Best Practices, Outcomes and Stroke - Cardiovascular Update

Urgent Need to Develop Best Practices to Advance Use of AI in Cardiovascular Care

DAIC

FEBRUARY 28, 2024

The new scientific statement, “Use of Artificial Intelligence in Improving Outcomes in Heart Disease,” comes amid intense attention on AI as a way to improve cardiovascular disease prevention, detection, diagnosis and treatment. Imaging is important for accurately diagnosing cardiovascular conditions and stroke.

Best Practices

Best Practices Technology Cardiovascular Disease Strokes

Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association

Stroke Journal

DECEMBER 12, 2024

Stroke, Ahead of Print. Considerable variation exists in the delivery of acute stroke care and stroke outcomes across settings and population groups. These sites also tend to serve populations in rural areas who experience disparities in care and outcomes.

Best Practices

Best Practices Strokes Stroke Health Disparities

SHINE Trial Sheds Light on Deadly Stroke Complication

DAIC

MAY 14, 2024

UVA Health's Karen Johnston, MD, the SHINE trial leader, was pleased to see the new insights into best practices for stroke care. These data from the SHINE trial continue to inform the national stroke community about potential approaches to treating hyperglycemic stroke patients to assure better outcomes,” she said.

Strokes

Strokes Stroke Thrombolysis Hemorrhage

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Use of Artificial Intelligence in Improving Outcomes in Heart Disease: A Scientific Statement From the American Heart Association

Circulation

FEBRUARY 28, 2024

The American Heart Association supports the creation of tools and services that would further the science and practice of precision medicine by enabling more precise approaches to cardiovascular and stroke research, prevention, and care of individuals and populations.

Best Practices

Best Practices Heart Disease Outcomes Education

Abstract WP17: Best Practices for Optimizing Door-to-Needle Times: Road to Target Stroke Phase III

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP17-AWP17, February 1, 2024. Introduction:The launch of AHA’s Target: Stroke Phase III in 2019 challenged stroke centers to achieve DTN times ≤ 30 min of arrival to ≥ 50% of AIS patients treated with IV thrombolytics.

Best Practices

Best Practices Strokes Stroke Hospital

Abstract TP218: Best Practices for Optimizing Door-to-Device Times: Road to Target Stroke Phase III

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP218-ATP218, February 1, 2024. Introduction:The launch of AHA’s Target: Stroke Phase III in 2019 challenged stroke centers to achieve DTD ≤ 90 minutes (direct arriving patients) or ≤ 60 minutes (transfer patients) in ≥ 50% of patients treated with mechanical thrombectomy (MT).

Best Practices

Best Practices Nursing Strokes Stroke

Code ICH: A Call to Action

Stroke Journal

DECEMBER 15, 2023

Stroke, Ahead of Print. Intracerebral hemorrhage is the most serious type of stroke, leading to high rates of severe disability and mortality. Hematoma expansion is an independent predictor of poor functional outcome and is a compelling target for intervention.

Best Practices

Best Practices Hemorrhage Blood Pressure Innovation

Ismail El-Hamamsy, MD, PhD, Named President of the Heart Valve Society

DAIC

FEBRUARY 22, 2024

He previously served on the HVS Board of Directors and has led the HVS AVIATOR Registry, an international registry examining outcomes after aortic valve surgery. El-Hamamsy’s work in studying outcomes of the Ross procedure, disseminating the data, and teaching surgeons around the world to perform this operation safely and effectively.

Heart Valves

Heart Valves Aortic valve Aortic Sudden Cardiac Death

Making Sense of Vagus Nerve Stimulation for Stroke

Stroke Journal

DECEMBER 14, 2023

Stroke, Ahead of Print. Implantable vagus nerve stimulation, paired with high-dose occupational therapy, has been shown to be effective in improving upper limb function among patients with stroke and received regulatory approval from the US Food and Drug Administration and the Centers for Medicare & Medicaid Services.

Strokes

Strokes Stroke Best Practices Medicaid

Abstract 32: Escape Room Activity Improves Nurses’ Knowledge of Stroke Clinical Practice Guidelines

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A32-A32, February 1, 2024. Background:Patients receiving care from stroke specialized nurses have better outcomes. This suggests that escape room activities can be an effective way to develop clinical knowledge in stroke nursing.

Nursing

Nursing Strokes Stroke Best Practices

Step Into the Cardiology Clinic of the Future: Bringing Virtual Cardiac Care Delivery and Virtual Telemetry to Life in Your Practice’s Clinical Workflows

DAIC

JULY 10, 2024

and strokes and other CVDs are on the rise globally. One report projects a 50% increase in stroke-related deaths by 2050, with 10 million dying annually. The cardiology clinic of the future believes truly effective care is personalized, and embraces the nuances held in each patient’s heart which hold the secret to better outcomes.

Technology

Technology Best Practices AFIB Patient Care

Abstract WP57: Who Needs to Compete When You Can Collaborate? Celebrating 25 Years of Successful Stroke Care

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP57-AWP57, February 1, 2024. Background:In 2004, Kansas City nurses partnered with the American Stroke Association to provide stroke education to health care providers and the community. Over time, the goal shifted to stroke systems of care.

Best Practices

Best Practices Strokes Stroke Education

Abstract WMP36: Quality Improvement for Improved Ischemic Stroke Large Vessel Occlusion Door-In-Door-Out Times at an Urban Primary Stroke Center Integrated Health System

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP36-AWMP36, February 1, 2024. Our practice center is a large urban community-based Primary Stroke Center, part of a spoke and hub integrated system. We completed comprehensive chart reviews focusing on critical time points and reviewed recent literature (2022 - 2023) for best practices.

Strokes

Strokes Stroke Best Practices Education

A Hybrid Simulation‐Based Workshop Improves Knowledge and Confidence in the Management of Hemorrhagic Conversion of Stroke Among Interventional Neurology Trainees

Stroke: Vascular and Interventional Neurology

SEPTEMBER 4, 2024

Stroke: Vascular and Interventional Neurology, Volume 4, Issue 6 , November 1, 2024. BackgroundMechanical thrombectomy is the standard of care in acute ischemic stroke with anterior large vessel occlusion presenting within 6 hours of symptom onset, but complications do exist.

Hemorrhage

Hemorrhage Strokes Stroke Best Practices

Abstract WP83: Improving Care Delivery Times in a Prehospital Mobile Stroke Unit Setting

Stroke Journal

JANUARY 30, 2025

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

Strokes

Strokes Stroke Best Practices Thrombolysis

Abstract TP123: Physician perspectives on acute evaluation and determining goals of stroke care for people living with dementia or disability: Results from the SEED mixed-methods study

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP123-ATP123, February 1, 2025. Background:Around one in three strokes are experienced by people living with disability or dementia (PLWD), yet there is currently no consensus to guide physicians in evaluating baseline status in this patient population and determining goals of care.

Dementia

Dementia Strokes Stroke Best Practices

Abstract WP45: A Collaborative Approach to Improving Inpatient Stroke Code Time Target Metrics

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP45-AWP45, February 1, 2024. Much effort and education has been placed on pre-hospital and emergency departments to recognize signs and symptoms of acute stroke and time metrics such as door-to-CT, door-to-needle, and door-to-device. of patients.

Inpatient

Inpatient Strokes Stroke Document

Abstract WP74: Organized System of Care Improves Door to Needle Times in Rural Montana

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP74-AWP74, February 1, 2024. Early reperfusion is critical to improved outcomes from acute stroke, with door-to-CT times < 25 min and door-to-needle times<60 min as key performance metrics. Engage more CAHs in the stroke registry. Create statewide stroke order-sets.

Best Practices

Best Practices Education Strokes Stroke

Abstract WMP94: Trends in Co-morbidities and Mortality in Rescue Stenting and Elective Stenting for Intracranial Atherosclerotic Disease: National Inpatient Sample Data Analysis

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP94-AWMP94, February 1, 2025. National Inpatient Sample (NIS) database from 2009 to 2020, evaluating patients who presented with stroke from ICAD and were treated with angioplasty and stenting and analyzed presenting co-morbidities and patient outcomes. vs 7.9%), diabetes (33.6%

Stents

Stents Stent Inpatient Angioplasty

Urgent Need to Develop Best Practices to Advance Use of AI in Cardiovascular Care

Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association

SHINE Trial Sheds Light on Deadly Stroke Complication

Webinars

Use of Artificial Intelligence in Improving Outcomes in Heart Disease: A Scientific Statement From the American Heart Association

Abstract WP17: Best Practices for Optimizing Door-to-Needle Times: Road to Target Stroke Phase III

Abstract TP218: Best Practices for Optimizing Door-to-Device Times: Road to Target Stroke Phase III

Code ICH: A Call to Action

Ismail El-Hamamsy, MD, PhD, Named President of the Heart Valve Society

Making Sense of Vagus Nerve Stimulation for Stroke

Abstract 32: Escape Room Activity Improves Nurses’ Knowledge of Stroke Clinical Practice Guidelines

Step Into the Cardiology Clinic of the Future: Bringing Virtual Cardiac Care Delivery and Virtual Telemetry to Life in Your Practice’s Clinical Workflows

Abstract WP57: Who Needs to Compete When You Can Collaborate? Celebrating 25 Years of Successful Stroke Care

Abstract WMP36: Quality Improvement for Improved Ischemic Stroke Large Vessel Occlusion Door-In-Door-Out Times at an Urban Primary Stroke Center Integrated Health System

A Hybrid Simulation‐Based Workshop Improves Knowledge and Confidence in the Management of Hemorrhagic Conversion of Stroke Among Interventional Neurology Trainees

Abstract WP83: Improving Care Delivery Times in a Prehospital Mobile Stroke Unit Setting

Abstract TP123: Physician perspectives on acute evaluation and determining goals of stroke care for people living with dementia or disability: Results from the SEED mixed-methods study

Abstract WP45: A Collaborative Approach to Improving Inpatient Stroke Code Time Target Metrics

Abstract WP74: Organized System of Care Improves Door to Needle Times in Rural Montana

Abstract WMP94: Trends in Co-morbidities and Mortality in Rescue Stenting and Elective Stenting for Intracranial Atherosclerotic Disease: National Inpatient Sample Data Analysis

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