Search results for "Stroke"
Hypertension performance measure ‘flawed’
While ACP's Performance Measurement Committee considers the Controlling High Blood Pressure measure to be “high impact,” it determined after review in July 2021 that it does not support the measure due to uncertain validity.
https://immattersacp.org/archives/2022/04/hypertension-performance-measure-flawed.htm
1 Apr 2022
Alternative antiplatelet agents, alone or as adjunct, more effective than continuing aspirin monotherapy after new ischemic stroke
While the study may support the idea that alternative antiplatelet strategies are better than continued aspirin monotherapy in patients who have a stroke while on aspirin, with respect to stroke recurrence alone, switching to other antiplatelet agents was nominally but not statistically more effective than maintaining aspirin monotherapy.
https://immattersacp.org/weekly/archives/2015/12/08/6.htm
8 Dec 2015
DynaMed Plus image quiz: Thrombosis
The left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular flow following successful thrombolysis, as might occur after the patient is treated with intravenous alteplase within 180 minutes of stroke onset. Post-thrombolytic therapy, what is this patient is most likely to have?
https://immattersacp.org/archives/2017/04/dynamed.htm
1 Apr 2017
Chronic pain syndromes appear common after ischemic stroke
Chronic pain syndromes appear to be common in patients who have had an ischemic stroke, according to a new study.
https://immattersacp.org/weekly/archives/2013/04/23/2.htm
23 Apr 2013
The timing is right, and possibly expandable, for giving tPA
Tissue plasminogen activator (tPA) was the star of the show at this year's International Stroke Conference 2009, with much discussion of expanding its treatment window, and several studies presented on gender differences in tPA treatment.
https://immattersacp.org/archives/2009/04/stroke.htm
1 Apr 2009
Cardiovascular effects of vitamin D supplementation still uncertain, trial finds
Older adults who were randomized to vitamin D supplementation had a slightly lower rate of cardiovascular events, particularly myocardial infarction, but the overall difference from placebo was not significant, an Australian trial found.
https://immattersacp.org/weekly/archives/2023/07/04/4.htm
4 Jul 2023
Benefit of anticoagulation for stroke prevention may vary in patients with afib, study finds
An accompanying editorial said the CHA2DS2-VASc cutoff should be considered a starting point for individualized assessment rather than a threshold that applies the same way to everyone.
https://immattersacp.org/weekly/archives/2018/09/25/1.htm
25 Sep 2018
Pinpointing primary hyperparathyroidism
With targeted testing, especially in those who present with kidney stones and bone density issues, internists can help patients with this disorder get appropriate care.
https://immattersacp.org/archives/2022/04/pinpointing-primary-hyperparathyroidism.htm
1 Apr 2022
Intensive blood pressure control effective in older frail patients, study finds
Data from SPRINT indicated that frail patients were at higher risk for cardiovascular events than nonfrail patients and benefited similarly from a blood pressure target of less than 120 mm Hg, with no significant increase in adverse events.
https://immattersacp.org/weekly/archives/2023/07/11/2.htm
11 Jul 2023
BiPAP machines, masks recalled
This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2022/11/bipap-machines-masks-recalled.htm
1 Nov 2022