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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.
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, 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, Volume 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025. Background and Purpose:2022 Intracerebral Hemorrhage (ICH) guidelines encourage treatment of bloodpressure (BP) as soon as possible following identification of ICH.
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, 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 bloodpressure was defined as systolic bloodpressure <160. Both cohorts had similar baseline demographics.
Stroke, Volume 56, Issue Suppl_1 , Page A119-A119, February 1, 2025. Background:The deleterious effects of intensive bloodpressure (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, 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, 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 bloodpressure (BP) within 2 hours of ICH onset and reaching the target systolic BP of 130-150mmHg within one hour of treatment initiation.
Stroke, Volume 55, Issue Suppl_1 , Page AWP210-AWP210, February 1, 2024. Background:Optimal Bloodpressure 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, Volume 56, Issue Suppl_1 , Page A85-A85, February 1, 2025. Background:Systolic bloodpressure (SBP) fluctuation is linked to increased death or disability in intracerebral hemorrhage (ICH) patients.
Stroke, Volume 55, Issue Suppl_1 , Page A148-A148, February 1, 2024. Introduction:Prospective studies and secondary analyses from clinical trials have identified increased systolic bloodpressure variability (SBPV) as a risk factor for poor outcomes.
Stroke, Volume 55, Issue Suppl_1 , Page AWP196-AWP196, February 1, 2024. Background and Objectives:There are limited data evaluating the optimum bloodpressure (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, Volume 55, Issue Suppl_1 , Page AWP175-AWP175, February 1, 2024. Current guidelines for bloodpressure (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, 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, Volume 56, Issue Suppl_1 , Page ATMP66-ATMP66, February 1, 2025. Introduction:The 2022 AHA/ASA Guidelines for Nontraumatic ICH recommend initiating bloodpressure (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, 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, 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: 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, 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, Volume 56, Issue Suppl_1 , Page ATP314-ATP314, February 1, 2025. Introduction:Blood pressure (BP) control after a stroke is crucial in lowering the risk of stroke recurrence. Six months after hospital discharge, the insurance coverage among stroke survivors with uncontrolled BP (>130/80 mm Hg) was 61.1%
Stroke, Volume 56, Issue Suppl_1 , Page ATMP62-ATMP62, February 1, 2025. Background:Elevated bloodpressure (BP) is common after Intracerebral Hemorrhage (ICH) and is linked with increased morbidity and mortality, partly due to hematoma expansion. The same was true for prehospital BP management in undifferentiated stroke.
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 bloodpressure (SBP) < 150mmHg (52 min vs. 121 min, p<0.001).
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.
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.
BackgroundA strong risk factor for intracerebral hemorrhage (ICH) is elevated arterial bloodpressure, 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, 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, Volume 55, Issue Suppl_1 , Page A145-A145, February 1, 2024. Background:Anticoagulation-associated intracerebral hemorrhage (AC-ICH) often results in death. Factors associated with DTT ≤ 60 minutes include white non-Hispanic race, higher bloodpressure, lower NIHSS, and a larger hospital size.
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, Volume 56, Issue Suppl_1 , Page A21-A21, February 1, 2025. Introduction:For stroke survivors, bloodpressure (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, 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 bloodpressure (BP) management and calling a neurosurgery consult.
Today’s video is on the subject of stroke and in particular cryptogenic strokes. It is therefore crucial to identify the cause of stroke and treat the underlying cause wherever possible. Strokes are characterised by death of brain cells as a result of disruption of blood supply to those cells.
Stroke, Volume 56, Issue Suppl_1 , Page ATP282-ATP282, February 1, 2025. The main risk factor is hypertension, and bloodpressure (BP) control is crucial in the primary and secondary prevention of stroke. The systolic BP was higher among individuals with previous stroke (p=0.003). software.
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, 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 ATP171-ATP171, February 1, 2024. Introduction:Intracerebral hemorrhage (ICH) incidence follows both seasonal and diurnal patterns noted in the literature.
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 hemorrhagicstroke is timely access to a stroke center. For intracerebral hemorrhage, early intensive bloodpressure lowering within 2 hours of onset improved outcomes.
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, 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).
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