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North York General Hospital's 30th Annual Emergency Medicine Update (EMU) Conference 2017 featured some of the best talks I've ever heard from the likes of Sara Gray, Amal Mattu, David Carr and many more. The post Episode 99 Highlights from EMU 2017 appeared first on Emergency Medicine Cases.
Stroke, Ahead of Print. BACKGROUND:Recently, various polygenic risk score (PRS)based methods were developed to improve stroke prediction. However, current PRSs (including cross-ancestry PRS) poorly predict recurrent stroke. In particular, it predicted an increased risk of recurrence among stroke patients without hypertension.
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 hemorrhagic stroke by 14%.
7-9, and is a world premier meeting for researchers and clinicians dedicated to the science of stroke and brain health. 7-9, and is a world premier meeting for researchers and clinicians dedicated to the science of stroke and brain health. The meeting will be held in Phoenix, Feb. The meeting will be held in Phoenix, Feb.
Stroke, Ahead of Print. BACKGROUND:Therapeutic-induced hypertension treatment (iHTN) is helpful for alleviating early neurological deterioration (END) in acute small vessel occlusive stroke. The mean age was 65.1 (±12.0) years, and 61.0% The efficacy of iHTN may be limited to induction within the first 3 hours of END.
Analysis of 13,587 patients undergoing isolated tricuspid valve surgery from 2017 to 2023 revealed a 5.5% The majority require explant of the TAVR device and SAVR, which significantly increases the risk of operative mortality and stroke. overall predicted risk of mortality for isolated repair and a 5.7% and 4.1%, respectively.
Stroke, Volume 55, Issue Suppl_1 , Page ATP281-ATP281, February 1, 2024. This study aims to assess whether certain comorbidities may increase risk for a future ischemic event.Methods:We retrospectively identified patients within the Southern California KP region using ICD 9 and ICD-10 codes who had a diagnosis of TGA from 2012-2017.
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 AWP281-AWP281, February 1, 2025. Introduction:Determining ischemic stroke etiology using transthoracic echocardiography (TTE) is often considered to be a standard part of routine stroke care and secondary prevention of stroke.
Stroke, Ahead of Print. Background:Since treatment with anticoagulants can prevent recurrent strokes, identification of patients at risk for incident AF after stroke is crucial. AF PRS was associated with greater risk of incident AF after stroke (HR 1.16 [95% Confidence Interval (CI) 0.94-1.44]
BackgroundSecondary prevention of ischemic stroke (IS) requires adequate diagnostic evaluation to identify the likely etiologic subtype. Both the rate of missing stroke pathogenesis and the proportion of cryptogenic strokes were highly variable across hospitals. and missing in 42.6%.
Stroke, Volume 55, Issue Suppl_1 , Page A93-A93, February 1, 2024. One hospital had been an EPH throughout the study period (Group A: EPH 0), three transitioned to EPHs in November 2017 (Group B: EPH 1, EPH 2, EPH 3), and six were non-EPHs (Group C). were given tPA, 22% had LVO, and 9.5% underwent mechanical thrombectomy.
Aim:This study investigates the prevalence of isolated interventricular membranous septal (IVMS) aneurysms detected via echocardiography and assesses the associated stroke risk without other classical risk factors.Methods:We searched the echocardiography database at Mount Sinai Morningside from January 2017 to September 2023.
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 AWP67-AWP67, February 1, 2024. We obtained Individual patient-level data from the GWTG-Stroke Registry from January 2017 to March 2022. min (CI -12.8, -1.5) decrease and a 10 min (CI -18.6, -1.3) min (CI -12.8, -1.5) decrease and a 10 min (CI -18.6, -1.3)
Stroke, Volume 56, Issue Suppl_1 , Page ATP121-ATP121, February 1, 2025. The effect that vertical integration has on emergency stroke care is unclear. In 2016, 29% of VI stroke transfer network dyads had 1 transfer with EVT compared to only 17% of non-VI dyads. In non-VI stroke transfer networks, EDs sent stroke transfers to 1.9
Stroke, Volume 55, Issue Suppl_1 , Page ATMP58-ATMP58, February 1, 2024. Objectives:To determine the relationship between patient-reported outcome measures (PROMs) and volumetric biomarkers assessed on clinical imaging in acute ischemic stroke (AIS).Background:AIS Background:AIS is a leading cause of long-term disability.
Stroke, Volume 55, Issue Suppl_1 , Page AWP147-AWP147, February 1, 2024. Introduction:In-hospital strokes are estimated to account for 2-17% of all strokes. These patients typically have higher mortality, longer length of stay, and higher disability rates than strokes that initiate within the community.
Stroke, Volume 55, Issue Suppl_1 , Page ATP82-ATP82, February 1, 2024. Introduction:The incidence of Large Vessel Occlusion-Acute Ischemic Stroke (LVO-AIS) continues to increase in young adults. 31 patients (18%) had stroke etiology as Large Artery Atherosclerosis (per TOAST criteria). SNF, and 8.5%
Stroke, Volume 56, Issue Suppl_1 , Page AWP187-AWP187, February 1, 2025. Patients treated between 2017 to 2022 (n=568, 3.2% Introduction:3 to 5% of patients undergoing endovascular thrombectomy present impossible catheter access to the occlusion site from transfemoral access (TFA), largely attributed to complex arterial anatomy.
Stroke, Volume 55, Issue Suppl_1 , Page AWP282-AWP282, February 1, 2024. Background:While blood pressure variability (BPV) is associated with poor cardiovascular outcomes, the relationship between BPV obtained in a very short interval and stroke is unknown. Up to 5% (487 patients) had a history of stroke. 1.1); DBP 0.7 (-0.5,
Stroke, Volume 56, Issue Suppl_1 , Page AWP246-AWP246, February 1, 2025. Introduction:Acute ischemic stroke (AIS) arising from Medium vessel occlusions (MeVO) poses substantial challenges in treatment and management. Cardioembolic stroke etiology was associated with a higher likelihood of excellent recanalization (1.67; 95% CI, 1.07-2.59;
Stroke, Volume 55, Issue Suppl_1 , Page ATP60-ATP60, February 1, 2024. Introduction:In-hospital strokes are estimated to account for 2-17% of all strokes. These patients typically have higher mortality, longer length of stay, and higher disability rates than strokes that initiate within the community.
Stroke, Volume 56, Issue Suppl_1 , Page ATMP59-ATMP59, February 1, 2025. A neurologist assessed ischemic stroke based on medical records, and a neuroradiologist established the ground truth using the neurologist's evaluation, MRI reports, and AI-marked DWI images. The AI alone showed a positive predictive value (PPV) of 93.1%
Stroke, Volume 56, Issue Suppl_1 , Page ATP87-ATP87, February 1, 2025. Background:Early prediction of functional outcome after rtPA helps clinicians in prognostic conversations with stroke patients and their families. Data on demographics, clinical presentations, laboratory values, neuroimaging, and stroke metrics were collected.
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.
Stroke, Volume 55, Issue Suppl_1 , Page ATMP48-ATMP48, February 1, 2024. Purpose:Approximately 30% of all ischemic stroke (AIS) etiology is identified as cryptogenic. The purpose of this study was to assess the real-world reliability and experience of ICM in two large, academic Comprehensive Stroke Centers (CSC).Methods:We
Stroke, Volume 55, Issue Suppl_1 , Page ATP268-ATP268, February 1, 2024. Introduction:Heart failure with reduced ejection fraction (HFrEF) is a risk factor for ischemic stroke. thrombin-antithrombin complex, and fibrin monomer) ≥2 weeks after the index stroke; abnormal MOCHA profile was defined as ≥2 elevated markers.
Stroke, Volume 55, Issue Suppl_1 , Page A137-A137, February 1, 2024. Introduction:Within 5 years of a stroke, approximately 25% of patients will have a recurrent event. Despite this benefit, 50% of patients with hypertension remain uncontrolled after a stroke. YNHHS has 5 hospitals and a large outpatient network.
Stroke, Volume 55, Issue Suppl_1 , Page AWP278-AWP278, February 1, 2024. Background:The current AHA stroke prevention guidelines give Class 1 recommendations that patients with AIS and diabetes should receive glucose-lowering agents with cardiovascular benefit to reduce risk of MACE.
Stroke, Ahead of Print. BACKGROUND:Atrial fibrillation (AF) is a frequent underlying cause of cryptogenic stroke (CS) and its detection can be increased using implantable cardiac monitoring (ICM). Finally, stroke recurrence was documented in 5.6% Patients with CS with AF detection were older compared with the rest (P=0.045).
Stroke, Volume 55, Issue Suppl_1 , Page ATMP8-ATMP8, February 1, 2024. Introduction:Serologic evidence of varicella zoster virus (VZV) infection has been associated with childhood arterial ischemic stroke (AIS). 11.8%) indicated VZV reactivation coincident with stroke; prior VZV vaccination reported in 14 and unknown in one.
Stroke, Volume 55, Issue Suppl_1 , Page AWP19-AWP19, February 1, 2024. Objective:The presence of left atrial thrombus (LAT) in acute stroke patients with nonvalvular atrial fibrillation (NVAF) is the major embolic source for recurrent stroke. DOAC and warfarin groups had 22 (35%) and 41(65%) patients, respectively.
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 55, Issue Suppl_1 , Page AWP240-AWP240, February 1, 2024. Background:Individuals with poorly controlled blood pressure (BP) have a heightened risk of stroke and vascular cognitive impairment. BP reduction has been associated with reduced risk of future stroke and cognitive impairment.
Stroke, Volume 55, Issue Suppl_1 , Page AWP244-AWP244, February 1, 2024. Introduction:Cervical artery dissection (CAD) and acute ischemic stroke (AIS) are key health challenges. Conclusion:This analysis reveals stroke patients are nearly two-fold more likely to have subsequent MI compared to those with CAD. 1.58, P = 0.42).Conclusion:This
Stroke, Volume 55, Issue Suppl_1 , Page AWP2-AWP2, February 1, 2024. Background:Acute ischemic stroke is a leading cause of mortality and disability in the US, with 50% of patients with minor stroke symptoms (MSS). of END cases, clot migration 9.7%, and additional strokes 3.2%. years old, with 58.8% black, and 16.2%
Stroke, Volume 55, Issue Suppl_1 , Page ATP97-ATP97, February 1, 2024. Obtaining delayed functional outcomes such as the modified Ranking score (mRS) after stroke is challenging in clinical practice, often resulting in missing data. 125 surveys were distributed between January 2017 and July 2018. ischemic stroke 84%, 16% TIA).
Stroke, Volume 55, Issue Suppl_1 , Page ATP141-ATP141, February 1, 2024. Background:Computerized tomography perfusion (CTP) imaging serves as a valuable modality for the assessment of individuals with a large vessel anterior circulation stroke. RAPID software estimates the infarct core using CBF <30%.
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