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To tackle this problem, researchers compared Veterans Affairs data on 2 million T2D patients (2017-2023) taking either GLP-1s , DPP4is, SGLT2is, or usual care antihyperglycemics over a 3.68 As expected, GLP-1s reduced MI risk by 9%, cardiac arrest by 22%, incident HF by 11%, ischemic stroke by 7%, and hemorrhagicstroke by 14%.
Stroke, Volume 56, Issue Suppl_1 , Page ADP4-ADP4, February 1, 2025. Introduction:Intravenous thrombolysis with alteplase (tPA) or tenecteplase (TNK) is a first-line treatment for acute ischemic stroke. The most serious risk associated with IV thrombolytics is symptomatic intracranial hemorrhage (sICH).
Stroke, Volume 56, Issue Suppl_1 , Page ADP42-ADP42, February 1, 2025. Introduction:The transitional period from hospital discharge to the community for stroke survivors is a vulnerable time as patients navigate healthcare systems with their new impairments. The control group included patients not enrolled in the program.
Stroke, Volume 56, Issue Suppl_1 , Page ADP49-ADP49, February 1, 2025. Introduction:Intracerebral hemorrhage (ICH) is associated with poor outcomes in part due to a lack of perceived sense of urgency. Clinical data were merged with ICH imaging at baseline&follow-up CT. Results:Among 75 patients, meanSD age was 79.89.1
Stroke, Volume 55, Issue Suppl_1 , Page AWP165-AWP165, February 1, 2024. Data collected and analyzed include demographics, ICH score/size, intraventricular hemorrhage, location of hematoma, surgical intervention, GCS/NIHSS scores, ICU length of stay (LOS), and discharge destiny. Due to increased access, its use has increased globally.
Stroke, Volume 56, Issue Suppl_1 , Page ADP40-ADP40, February 1, 2025. Introduction:Challenging anatomy and tortuous vessels have been associated with poor outcomes in endovasculat treatment (EVT) of stroke.
Stroke, Volume 56, Issue Suppl_1 , Page AWP83-AWP83, February 1, 2025. Background:Stroke centers across the country followadhere to established best practice timeframes for stroke care delivery, such as door-to-doctor, door-to-CT, and door-to-needle times. 45 mins), on-scene-to-evaluation time improved by 48% (1.54
Stroke, Volume 55, Issue Suppl_1 , Page ATMP86-ATMP86, February 1, 2024. Introduction:Tenecteplase improves reperfusion and functional outcomes in stroke patients with large vessel occlusion. Primary safety outcome was parenchymal hematoma type 2 (PH2) intracerebral hemorrhage. Mean age was 68, and 50.0% were females.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionOptimal triage strategies for patients suspected of acute ischemic stroke due to large vessel occlusion remains debated. Outcomes were compared for EVT hospitalizations with direct vs transferred presentation at discharge.
CTA head and neck were obtained and showed no evidence of intracranial hemorrhage, large vessel occlusion stroke (what a helpful and apt name for an acute arterial occlusion paradigm, by the way.), 2017 Sep-Oct;50(5):561-569. Epub 2017 Apr 19. Vital signs were within normal limits on arrival to the Emergency Department.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023. were male, and median baseline National Institutes of Health Stroke Scale was 17 [15–20]. P<0.001), and significant improvement in National Institutes of Health Stroke Scale scores at 24 hours. versus 14.4%;P<0.001),
Stroke, Volume 55, Issue Suppl_1 , Page AWP148-AWP148, February 1, 2024. Background:The recognition of in-hospital strokes (IHS) and their subsequent interventions remain challenging. IHS do not have guideline-based efficiency metrics established. Only 1 in 5 IHS receive treatment within 60 minutes of symptom recognition time (SRT).
Stroke, Volume 55, Issue Suppl_1 , Page AWP234-AWP234, February 1, 2024. Introduction:The 2021 revised diagnostic criteria of Moyamoya’s disease (MMD) of Japan more emphasize terminal ICA involvement than 2012 version. Accordingly, there is still ambiguity about whether MCA steno-occlusion with intact ICA qualifies as MMD.
Stroke, Volume 55, Issue Suppl_1 , Page AWP202-AWP202, February 1, 2024. Background:Mechanical thrombectomy (MT) has demonstrated superiority over medical therapy for acute ischemic stroke (AIS) with large vessel occlusion (LVO). Propensity score matching was performed to create two well-balanced groups: MT alone and MT+IVtPA.
Stroke, Volume 55, Issue Suppl_1 , Page AWP206-AWP206, February 1, 2024. We describe a single center experience with the Penumbra 3 max aspiration catheter in stroke thrombectomy. Introduction:Stroke thrombectomy for medium and distal vessel occlusion is a topic of great interest with several clinical trials underway.
Stroke, Volume 55, Issue Suppl_1 , Page ATP180-ATP180, February 1, 2024. The median thrombus load was higher in COVID-CVST patients (3 [IQR 2-4] vs 2 [1-3],P<0.01), as was the frequency of non-hemorrhagic brain lesions (47% vs 33%,P=0.03). The COVID severity was asymptomatic, mild or moderate in 60/69 (87%).
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Utilization of EVT significantly increased during the study period from 54.3% (2002‐2004) to 78.6% (2017‐2019) (p = 0.002 by Cochrane‐Armitage test). vs. 91.1%, p = 0.006), shorter durations of hospital stay (4.6
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionPituitary apoplexy is a serious, emergent, and potentially dangerous condition of the pituitary in which the gland is affected by hemorrhage and/or ischemia typically in the setting of an underlying adenoma.
Stroke, Volume 56, Issue Suppl_1 , Page ATMP65-ATMP65, February 1, 2025. 1.8], p=0.02) after adjusting for initial NIHSS score.Conclusion:Implementation of a regional prehospital transport protocol to stroke center was associated with a shorter time to CT scanner but higher mortality.
Stroke, Ahead of Print. BACKGROUND:A modified computed tomography angiography (CTA)based Carotid Plaque Reporting and Data System (Plaque-RADS) classification was applied to a cohort of patients with embolic stroke of undetermined source to test whether high-risk Plaque-RADS subtypes are more prevalent on the ipsilateral side of stroke.
Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. to 1.45) for fatal or nonfatal stroke. g/dL Hypotension (obviously!) The most recent and probably best study is this: Canadian Syncope Arrhythmia Risk Score. Thiruganasambandamoorthy, V., Sivilotti, M.,
Moreover, if you know that catastrophic intracranial hemorrhage can result in an ECG that mimics STEMI, then you know that this patient probably has a severe intracranial hemorrhage. Put it all together, and this is a sudden severe spontaneous intracranial hemorrhage, probably a ruptured cerebral aneuyrms (subarachnoid hemorrhage).
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