Guidelines in Action: Volume and Blood Pressure Management After Aneurysmal Subarachnoid Hemorrhage
Stroke Journal
NOVEMBER 28, 2023
Stroke, Ahead of Print.
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Stroke Journal
NOVEMBER 28, 2023
Stroke, Ahead of Print.
Stroke Journal
OCTOBER 2, 2024
Stroke, Ahead of Print. BACKGROUND:It is unknown whether hypertensive microangiopathy or cerebral amyloid angiopathy (CAA) predisposes more to anticoagulant-associated intracerebral hemorrhage (AA-ICH). Of the 1104 patients, 268 (24.3%) had AA-ICH: 148 (55.2%) with vitamin K antagonists and 107 (39.9%) with direct oral anticoagulants.
Stroke Journal
FEBRUARY 27, 2024
Stroke, Ahead of Print. Earlier SBP control was not associated with cardiac or renal adverse events.CONCLUSIONS:Our study confirms a clear time relation between early versus later SBP control (120–140 mm Hg) and outcomes in the one-third of patients with intracerebral hemorrhage who attained sustained SBP levels within this range.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025. Background and Purpose:2022 Intracerebral Hemorrhage (ICH) guidelines encourage treatment of blood pressure (BP) as soon as possible following identification of ICH.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ANS7-ANS7, February 1, 2025. Background and Purpose:Intracerebral and subarachnoid hemorrhages comprise roughly 15% of all strokes but have a higher risk of mortality and morbidity than ischemic strokes.
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWMP78-AWMP78, February 1, 2024. Introduction:Mobile stroke units (MSUs) are an evolving means to expedited acute stroke management. Goal blood pressure was defined as systolic blood pressure <160. Both cohorts had similar baseline demographics.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A119-A119, February 1, 2025. Background:The deleterious effects of intensive blood pressure (BP) lowering in patients who achieved successful reperfusion may result from high BP variability (BPV). The proportions of the association explained by TR was 32.15%.Conclusions:TR
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ANS7-ANS7, February 1, 2024. Project analysis began by identifying care opportunities. Development of such a process raised the standard of care for this patient population and leads to overall improvement in patient management.
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ANS3-ANS3, February 1, 2024. Introduction:The 2022 AHA/ASA Guidelines for Intracerebral Hemorrhage (ICH) recommend initiating treatment and lowering blood pressure (BP) within 2 hours of ICH onset and reaching the target systolic BP of 130-150mmHg within one hour of treatment initiation.
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP210-AWP210, February 1, 2024. Background:Optimal Blood pressure management after thrombectomy for acute ischemic stroke and its association with clinical outcomes remains unclear. There were comparable rates of sICH (OR 1.12, 95% CI 0.75-1.67;
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP196-AWP196, 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). 0.89, P < 0.001). 1.66, P =0.19).Conclusion:This
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP175-AWP175, February 1, 2024. Current guidelines for blood pressure (BP) management in patients with intracerebral hemorrhage (ICH) recommend acute lowering of systolic BP (SBP) to 140 mm Hg with a maintenance goal of 130 - 150 mm Hg.
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. Patients with intracerebral hemorrhage who fail to receive early aggressive care have worse outcomes, suggesting that an important treatment opportunity exists.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ATMP66-ATMP66, February 1, 2025. Introduction:The 2022 AHA/ASA Guidelines for Nontraumatic ICH recommend initiating blood pressure (BP) reduction within 2 hours of onset and achieving a target systolic BP of 130-150 mmHg within one hour of initiating a BP medication.
Stroke Journal
NOVEMBER 2, 2023
Stroke, Volume 54, Issue 12 , Page 3173-3181, December 1, 2023. Therefore, ASPIRING (Antiplatelet Secondary Prevention International Randomized Study After Intracerebral Hemorrhage) aims to recruit 4148 ICH survivors to determine the effects of antiplatelet agents after ICH definitively overall and in subgroups.
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ATMP63-ATMP63, February 1, 2024. Background:The American Heart Association guidelines recommend BP goal of <180/105 mmHg for the first 24 hours in acute ischemic stroke (AIS) patients treated with IV Alteplase and now adopted for IV Tenecteplase (TNK).
Stroke Journal
JANUARY 26, 2025
Stroke, Volume 56, Issue 2 , Page e100-e100, February 1, 2025.
Stroke: Vascular and Interventional Neurology
FEBRUARY 26, 2024
Stroke: Vascular and Interventional Neurology, Ahead of Print. Exploratory end points included neurologic deterioration, functional improvement, intracranial hemorrhage, and flow dynamics detected by transcranial Doppler ultrasonography.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ATMP18-ATMP18, February 1, 2025. Background and Issues:Timely identification and intervention are critical for positive outcomes in acute intracerebral hemorrhage (ICH) patients. Unlike multiple clearly defined target goals for ischemic stroke, there are no established measurable goals for ICH.
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page A2-A2, February 1, 2024. Background:Mobile stroke units (MSUs) improve outcomes in thrombolytic-eligible ischemic stroke patients. min [46.50, 75.25], p<0.001), and resulted in shorter time to systolic blood pressure (SBP) < 150mmHg (52 min vs. 121 min, p<0.001).
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A47-A47, February 1, 2025. Introduction:The rapid identification of acute intracerebral hemorrhage (ICH) in patients with symptoms of acute stroke is decisive for prehospital triage and initiation of targeted therapies. Blood samples were collected in the prehospital phase.
All About Cardiovascular System and Disorders
APRIL 21, 2024
Stroke is often due to sudden loss of blood supply to a region of the brain which usually results in paralysis of a part of the body. Stroke could also be due to bleeding into a part of the brain. Strokes and heart disease are linked together in various ways. Stroke can occur after a heart attack as well.
Journal of the American Heart Association
FEBRUARY 26, 2025
BackgroundA strong risk factor for intracerebral hemorrhage (ICH) is elevated arterial blood pressure, which is known to vary by season, with highest values in winter months. Cases were identified from a stroke inpatient quality assurance registry covering the entire Federal State of Hesse, Germany.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ANS1-ANS1, February 1, 2025. Background:The 2023 American Heart Association/American Stroke AssociationsGuideline for Management of Patients with Aneurysmal Subarachnoid Hemorrhage(SAH) support use of the Ottawa Rule to screen individuals at risk.
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AHUP16-AHUP16, February 1, 2024. Introduction:Recent reports demonstrate that stroke prevalence is expanding in young women, especially in diverse populations. In the total population, 25% had an intracerebral hemorrhage, 56% had an ischemic stroke, and 19% had a subarachnoid hemorrhage.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A21-A21, February 1, 2025. Introduction:For stroke survivors, blood pressure (BP) reduction significantly lowers the risk of recurrence; a 10mmHg decrease in systolic BP is associated with a 20% risk reduction. Ischemic strokes accounted for 83.2% Black race, 5.9%
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWP136-AWP136, February 1, 2025. Introduction:Intracerebral hemorrhage (ICH) leads to the highest mortality among stroke patients. The checklist tracks blood pressure (BP) management and calling a neurosurgery consult.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A49-A49, February 1, 2025. Introduction:Intracranial hemorrhage (ICH) is the most severe adverse effect of anticoagulation in atrial fibrillation (AF) patients. Hypertension, diabetes, hyperlipidemia, and chronic kidney disease are well-known cardiovascular risk factors for ICH.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A84-A84, February 1, 2025. Background:Direct oral anticoagulants (DOAC) are associated with an increased risk ofhematoma expansion (HE) in spontaneous intracerebral hemorrhage (ICH). However, thecritical DOAC level influencing this risk remains unclear.
Stroke Journal
JANUARY 30, 2025
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 Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ATP171-ATP171, February 1, 2024. Introduction:Intracerebral hemorrhage (ICH) incidence follows both seasonal and diurnal patterns noted in the literature.
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ATMP41-ATMP41, 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.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWP142-AWP142, February 1, 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 Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP176-AWP176, 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. The mean age was 66.5 (SD were female. 0.99, p=0.04).
Stroke Journal
NOVEMBER 1, 2023
Stroke, Volume 54, Issue 12 , Page 3012-3020, December 1, 2023. BACKGROUND:Smoking is a well-established risk factor for subarachnoid hemorrhage (SAH), and current smokers have an increased risk of SAH. We constructed a cohort of current male smokers without a history of stroke at the baseline health screening (2002–2003).
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWMP11-AWMP11, February 1, 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). GBTM identified distinct PP trajectories over 0-6 hours and 0-48 hours post-EVT.
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP259-AWP259, February 1, 2024. Cases had a maternal stroke (ischemic, hemorrhagic, subarachnoid hemorrhage, or cerebral venous thrombosis) during pregnancy or PP, identified from a stroke registry. Population characteristics are shown in the Table. p<0.0001).
Stroke Journal
OCTOBER 16, 2023
Stroke, Volume 54, Issue 12 , Page 3074-3080, December 1, 2023. BACKGROUND:Cerebellar intracerebral hemorrhage (cICH) is often attributed to hypertension or cerebral amyloid angiopathy (CAA). to −7.30];P=0.001), and higher admission systolic blood pressure (172 [146–200] versus 146 [124–158] mm Hg,P<0.001).CONCLUSIONS:Our
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionLoss of autoregulation after endovascular therapy (EVT) for large‐artery acute ischemic stroke (AIS) is well documented. [1] 2] This pattern indicates intact vasomotor reactivity to fluctuating O2 and CO2 levels during episodes of apnea.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWP368-AWP368, February 1, 2025. Introduction:Oxidative stress plays an important role in both early brain injury and delayed cerebral ischemia after subarachnoid hemorrhage (SAH). There were no differences in blood pressure or body weight between the two groups.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWP8-AWP8, February 1, 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).
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ATMP61-ATMP61, 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). 3.11; p=0.01). 7.45; p=0.98).Discussion:Among
Stroke Journal
FEBRUARY 16, 2024
Stroke, Ahead of Print. 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% Patients with acute intracranial large vessel occlusion within 4.5 versus 9.2%;P=0.51) versus 19.4%;P=0.76).
Stroke: Vascular and Interventional Neurology
DECEMBER 19, 2023
Stroke: Vascular and Interventional Neurology, Ahead of Print. hours]); lower Glasgow Coma Scale scores (14 [IQR, 12–15] versus 15 [IQR, 14–15]); higher systolic blood pressure 15 minutes before andexanet alfa bolus (mean, 151.6 hours [interquartile range (IQR), 1.2–4.3 hours] versus 3.7 hours [IQR, 1.6–7.0 mm Hg [SD, 24.1
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