Mar 1, 2021 Issue
Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA [Medicine by the Numbers]

After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.

Feb 15, 2021 Issue
Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone [POEMs]

For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.

Jan 15, 2021 Issue
Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of Heart Attack and Stroke [STEPS]

Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

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