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Background and Purpose:Whether imaging markers of cerebral small vessel disease on computed tomography (CT-CSVD) relates to early clinical outcomes after intravenous thrombolysis for acute ischemic stroke remains not well understood. Stroke, Volume 56, Issue Suppl_1 , Page AWP6-AWP6, February 1, 2025. 1.02; score 2: OR 0.46, 95%CI 0.26-0.83;
Patients with mRS score 0–2 were less likely to have hypertension (61.4% P = 0.016), and diabetes (18.2% P < 0.001) and more likelihood of achieving Thrombolysis in Cerebral Infarction 3 (79.5% versus 83.3%;P P = 0.01), hyperlipidemia (38.6% versus 62.1%;P versus 36.4%;P P = 0.040). versus 42.2%;P P < 0.001).
We present a complex case of NSTEMI with multi-vessel coronary artery disease treated with PCI via the Carlino technique.Case Description:A 60-year-old female with a history of hypertension, diabetes mellitus, and ischemic heart disease presented with severe chest pain that radiated to the neck and was associated with nausea and vomiting.
link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. This is written by Willy Frick, an amazing cardiology fellow in St. He described it as "10/10" intensity, radiating across his chest from right to left.
Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting.
IntroductionThe risk of tandem occlusion treatment in the setting of intravenous thrombolysis is unclear. Patients who received thrombolysis and subsequently underwent endovascular therapy for acute ischemic stroke between 2012 and 2022 were included. vs 40%, p=0.03) and lower rate of atrial fibrillation (12.1% vs 26.6%, p=0.01).
CADASIL patients had lower rates of hypertension, diabetes, and coronary artery disease (55.0% There was no difference in the rate of administration of IV thrombolysis (5.0% They received IV thrombolysis at an equal rate but EVT at a lower rate, likely due to the small vessel pathology of CADASIL. vs 10.6%, p=0.004).
Cohorts were matched on age, sex, diabetes, atrial fibrillation, and hypertension. A greater proportion of the US cohort underwent IV thrombolysis (30.7% White matter hyperintensities (WMH) and intracranial volumes (ICV) were extracted from MRI images by training a deep learning model, and the softwares FreeSurfer and FSL.
Some of the latest strategies include: Innovations in Thrombolysis and Clot Retrieval : Techniques such as tissue plasminogen activator (tPA) injections and mechanical thrombectomy are significantly improving recovery rates for ischemic stroke patients.
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