ITEMS IN AFP WITH KEYWORD:

Stroke and TIA

Apr 1, 2019 Issue
Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in Patients with Atrial Fibrillation and CKD [Cochrane for Clinicians]

Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of direct oral a...


Feb 1, 2019 Issue
Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor Stroke or TIA [POEMs]

This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA because this is when the greatest benefit occurs. Harms were spread fairly evenly throughout the study period.


Jun 1, 2018 Issue
Advocating for Myself: My Journey Through Poststroke Depression [Close-ups]

Although the association between stroke and depression is well known and prevalent, it is often overlooked.


Apr 15, 2018 Issue
Routine Oxygen Supplementation After Acute Stroke Does Not Improve Functional Outcomes [POEMs]

For nonhypoxic patients with acute stroke, routine oxygen therapy for 72 hours, either continuously or at night only, does not improve functional outcomes at 90 days. Long-term outcomes were not assessed in this study, and the question remains whether 90 days is an adequate length of time to see most of the meaningful recovery from stroke.


Apr 1, 2018 Issue
Use of Niacin for Primary or Secondary Prevention of Cardiovascular or Cerebrovascular Events [Cochrane for Clinicians]

Prescription niacin (nicotinic acid, vitamin B3) does not reduce myocardial infarctions, strokes, or overall mortality when used for primary or secondary prevention.


Oct 1, 2017 Issue
Recurrent Ischemic Stroke: Strategies for Prevention [Article]

Antiplatelet therapy, such as aspirin, clopidogrel, and aspirin/dipyridamole, is recommended to reduce the risk of recurrence after an initial stroke. Controlling risk factors and implementing lifestyle modifications, including smoking cessation, reducing alcohol intake, and increasing physical activity, are also important.


Jun 1, 2017 Issue
Physical Fitness Training for Patients with Stroke [Cochrane for Clinicians]

There is moderate-quality evidence that physical fitness training improves disability after stroke. Cardiovascular training that includes only aerobic exercise has a moderate effect on disability (standard mean difference [SMD] = 0.52 on a pooled disability scale), although it is not clear whether t...


Nov 1, 2016 Issue
The Risk of MI and Ischemic Stroke with Combined Oral Contraceptives [Cochrane for Clinicians]

The overall risk of MI and ischemic stroke is increased in women who use combined oral contraceptives. The relative risk of MI and ischemic stroke increases as estrogen dose rises, increasing by 60% with doses of 20 mcg and more than doubling when doses of 50 mcg or more are used.


Aug 15, 2016 Issue
Pioglitazone After Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms [POEMs]

In patients with a recent stroke or TIA and evidence of insulin resistance, pioglitazone reduces the likelihood of myocardial infarction (MI) or stroke (number needed to treat [NNT] = 36 over five years) but increases the risk of significant weight gain (number needed to treat to harm [NNTH] =14), edema (NNTH = 9), and fracture (NNTH = 53).


Jul 1, 2015 Issue
CEA vs. Stenting: Mixed Results, Mostly Bad [POEMs]

These two randomized trials, one with short-term outcomes and the other with five-year outcomes, demonstrate that carotid artery stenting results in more frequent strokes (clinical and radiographically detected) than carotid endarterectomy (CEA). However, the rate of fatal and disabling strokes is comparable.


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