journal
MENU ▼
Read by QxMD icon Read
search

Stroke and Vascular Neurology

journal
https://www.readbyqxmd.com/read/30191075/exercise-for-stroke-prevention
#1
REVIEW
Peter L Prior, Neville Suskin
We review evidence concerning exercise for stroke prevention. Plausible biological reasons suggest that exercise would be important in preventing stroke. While definitive randomised controlled trials evaluating the impact of physical activity (PA) and exercise on preventing stroke and mortality are lacking, observational studies, small randomised controlled trials and meta-analyses have provided evidence that PA and exercise favourably modify stroke risk factors, including hypertension, dyslipidaemia, diabetes, sedentary lifestyle, obesity, excessive alcohol consumption and tobacco use...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022802/patent-foramen-ovale-and-cryptogenic-stroke-diagnosis-and-updates-in-secondary-stroke-prevention
#2
REVIEW
Kristy Yuan, Scott Eric Kasner
The patent foramen ovale (PFO), given its high prevalence in the general population and especially in patients with cryptogenic stroke, has long generated investigation and debate on its propensity for stroke by paradoxical embolism and its management for stroke prevention. The pendulum has swung for percutaneous PFO closure for secondary stroke prevention in cryptogenic stroke. Based on a review of current evidence, the benefit from PFO closure relies on careful patient selection: those under the age of 60 years with few to no vascular risk factors and embolic-appearing stroke deemed cryptogenic after thorough evaluation...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022801/cardioembolic-stroke-everything-has-changed
#3
REVIEW
J David Spence
Historically, because of the difficulty of using warfarin safely and effectively, many patients with cardioembolic stroke who should have been anticoagulated were instead given ineffective antiplatelet therapy (or no antithrombotic therapy). With the arrival of new oral anticoagulants that are not significantly more likely than aspirin to cause severe haemorrhage, everything has changed. Because antiplatelet agents are much less effective in preventing cardioembolic stroke, it is now more prudent to anticoagulate patients in whom cardioembolic stroke is strongly suspected...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022800/diet-for-stroke-prevention
#4
REVIEW
J David Spence
Lifestyle is far more important than most physicians suppose. Dietary changes in China that have resulted from increased prosperity are probably responsible for a marked rise in coronary risk in the past several decades, accelerating in recent years. Intake of meat and eggs has increased, while intake of fruits, vegetables and whole grains has decreased. Between 2003 and 2013, coronary mortality in China increased 213%, while stroke mortality increased by 26.6%. Besides a high content of cholesterol, meat (particularly red meat) contains carnitine, while egg yolks contain phosphatidylcholine...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022799/controlling-resistant-hypertension
#5
REVIEW
J David Spence
Resistant hypertension (failure to achieve target blood pressures with three or more antihypertensive drugs including a diuretic) is an important and preventable cause of stroke. Hypertension is highly prevalent in China (>60% of persons above age 65), and only ~6% of hypertensives in China are controlled to target levels. Most strokes occur among persons with resistant hypertension; approximately half of strokes could be prevented by blood pressure control. Reasons for uncontrolled hypertension include (1) non-compliance; (2) consumption of substances that aggravated hypertension, such as excess salt, alcohol, licorice, decongestants and oral contraceptives; (3) therapeutic inertia (failure to intensify therapy when target blood pressures are not achieved); and (4) diagnostic inertia (failure to investigate the cause of resistant hypertension)...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022798/dual-versus-mono-antiplatelet-therapy-for-acute-non-cardioembolic-ischaemic-stroke-or-transient-ischaemic-attack-a-systematic-review-and-meta-analysis
#6
Yingying Yang, Mengyuan Zhou, Xi Zhong, Yongjun Wang, Xingquan Zhao, Liping Liu, Yilong Wang
Objective: Recent years have seen new evidence on the efficacy and safety of dual antiplatelet therapy for secondary stroke prevention. We updated a meta-analysis of randomised controlled trials evaluating dual antiplatelet versus monotherapy for patients with acute non-cardioembolic ischaemic stroke (IS) or transient ischaemic attack (TIA). Methods: We searched PubMed and identified randomised controlled trials evaluating dual antiplatelet versus monotherapy for acute non-cardioembolic IS or TIA within 3 days of ictus up to May 2018...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022797/endarterectomy-versus-stenting-for-stroke-prevention
#7
REVIEW
A Ross Naylor
The European Society for Vascular Surgery (ESVS) has recently prepared updated guidelines for the management of patients with symptomatic and asymptomatic atherosclerotic carotid artery disease, with specific reference to the roles of best medical therapy, carotid endarterectomy (CEA) and carotid artery stenting (CAS). In symptomatic patients, there is a drive towards performing carotid interventions as soon as possible after onset of symptoms. This is because it is now recognised that the highest risk period for recurrent stroke is the first 7-14 days after onset of symptoms...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022796/stroke-prevention-editorial-to-accompany-june-issue-of-svn
#8
REVIEW
J David Spence
No abstract text is available yet for this article.
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022795/how-to-identify-which-patients-with-asymptomatic-carotid-stenosis-could-benefit-from-endarterectomy-or-stenting
#9
REVIEW
Kosmas I Paraskevas, Frank J Veith, J David Spence
Offering routine carotid endarterectomy (CEA) or carotid artery stenting (CAS) to patients with asymptomatic carotid artery stenosis (ACS) is no longer considered as the optimal management of these patients. Equally suboptimal, however, is the policy of offering only best medical treatment (BMT) to all patients with ACS and not considering any of them for prophylactic CEA. In the last few years, there have been many studies aiming to identify reliable predictors of future cerebrovascular events that would allow the identification of patients with high-risk ACS and offer a prophylactic carotid intervention only to these patients to prevent them from becoming symptomatic...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/30022794/b-vitamins-for-stroke-prevention
#10
REVIEW
Graeme J Hankey
Supplementation with B vitamins (vitamin B9 (folic acid), vitamin B12 and vitamin B6 ) lowers blood total homocysteine (tHcy) concentrations by about 25% and reduces the relative risk of stroke overall by about 10% (risk ratio (RR) 0.90, 95% CI 0.82 to 0.99) compared with placebo. Homocysteine-lowering interventions have no significant effect on myocardial infarction, death from any cause or adverse outcomes. Factors that appear to modify the effect of B vitamins on stroke risk include low folic acid status, high tHcy, high cyanocobalamin dose in patients with impaired renal function and concurrent antiplatelet therapy...
June 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29600006/stroke-induced-immunosuppression-and-poststroke-infection
#11
REVIEW
Kaibin Shi, Kristofer Wood, Fu-Dong Shi, Xiaoying Wang, Qiang Liu
Infections occur commonly after stroke and are strongly associated with an unfavourable functional outcome of these patients. Approaches for effective management of poststroke infection remain scarce, presenting an urgent need for preventive anti-infection strategies for patients who have suffered a stroke. Emerging evidence indicates that stroke impairs systemic immune responses and increases the susceptibility to infections, suggesting that the modification of impaired immune defence could be beneficial. In this review, we summarised previous attempts to prevent poststroke infections using prophylactic antibiotics and the current understanding of stroke-induced immunosuppression...
March 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29600005/current-status-of-intravenous-tissue-plasminogen-activator-dosage-for-acute-ischaemic-stroke-an-updated-systematic-review
#12
Xia Wang, Shoujiang You, Shoichiro Sato, Jie Yang, Cheryl Carcel, Danni Zheng, Sohei Yoshimura, Craig S Anderson, Else Charlotte Sandset, Thompson Robinson, John Chalmers, Vijay K Sharma
The optimal dose of recombinant tissue plasminogen activator (rtPA) for acute ischaemic stroke (AIS) remains controversial, especially in Asian countries. We aimed to update the evidence regarding the use of low-dose versus standard-dose rtPA. We performed a systematic literature search across MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO and Cumulative Index to Nursing and Allied Health Literature (CINAHL) from inception to 22 August 2016 to identify all related studies...
March 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29600004/efficacy-and-safety-of-intravenous-recombinant-tissue-plasminogen-activator-in-mild-ischaemic-stroke-a-meta-analysis
#13
REVIEW
Shoujiang You, Anubhav Saxena, Xia Wang, WeeYong Tan, Qiao Han, Yongjun Cao, Chun-Feng Liu
The benefits and safety of intravenous recombinant tissue plasminogen activator (IV-tPA) for patients with mild ischaemic stroke (MIS) are still unclear. The objective of this meta-analysis was to evaluate the efficacy and safety of IV-tPA as treatment for patients with MIS. We performed a systematic literature search across MEDLINE, Embase, Central, Global Health and Cumulative Index to Nursing and Allied Health Literature (CINAHL), from inception to 10 November 2016, to identify all related studies. Where possible, data were pooled for meta-analysis with odds ratio (OR) and corresponding 95% confidence interval (CI) using the fixed-effects model...
March 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29600003/endovascular-revascularisation-of-acute-tandem-vertebrobasilar-artery-occlusion-seven-case-series-with-literature-reviews
#14
Haihua Yang, Ning Ma, Shiyong Zhang, Xiaochuan Huo, Feng Gao, Xuan Sun, Dapeng Mo, Zhongrong Miao
Background: The outcome of acute ischaemic stroke due to tandem vertebrobasilar artery occlusion was poor. Endovascular revascularisation may be a positive approach for acute basilar artery occlusion combined with vertebral ostium stenosis or occlusion. We reported seven patients with acute vertebrobasilar tandem occlusion by using angioplasty or stenting for proximal lesion and thrombectomy for distal occlusion. Materials and methods: Consecutive patients with acute tandem vertebrobasilar artery occlusion at two centres were included in this study...
March 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29600002/prestroke-selective-serotonin-reuptake-inhibitor-use-and-functional-outcomes-after-ischaemic-stroke
#15
Mark R Etherton, Khawja A Siddiqui, Lee H Schwamm
Background: Selective serotonin reuptake inhibitors (SSRIs) have been implicated in contributing to recovery after acute ischaemic stroke. In particular, poststroke initiation of an SSRI has been demonstrated to improve motor recovery. The role of prestroke SSRI use on functional outcomes and stroke recovery is less clear. We aimed to examine the effect of prestroke SSRI use on metrics of hospitalisation and functional recovery. Methods: We included 4968 consecutive patients from January 2006 to June 2015 in our local Get With The Guidelines-Stroke registry in whom a preadmission drug list could be extracted from an administrative research data registry...
March 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29600001/bicao-induced-ischaemia-caused-depressive-like-behaviours-and-caspase-8-9-dependent-brain-regional-neural-cell-apoptosis-in-mice
#16
Shuiqiao Liu, Song Han, Qingqing Dai, Shujuan Li, Junfa Li
Introduction: Cerebral ischaemia-induced depression is among the most frequent neuropsychiatric consequences and adversely impact the prognosis and recovery of patients. Although several brain regions have been implied in the development of ischaemia-induced depression, the brain region-specific neural cell apoptosis pathways have not been clarified yet. Methods: In this study, bilateral internal carotid artery occlusion (BICAO) mouse model was established to induce cerebral ischaemia...
March 2018: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29507785/recanalisation-therapy-in-patients-with-acute-ischaemic-stroke-caused-by-large-artery-occlusion-choice-of-therapeutic-strategy-according-to-underlying-aetiological-mechanism
#17
REVIEW
Chenglin Tian, Xiangyu Cao, Jun Wang
Various mechanisms underlie causative large artery occlusion (LAO) in patients with acute ischaemic stroke. Cardioembolic and atherosclerotic occlusions are the two most common types. The pathophysiological changes and responses to mechanical thrombectomy (MT) and antithrombotic treatments including thrombolysis, antiplatelet and anticoagulation therapy may vary among patients with different aetiological mechanisms of occlusion. Atherosclerotic occlusion is inclined to have relatively abundant collaterals and larger area of penumbra, hence a relatively wider time window for reperfusion therapy, while poor response to medical thrombolysis and MT...
December 2017: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29507784/artificial-intelligence-in-healthcare-past-present-and-future
#18
REVIEW
Fei Jiang, Yong Jiang, Hui Zhi, Yi Dong, Hao Li, Sufeng Ma, Yilong Wang, Qiang Dong, Haipeng Shen, Yongjun Wang
Artificial intelligence (AI) aims to mimic human cognitive functions. It is bringing a paradigm shift to healthcare, powered by increasing availability of healthcare data and rapid progress of analytics techniques. We survey the current status of AI applications in healthcare and discuss its future. AI can be applied to various types of healthcare data (structured and unstructured). Popular AI techniques include machine learning methods for structured data, such as the classical support vector machine and neural network, and the modern deep learning, as well as natural language processing for unstructured data...
December 2017: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29507783/stroke-recovery-and-rehabilitation-in-2016-a-year-in-review-of-basic-science-and-clinical-science
#19
REVIEW
Haiqing Zheng, Ning Cao, Yu Yin, Wuwei Feng
No abstract text is available yet for this article.
December 2017: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/29507782/eyes-and-stroke-the-visual-aspects-of-cerebrovascular-disease
#20
REVIEW
John H Pula, Carlen A Yuen
A large portion of the central nervous system is dedicated to vision and therefore strokes have a high likelihood of involving vision in some way. Vision loss can be the most disabling residual effect after a cerebral infarction. Transient vision problems can likewise be a harbinger of stroke and prompt evaluation after recognition of visual symptoms can prevent future vascular injury. In this review, we discuss the visual aspects of stroke. First, anatomy and the vascular supply of the visual system are considered...
December 2017: Stroke and Vascular Neurology
journal
journal
53556
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"