ITEMS IN AFP WITH KEYWORD:
Stroke and TIA
May 15, 2015 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.
Review the most common stroke symptoms and mimics, how to distinguish between ischemic and hemorrhagic stroke, and which diagnostic tests and imaging techniques to employ. Learn how to evaluate stroke severity to determine the need for thrombolytic therapy, and how to educate patients on the warning signs of stroke.
Mar 1, 2015 Issue
AHA/ASA Release Guideline on Stroke Prevention in Women [Practice Guidelines]
The American Heart Association and American Stroke Association (AHA/ASA) have released a guideline to help physicians identify women with increased risk of stroke and initiate appropriate preventive measures. The guideline includes recommendations on pregnancy and stroke; cerebral venous thrombosis;...
The American Heart Association (AHA) and American Stroke Association (ASA) have updated their guideline on prevention of future stroke in patients with a history of stroke or transient ischemic attack (TIA). Currently, the average annual rate of future stroke in these patients is at a historic low.
In this meta-analysis, newer anticoagulants appear to be slightly more effective than warfarin in the short term (two years) in preventing strokes of all kinds in patients with atrial fibrillation. However, they are no more effective than warfarin in preventing ischemic strokes, and they cause more ...
Apixaban is at least as effective as aspirin or warfarin for preventing strokes in high-risk patients with nonvalvular atrial fibrillation, especially those who cannot or will not take warfarin. It is slightly less likely to cause major bleeding and may have better compliance because it does not req...
Patients with minor stroke (National Institutes of Health [NIH] Stroke Scale score ≤ 3) or TIA have a decreased risk of recurrent stroke if given aspirin plus clopidogrel vs. aspirin alone if started within 24 hours of the onset of symptoms. There was no significant increase in the risk of bleeding ...
Endovascular therapies (local delivery of t-PA, extracting the thrombus, or stenting) do not improve outcomes when added to intravenous t-PA alone.
New antithrombotics provide alternatives to warfarin, and may lower the threshold for thromboembolic risk for initiating therapy in patients with atrial fibrillation. This advisory summarizes existing American Heart Association/American Stroke Association (AHA/ASA) recommendations on antithrombotics...
Dec 1, 2012 Issue
Insulin for Glycemic Control in Acute Ischemic Stroke [Cochrane for Clinicians]
Administering insulin to maintain glycemic control does not improve the rates of mortality or dependency, or the final neurologic outcome after an acute ischemic stroke. Additionally, in randomized controlled trials, patients in the intervention groups (those under tight glycemic control) had a 25-fold higher incidence of symptomatic hypoglycemia.