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https://www.readbyqxmd.com/read/27892421/screening-for-atrial-fibrillation-during-influenza-vaccinations-by-primary-care-nurses-using-a-smartphone-electrocardiograph-iecg-a-feasibility-study
#1
Jessica Orchard, Nicole Lowres, S Ben Freedman, Laila Ladak, William Lee, Nicholas Zwar, David Peiris, Yasith Kamaladasa, Jialin Li, Lis Neubeck
BACKGROUND: People with unknown atrial fibrillation (AF), who are often asymptomatic, have a substantially increased risk of stroke. Although recommended in European guidelines, AF screening is not routinely performed. Screening at the time of influenza vaccination presents an ideal opportunity to detect AF in large numbers in a primary care medical setting, with an existing annual recall system for patients aged ≥65 years. DESIGN: Cross-sectional pilot study of handheld smartphone electrocardiogram (iECG) screening to identify unknown AF...
October 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/27887976/the-establishment-of-a-telestroke-service-using-multimodal-ct-imaging-decision-assistance-turning-on-the-fog-lights
#2
REVIEW
Jelle Demeestere, Claire Sewell, Jennifer Rudd, Timothy Ang, Louise Jordan, James Wills, Carlos Garcia-Esperon, Ferdinand Miteff, Venkatesh Krishnamurthy, Neil Spratt, Longting Lin, Andrew Bivard, Mark Parsons, Christopher Levi
Telestroke services have been shown to increase stroke therapy access in rural areas. The implementation of advanced CT imaging for patient assessment may improve patient selection and detection of stroke mimics in conjunction with telestroke. We implemented a telestroke service supported by multimodal CT imaging in a rural hospital in Australia. Over 21months we conducted an evaluation of service activation, thrombolysis rates and use of multimodal imaging to assess the feasibility of the service. Rates of symptomatic intracranial haemorrhage and 90-day modified Rankin Score were used as safety outcomes...
November 22, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27887782/ambient-particulate-matter-landscape-fire-smoke-and-emergency-ambulance-dispatches-in-sydney-australia
#3
Farhad Salimi, Sarah B Henderson, Geoffrey G Morgan, Bin Jalaludin, Fay H Johnston
BACKGROUND: Emergency ambulance dispatches (EAD) are a novel outcome for evaluating the public health impacts of air pollution. We assessed the relationships between ambient particulate matter (PM) from all sources, PM from landscape fire smoke (LFS), and EADs likely to be associated with cardiorespiratory problems in the Sydney greater metropolitan region for an 11-year period from 2004 to 2015. METHODS: EAD codes are assigned at the time of the call to emergency services using standard computer assisted algorithms...
November 22, 2016: Environment International
https://www.readbyqxmd.com/read/27871298/socioeconomic-variation-in-incidence-of-primary-and-secondary-major-cardiovascular-disease-events-an-australian-population-based-prospective-cohort-study
#4
Rosemary J Korda, Kay Soga, Grace Joshy, Bianca Calabria, John Attia, Deborah Wong, Emily Banks
BACKGROUND: Cardiovascular disease (CVD) disproportionately affects disadvantaged people, but reliable quantitative evidence on socioeconomic variation in CVD incidence in Australia is lacking. This study aimed to quantify socioeconomic variation in rates of primary and secondary CVD events in mid-age and older Australians. METHODS: Baseline data (2006-2009) from the 45 and Up Study, an Australian cohort involving 267,153 men and women aged ≥ 45, were linked to hospital and death data (to December 2013)...
November 21, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852724/opportunistic-screening-to-detect-atrial-fibrillation-in-aboriginal-adults-in-australia
#5
Kylie Gwynne, Yvonne Flaskas, Ciaran O'Brien, Thomas Lee Jeffries, Debbie McCowen, Heather Finlayson, Tanya Martin, Lis Neubeck, Ben Freedman
INTRODUCTION: There is a 10-year gap in life expectancy between Aboriginal and non-Aboriginal Australians. The leading cause of death for Aboriginal Australians is cardiovascular disease, including myocardial infarction and stroke. Although atrial fibrillation (AF) is a known precursor to stroke there are no published studies about the prevalence of AF for Aboriginal people and limited evidence about AF in indigenous populations globally. METHODS AND ANALYSIS: This mixed methods study will recruit and train Aboriginal health workers to use an iECG device attached to a smartphone to consecutively screen 1500 Aboriginal people aged 45 years and older...
November 15, 2016: BMJ Open
https://www.readbyqxmd.com/read/27852529/seasonal-variation-in-cervical-artery-dissection-in-the-hunter-new-england-region-new-south-wales-australia-a-retrospective-cohort-study
#6
Lucy C Thomas, Andrew P Makaroff, Chris Oldmeadow, John R Attia, Christopher R Levi
BACKGROUND: Cervical artery dissection (CAD) is a leading cause of ischemic stroke among middle aged adults, yet the aetiology remains poorly understood. There are reports from colder northern hemisphere sites of a seasonal pattern in the incidence of CAD. Seasonality may suggest some transient putative pro-inflammatory mechanism but it is unknown whether this also exists in temperate climates. AIMS: To investigate the seasonal variation in incidence of CAD in the xx Region, Australia, and to compare seasonal incidence and selected clinical features between cases of carotid and vertebral artery dissection...
October 20, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27799453/exploring-the-benefits-of-a-stroke-telemedicine-programme-an-organisational-and-societal-perspective
#7
Kathleen L Bagot, Christopher F Bladin, Michelle Vu, Joosup Kim, Peter J Hand, Bruce Campbell, Alison Walker, Geoffrey A Donnan, Helen M Dewey, Dominique A Cadilhac
We undertook a qualitative analysis to identify the broader benefits of a state-wide acute stroke telemedicine service beyond the patient-clinician consultation. Since 2010, the Victorian Stroke Telemedicine (VST) programme has provided a clinical service for regional hospitals in Victoria, Australia. The benefits of the Victorian Stroke Telemedicine programme were identified through document analysis of governance activities, including communications logs and reports from hospital co-ordinators of the programme...
December 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27794138/global-stroke-statistics
#8
REVIEW
Amanda G Thrift, Tharshanah Thayabaranathan, George Howard, Virginia J Howard, Peter M Rothwell, Valery L Feigin, Bo Norrving, Geoffrey A Donnan, Dominique A Cadilhac
BACKGROUND: Up to date data on incidence, mortality, and case-fatality for stroke are important for setting the agenda for prevention and healthcare. AIMS AND/OR HYPOTHESIS: We aim to update the most current incidence and mortality data on stroke available by country, and to expand the scope to case-fatality and explore how registry data might be complementary. METHODS: Data were compiled using two approaches: (1) an updated literature review building from our previous review and (2) direct acquisition and analysis of stroke events in the World Health Organization (WHO) mortality database for each country providing these data...
October 28, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27777020/neurological-manifestations-of-autosomal-dominant-familial-alzheimer-s-disease-a-comparison-of-the-published-literature-with-the-dominantly-inherited-alzheimer-network-observational-study-dian-obs
#9
Mengxuan Tang, Davis C Ryman, Eric McDade, Mateusz S Jasielec, Virginia D Buckles, Nigel J Cairns, Anne M Fagan, Alison Goate, Daniel S Marcus, Chengjie Xiong, Ricardo F Allegri, Jasmeer P Chhatwal, Adrian Danek, Martin R Farlow, Nick C Fox, Bernardino Ghetti, Neill R Graff-Radford, Christopher Laske, Ralph N Martins, Colin L Masters, Richard P Mayeux, John M Ringman, Martin N Rossor, Stephen P Salloway, Peter R Schofield, John C Morris, Randall J Bateman
BACKGROUND: Autosomal dominant familial Alzheimer's disease (ADAD) is a rare disorder with non-amnestic neurological symptoms in some clinical presentations. We aimed to compile and compare data from symptomatic participants in the Dominantly Inherited Alzheimer Network observational study (DIAN-OBS) with those reported in the literature to estimate the prevalences of non-amnestic neurological symptoms in participants with ADAD. METHODS: We prospectively collected data from the DIAN-OBS database, which recruited participants from study centres in the USA, Europe, and Australia, between Feb 29, 2008, and July 1, 2014...
December 2016: Lancet Neurology
https://www.readbyqxmd.com/read/27774838/tranexamic-acid-in-patients-undergoing-coronary-artery-surgery
#10
Paul S Myles, Julian A Smith, Andrew Forbes, Brendan Silbert, Mohandas Jayarajah, Thomas Painter, D James Cooper, Silvana Marasco, John McNeil, Jean S Bussières, Shay McGuinness, Kelly Byrne, Matthew T V Chan, Giovanni Landoni, Sophie Wallace
Background Tranexamic acid reduces the risk of bleeding among patients undergoing cardiac surgery, but it is unclear whether this leads to improved outcomes. Furthermore, there are concerns that tranexamic acid may have prothrombotic and proconvulsant effects. Methods In a trial with a 2-by-2 factorial design, we randomly assigned patients who were scheduled to undergo coronary-artery surgery and were at risk for perioperative complications to receive aspirin or placebo and tranexamic acid or placebo. The results of the tranexamic acid comparison are reported here...
October 23, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27774702/risk-factors-incidence-consequences-and-prevention-strategies-for-falls-and-fall-injury-within-older-indigenous-populations-a-systematic-review
#11
Caroline Lukaszyk, Lara Harvey, Cathie Sherrington, Lisa Keay, Anne Tiedemann, Julieann Coombes, Lindy Clemson, Rebecca Ivers
OBJECTIVE: To examine the risk factors, incidence, consequences and existing prevention strategies for falls and fall-related injury in older indigenous people. METHODS: Relevant literature was identified through searching 14 electronic databases, a range of institutional websites, online search engines and government databases, using search terms pertaining to indigenous status, injury and ageing. RESULTS: Thirteen studies from Australia, the United States, Central America and Canada were identified...
December 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27753975/os-12-02-sleep-apnea-cardiovascular-endpoints-save-study-an-international-randomised-controlled-trial-to-determine-whether-continuous-positive-airways-pressure-treatment-for-obstructive-sleep-apnea-in-patients-with-cv-disease-prevents-secondary-cardiovascular
#12
Craig Anderson, Doug McEvoy, Jiguang Wang
OBJECTIVE: There is uncertainty over whether treatment of obstructive sleep apnea (OSA) can prevent serious cardiovascular (CV) events. DESIGN AND METHOD: SAVE (NCT00738179; ACTRN12608000409370) was designed to determine whether treatment of OSA with CPAP reduces the risk of serious CV events in patients with established CV disease. Participants were centrally randomised to CPAP treatment or usual care between 2008 and 2013,with follow-up completed late 2015 and the results will be announced in August 2016...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753821/pl-01-2-blood-pressure-and-cardiovascular-disease-mortality-in-the-asia-pacific-region
#13
Il Suh
Cardiovascular disease (CVD) is a global leading cause of death nowadays. Fortunately, the majority of risk factors which cause CVD are preventable. The INTERSTROKE study recently reported that about 90% of the population-attributable risk of stroke is associated with ten modifiable risk factors. Especially high blood pressure levels are well established to be associated with cardiovascular morbidity and mortality.Recently CVD mortality has been decreasing in high-income countries but increasing in some middle-income countries and low-income countries...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27745777/seasonal-variation-in-spontaneous-cervical-artery-dissection-comparing-between-uk-and-australian-sites
#14
Lucy C Thomas, Lesley Ann Hall, John R Attia, Elizabeth G Holliday, Hugh S Markus, Christopher R Levi
BACKGROUND: Cervical artery dissection (CAD) is a leading cause of stroke among middle-aged adults, but the etiology is unclear. Some reports of seasonal variation in CAD incidence have been suggested but may reflect extreme climatic conditions. Seasonal variation may implicate more transient seasonal causes such as proinflammatory or hypercoagulable states. This study aimed to assess whether CAD incidence varied with season between UK and Australian sites. Also, this study aimed to determine whether there was a different pattern of seasonal variation between arteries (carotid and vertebral) and any association between CAD incidence and clinical factors...
October 10, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27737875/using-large-scale-linkage-data-to-evaluate-the-effectiveness-of-a-national-educational-program-on-antithrombotic-prescribing-and-associated-stroke-prevention-in-primary-care
#15
Zhixin Liu, Rachael Moorin, John Worthington, Geoffrey Tofler, Mark Bartlett, Rabia Khan, Yeqin Zuo
BACKGROUND: The National Prescribing Service (NPS) MedicineWise Stroke Prevention Program, which was implemented nationally in 2009-2010 in Australia, sought to improve antithrombotic prescribing in stroke prevention using dedicated interventions that target general practitioners. This study evaluated the impact of the NPS MedicineWise Stroke Prevention Program on antithrombotic prescribing and primary stroke hospitalizations. METHOD AND RESULTS: This population-based time series study used administrative health data linked to 45 and Up Study participants with a high risk of cardiovascular disease (CVD) to assess the possible impact of the NPS MedicineWise program on first-time aspirin prescriptions and primary stroke-related hospitalizations...
October 13, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27703444/prevalence-of-brain-mri-markers-of-hemorrhagic-risk-in-patients-with-stroke-and-atrial-fibrillation
#16
Christopher Karayiannis, Cathy Soufan, Ronil V Chandra, Thanh G Phan, Kitty Wong, Shaloo Singhal, Lee-Anne Slater, John Ly, Chris Moran, Velandai Srikanth
BACKGROUND AND PURPOSE: Cerebral microbleeds (CMBs), cortical superficial siderosis, white matter lesions (WML), and cerebral atrophy may signify greater bleeding risk particularly in patients in whom anticoagulation is to be considered. We investigated their prevalence and associations with stroke type in patients with stroke and atrial fibrillation (AF). MATERIALS AND METHODS: Cross-sectional sample, Monash Medical Centre (Melbourne, Australia) between 2010 and 2013, with brain MRI...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27694313/stroke-epidemiology-in-an-australian-rural-cohort-search
#17
Jonathan Newbury, Tim Kleinig, James Leyden, Hisatomi Arima, Sally Castle, Jennifer Cranefield, Tracey Paterson, Jim Jannes, Maria Crotty, Craig S Anderson
BACKGROUND: Stroke rates in Australia and New Zealand have been declining since 1990 but all studies have been completed in large urban centers. AIM: We report the first Australasian stroke incidence study in a rural population. METHODS: The authors applied the principle of complete ascertainment, used the WHO standard definition of stroke and classified ischemic stroke by the TOAST criteria. Data were collected from five rural centers defined by postcode of residence, over a 2-year period with 12 months of follow up of all cases...
September 30, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27689607/building-bridges-between-healthcare-professionals-patients-and-families-a%C3%A2-coproduced-and-integrated-approach-to%C3%A2-self-management-support-in-stroke
#18
Fiona Jones, Heide Pöstges, Lucinda Brimicombe
BACKGROUND: Programmes providing self-management support for patients and families are gaining attention and have shown promising outcomes with regards to reducing long-term unmet needs post stroke. However, notions of what good self-management support looks like can differ depending on professional opinion, individual preferences, skills and experiences of patients and their families as well as on how care and rehabilitation is organised in a particular healthcare setting. This resonates with the perspective of patient-centred care, according to which the meaning of good care is not universal, but rather jointly shaped between healthcare professionals and patients in everyday interactions...
September 27, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27643372/os-12-02-sleep-apnea-cardiovascular-endpoints-save-study-an-international-randomised-controlled-trial-to-determine-whether-continuous-positive-airways-pressure-treatment-for-obstructive-sleep-apnea-in-patients-with-cv-disease-prevents-secondary-cardiovascular
#19
Craig Anderson, Doug McEvoy, Jiguang Wang
OBJECTIVE: There is uncertainty over whether treatment of obstructive sleep apnea (OSA) can prevent serious cardiovascular (CV) events. DESIGN AND METHOD: SAVE (NCT00738179; ACTRN12608000409370) was designed to determine whether treatment of OSA with CPAP reduces the risk of serious CV events in patients with established CV disease. Participants were centrally randomised to CPAP treatment or usual care between 2008 and 2013,with follow-up completed late 2015 and the results will be announced in August 2016...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27642874/pl-01-2-blood-pressure-and-cardiovascular-disease-mortality-in-the-asia-pacific-region
#20
Il Suh
Cardiovascular disease (CVD) is a global leading cause of death nowadays. Fortunately, the majority of risk factors which cause CVD are preventable. The INTERSTROKE study recently reported that about 90% of the population-attributable risk of stroke is associated with ten modifiable risk factors. Especially high blood pressure levels are well established to be associated with cardiovascular morbidity and mortality.Recently CVD mortality has been decreasing in high-income countries but increasing in some middle-income countries and low-income countries...
September 2016: Journal of Hypertension
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