Stroke and TIA

Jul 15, 2004 Issue
Recommendations for Exercise After Stroke [Practice Guidelines]

Apr 1, 2004 Issue
Transient Ischemic Attacks: Part I. Diagnosis and Evaluation [Article]

Transient ischemic attack is no longer considered a benign event but, rather, a critical harbinger of impending stroke. Failure to quickly recognize and evaluate this warning sign could mean missing an opportunity to prevent permanent disability or death. The 90-day risk of stroke after a transient ...

Apr 1, 2004 Issue
Transient Ischemic Attacks: Part II. Treatment [Article]

Risk factors for stroke should be evaluated in patients who have had a transient ischemic attack. Blood pressure, lipid levels, and diabetes mellitus should be controlled. When applicable, smoking cessation and weight loss also are important. Angiotensin-converting enzyme inhibitor therapy may help ...

Dec 15, 2003 Issue
Stroke: Strategies for Primary Prevention [Article]

Stroke is a leading cause of morbidity and mortality in North America. Primary prevention of stroke includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with hypertension prevents ...

Oct 1, 2003 Issue
Are Anticoagulants Better than Antiplatelet Agents for Treatment of Acute Ischemic Stroke? [Cochrane for Clinicians]

Aspirin has a small benefit for long-term outcome and survival. Anticoagulants increase the risk for bleeding and do not have long-term benefit.

Sep 15, 2003 Issue
Cerebrospinal Fluid Analysis [Article]

Lumbar puncture is frequently performed in primary care. Properly interpreted tests can make cerebrospinal fluid (CSF) a key tool in the diagnosis of a variety of diseases. Proper evaluation of CSF depends on knowing which tests to order, normal ranges for the patient's age, and the test's limitatio...

Jun 1, 2003 Issue
Does Long-Term Anticoagulation Improve Function After Stroke? [Cochrane for Clinicians]

There is no evidence that anticoagulation with either heparin or warfarin improves these outcomes. There is clear evidence of increased hemorrhagic complications (both fatal and nonfatal) in patients who receive anticoagulation.

Aug 1, 2001 Issue
American Heart Association Scientific Statement on the Primary Prevention of Ischemic Stroke [Practice Guidelines]

The American Heart Association (AHA) has issued a scientific statement on the primary prevention of ischemic stroke. The scientific statement includes an overview of established and potential risk factors and recommendations.

Jan 15, 2000 Issue
When to Operate in Carotid Artery Disease [Article]

Carotid endarterectomy has proved to be beneficial in the prevention of stroke in selected patients. The procedure is indicated in symptomatic patients with carotid-territory transient ischemic attacks or minor strokes who have carotid artery stenosis of 70 to 99 percent. With a low surgical risk, c...

Nov 15, 1999 Issue
Preventing Stroke in Patients with Transient Ischemic Attacks [Article]

Stroke is the third most common overall cause of death and the leading cause of adult disability in the United States. New therapeutic interventions instituted in the period immediately after a stroke have revolutionized the approach to ischemic cerebrovascular disease. Recognition of a transient is...

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