Stroke Journal

JANUARY 30, 2025

Background and Issues:Timely identification and intervention are critical for positive outcomes in acute intracerebral hemorrhage (ICH) patients. Outcomes were measured using data for when the goals were being met versus not being met.Results:Outcomes were measured from 111 ICH patients from 2022-2023.

Hemorrhage 40

Hemorrhage Blood Pressure Outcomes ICU 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 26, 2024

BACKGROUNDAlthough postprocedure blood pressure (BP) correlates with outcome in patients undergoing endovascular thrombectomy (EVT), the optimal target is unknown.METHODSWe performed a pilot randomized‐controlled clinical trial enrolling participants with persistently elevated BP after successful EVT. participants/month).

Blood Pressure 40

Blood Pressure Outcomes Strokes Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Background and Objectives:There are limited data evaluating the optimum blood pressure (BP) goal post mechanical thrombectomy (MT) and its effect on outcomes of patients with large vessel occlusions (LVO). The primary outcome was functional independence (modified Rankin Scale [mRS] 0-2) at 3 months. 1.66, P =0.19).Conclusion:This

Blood Pressure 40

Blood Pressure Article Hemorrhage Strokes 40

Stroke Journal

DECEMBER 15, 2023

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. Stroke, Ahead of Print.

Best Practices 75

Best Practices Hemorrhage Blood Pressure Innovation 75

Stroke Journal

JANUARY 26, 2025

Stroke, Volume 56, Issue 2 , Page e100-e100, February 1, 2025.

Blood Pressure 40

Blood Pressure Hemorrhage Hospital Outcomes 40

Stroke Journal

JANUARY 30, 2025

Background:Elevated blood pressure (BP) is common after Intracerebral Hemorrhage (ICH) and is linked with increased morbidity and mortality, partly due to hematoma expansion. On pooling the results of smaller RCTs (<100 patients) with those from larger trials, none of the above outcomes were significant.

Blood Pressure 40

Blood Pressure Hemorrhage Outcomes Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Background:Optimal Blood pressure management after thrombectomy for acute ischemic stroke and its association with clinical outcomes remains unclear. We performed this study to compare clinical outcomes between intensive systolic blood pressure (SBP) control (<120-140mmHg) and conventional SBP control (< 180mmHg).Methods:In

Blood Pressure 40

Blood Pressure Strokes Stroke Outcomes 40

Stroke Journal

FEBRUARY 1, 2024

Recent landmark trials BEST-MSU and B_PROUD have proven that MSUs facilitate quicker thrombolysis times and improved functional outcomes at 90 days when compared to conventional emergency medical services (EMS) for acute ischemic stroke patients. Goal blood pressure was defined as systolic blood pressure <160.

Hemorrhage 40

Hemorrhage Blood Pressure Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Introduction:Oxidative stress plays an important role in both early brain injury and delayed cerebral ischemia after subarachnoid hemorrhage (SAH). In this study, we evaluated the effect of MnP-05 on short-term outcomes of SAH in mice.Methods:We used 12-week-old male C57BL/6J mice. P<0.05, Fig.

Hemorrhage 40

Hemorrhage Outcomes Blood Pressure Ischemia 40

Journal of the American Heart Association

FEBRUARY 29, 2024

BackgroundDelayed cerebral ischemia represents a significant contributor to death and disability following aneurysmal subarachnoid hemorrhage. The lack of standardized experimental setups and outcome assessments, particularly regarding secondary vasospastic/ischemic events, may be partly responsible for the translational failure.

Ischemia 40

Ischemia Hemorrhage Blood Pressure Aneurysm 40

Stroke Journal

JANUARY 30, 2025

Introduction:Intracerebral hemorrhage (ICH) leads to the highest mortality among stroke patients. ICH expansion causes worse outcomes, especially with anticoagulant-associated ICH. The checklist tracks blood pressure (BP) management and calling a neurosurgery consult.

Hemorrhage 40

Hemorrhage Blood Pressure Academic Nursing 40

Stroke Journal

FEBRUARY 1, 2024

Background:Anticoagulation-associated intracerebral hemorrhage (AC-ICH) often results in death. For patients with available door-to-treatment (DTT) times, outcomes were analyzed using logistic regression models adjusted for demographic, history, baseline, and hospital characteristics.

Hemorrhage 40

Hemorrhage Blood Pressure Hospital Document 40

Stroke Journal

JANUARY 30, 2025

Introduction:INTEREACT 4 demonstrated lowering blood pressure in the prehospital setting improves outcomes for patients with intracerebral hemorrhage (ICH) but worsens outcomes for acute cerebral ischemia (ACI). Stroke, Volume 56, Issue Suppl_1 , Page AWP142-AWP142, February 1, 2025.

Technology 40

Technology Hemorrhage Blood Pressure Ischemia 40

Stroke Journal

FEBRUARY 1, 2024

Background:We have previously identified that hemoglobin decrements and new-onset anemia during an intracerebral hemorrhage (ICH) hospitalization is frequent, rapid, and associates with poor outcome. Stroke, Volume 55, Issue Suppl_1 , Page AWP176-AWP176, February 1, 2024. The mean age was 66.5 (SD were female. 0.99, p=0.04).

Hemorrhage 40

Hemorrhage Blood Pressure Ischemia Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Background:Mobile stroke units (MSUs) improve outcomes in thrombolytic-eligible ischemic stroke patients. The primary outcome was utility weighted modified Rankin Scale (uw-mRS) at 90 days; secondary outcomes were hematoma expansion, length of inpatient stay, favorable discharge disposition or 90-day mRS, and mortality.

Hemorrhage 40

Hemorrhage Strokes Stroke Blood Pressure 40

Stroke Journal

JANUARY 30, 2025

Introduction:Intracerebral hemorrhage (ICH) is associated with poor outcomes in part due to a lack of perceived sense of urgency. HE was defined as per revised criteria (33% relative or 6 mL absolute increase in ICH volume, or new presence or 1mL increase in intraventricular hemorrhage).Results:Among

Hemorrhage 40

Hemorrhage Academic Blood Pressure Hospital 40

Stroke Journal

JANUARY 30, 2025

Introduction:Intracranial hemorrhage (ICH) is the most severe adverse effect of anticoagulation in atrial fibrillation (AF) patients. Stroke, Volume 56, Issue Suppl_1 , Page A49-A49, February 1, 2025. Hypertension, diabetes, hyperlipidemia, and chronic kidney disease are well-known cardiovascular risk factors for ICH.

Atrial Fibrillation 40

Atrial Fibrillation Hemorrhage Risk Factors Kidney Disease 40

Circulation

NOVEMBER 11, 2024

Background:Long term follow-up data on elevated blood pressure (BP) or antihypertensive drugs in young adults are scarce. The primary outcome was a composite of the incidence of myocardial infarction and ischemic and hemorrhagic stroke, obtained by tracking the medical use data of the first-ever ICD-10 codes.

Myocardial Infarction 40

Myocardial Infarction Hypertension Cardiovascular Disease Outcomes 40

Stroke Journal

JANUARY 30, 2025

Background:Endovascular thrombectomy (EVT) has improved both short-term and long-term outcomes for acute ischemic stroke (AIS) patients caused by large vessel occlusion (LVO). However, the relationships between blood pressure (BP) after EVT and outcomes had not been determined.

Strokes 40

Strokes Stroke Blood Pressure Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

Background:One of the keys to mitigating adverse outcomes of an ischemic or hemorrhagic stroke is timely access to a stroke center. For intracerebral hemorrhage, early intensive blood pressure lowering within 2 hours of onset improved outcomes.

Strokes 40

Strokes Stroke Hemorrhage Blood Pressure 40

Stroke Journal

FEBRUARY 16, 2024

The primary outcome was functional independence (modified Rankin Scale score of 0–2) at 90 days. Safety outcomes included symptomatic intracranial hemorrhage and 3-month mortality. Compared with alteplase, tirofiban was not associated with increased risk of symptomatic intracranial hemorrhage (6.8% versus 9.2%;P=0.51)

Strokes 40

Strokes Stroke Blood Pressure Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

Background and Objectives:It is unclear whether induced hypertension in acute ischemic stroke (AIS) may improve long-term outcomes. The safety outcome was symptomatic intracranial hemorrhage (sICH). Stroke, Volume 55, Issue Suppl_1 , Page ATMP61-ATMP61, February 1, 2024. 3.11; p=0.01). 7.45; p=0.98).Discussion:Among

Hypertension 40

Hypertension Strokes Stroke Blood Pressure 40

Stroke Journal

JANUARY 30, 2025

Introduction:Current guidelines recommend 24-hours of high-intensity monitoring (HIM) for acute ischemic stroke patients post-intravenous thrombolysis (IVT) due to risk of bleeding complications including symptomatic intracranial hemorrhage (sICH). The mean length of ICU-stay for the HIM group was 32.8

Thrombolysis 40

Thrombolysis ICU Strokes Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

1] This might result in worse outcomes, despite successful recanalization, from hyper‐ or hypoperfusion with a risk for hemorrhagic conversion or larger stroke volume, respectively. Follow up imaging revealed hemorrhagic conversion in the bed of the stroke with intraparenchymal bleeding (PH1) (Figures 1F‐H).This

Strokes 40

Strokes Stroke Blood Pressure Document 40

Journal of the American Heart Association

JANUARY 16, 2025

BackgroundTransport by mobile stroke units (MSUs), which provide access to computed tomography scanning and intravenous blood pressure medications and thrombolytics, reduces time to treatment and may improve shortterm functional outcomes for patients with acute stroke. had an intracerebral hemorrhage, and 31.1%

Strokes 40

Strokes Stroke Medicare Blood Pressure 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

In light of postoperative CT head showing SAH in the basilar, perimesencephalic, prepontine cisterns, interhemispheric fissure and right frontal sulci as well as intraventricular hemorrhage in fourth ventricle, her presentation was thought to be secondary to cerebral vasospasm in the setting of postoperative SAH. Daily TCDs were followed.

Blood Pressure 40

Blood Pressure Stenosis Hemorrhage Thrombosis 40

Dr. Smith's ECG Blog

OCTOBER 20, 2013

Because the patient had asystole, was resuscitated without difficulty, and had no neurologic function, suspected a cerebral hemorrhage was suspected as the etiology of the arrest, specifically subarachnoid hemorrhage. She went for a head CT and had a severe subarachnoid hemorrhage (SAH) due to ruptured aneurysm.

Cardiac Arrest 52

Cardiac Arrest STEMI Hemorrhage Hospital 52

Stroke Journal

FEBRUARY 1, 2024

Background:Blood pressure (BP) reduction is associated with better neuroimaging and clinical outcomes in patients with spontaneous, non-traumatic intracerebral hemorrhage (ICH). We fitted multivariable logistic regression models to test for association between the intervention and our outcomes of interest.

Blood Pressure 40

Blood Pressure Hemorrhage Outcomes Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Selected studies link high systolic blood pressure variability (SBPV) to poor patient outcome after intracerebral hemorrhage (ICH). Hemorrhage characteristics and cerebral small vessel disease burden (CSVD; STRIVE 2.0 Median hemorrhage volume was 12.1 [1.9-36.3] Hispanic, 8.2% Asian, and 2.5%

Blood Pressure 40

Blood Pressure Hemorrhage Hospital Outcomes 40

Stroke Journal

JANUARY 30, 2025

Introduction:Elevated blood pressure (BP) is common in acute intracerebral hemorrhage (ICH) and is associated with poor neurological outcomes. Patients underwent 24-hour noninvasive BP monitoring, and clinical outcomes were recorded at 24 hours. years, 263 [62.0%] male).

Blood Pressure 40

Blood Pressure Hemorrhage Outcomes Stroke 40

Stroke Journal

NOVEMBER 28, 2023

Optimal cut points for predicting 90-day clinical outcomes (death or major disability [defined as modified Rankin Scale scores 3–6], major disability [defined as modified Rankin Scale scores 3–5], and death alone) were determined using the Youden index. Similar findings were observed when assessing the outcome of major disability.

Hemorrhage 60

Hemorrhage Blood Pressure Risk Factors Outcomes 60

Stroke Journal

JANUARY 30, 2025

Disparities in outcomes of patients with ischemic stroke have been associated with insurance coverage. However, there are few studies investigating the impact of insurance status on outcomes in patients with intracerebral hemorrhage (ICH).Methods:We Table 1 illustrates demographics by insurance status. 2.03, p=0.022, Figure 1).

Hemorrhage 40

Hemorrhage Medicare Outcomes Medicaid 40

Stroke Journal

JANUARY 30, 2025

Introduction:Education, a key modifiable social determinant of health, plays a significant role in shaping outcomes related to ischemic stroke. The predicted probability of good outcome by education level was significantly different (Figure 1). See Table 1 for demographics by education group. 3.85, p=0.002).Conclusion:Our

Education 40

Education Hemorrhage Outcomes Blood Pressure 40

Stroke Journal

FEBRUARY 1, 2024

Background:Ischemic lesions on diffusion weighted imaging (DWI) occur in one-third of intracerebral hemorrhage (ICH). Due to conflicting prior studies, it is uncertain if the degree of systolic blood pressure reduction increases the risk. Stroke, Volume 55, Issue Suppl_1 , Page ATP154-ATP154, February 1, 2024.

Hemorrhage 40

Hemorrhage Blood Pressure Hypertension Biomarkers 40

Stroke Journal

FEBRUARY 1, 2024

Background:Ischemia on diffusion weighted imaging (DWI) after intracerebral hemorrhage (ICH) increases the risk of future ischemic stroke. Though cortical superficial siderosis (cSS) is also a hemorrhagic small vessel disease subtype, it is unclear if cSS similarly relates to DWI lesions. and cSS in 10.6%.

Hemorrhage 40

Hemorrhage Ischemia Blood Pressure Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:While the attention on racial, ethnic, and gender differences in ischemic stroke has progressed beyond reporting to evaluating corrective activities, less is known about disparities in hemorrhagic stroke evaluation and care, especially amongst young population. More women had access to primary care compared to men (51.2%

Risk Factors 40

Risk Factors Hemorrhage Outcomes Blood Pressure 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52