A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association Walter N. Kernan, MD, Bruce Ovbiagele, MD, MSc, MAS, Henry R. Black, MD, et al. Stroke. Originally published May 1, 2014. Hypertension: Goals for target BP level or reduction from pretreatment baseline…
Category: Stroke
FollowHeart Disease and Stroke Statistics − 2014 Update
Alan S. Go, MD, Dariush Mozaffarian, MD, DrPH, FAHA, Véronique L. Roger, MD, MPH, FAHA, et al. Circulation. Originally published January 21, 2014. Approximately 40% of individuals with either atrial fibrillation or heart failure will develop the other condition. Atrial fibrillation prevalence…
Outcome After Conservative Management or Intervention for Unruptured Brain Arteriovenous Malformations
Rustam Al-Shahi Salman, PhD, Philip M White, FRCR, Carl E Counsell, MD, Johann du Plessis, FRCR, Janneke van Beijnum, MD, Colin B Josephson, MD, Tim Wilkinson, MRCP, Catherine J Wedderburn, MBChB, Zoe Chandy, MB, ChB, Jerome St George, FRCS, SN,…
The Quest to Prevent Stroke in Atrial Fibrillation: Fighting the Fluttering Heart in Singapore
Orlanda Goh, MBBS, Gillianne Lai, MBBS, Tian Ming Tu, MRCP, Kim En Lee, FRCP. Neurology. Originally published June 3, 2014. “For all patients with AF, each successfully conducted electrical activity has potential to cause a debilitating stroke. Whether a clot will…
Management of carotid stenosis in women: Consensus document
Paola De Rango, MD, PhD, Martin M Brown, MA, MD, FRCP, Leys Didier, MD, PhD, et al. Neurology. Originally published June 11, 2013. “Symptomatic women with severe carotid stenosis can be managed by CEA (carotid endarterectomy) provided that the perioperative risk of…
Early Dual versus Mono Antiplatelet Therapy for Acute Non-Cardioembolic Ischemic Stroke or Transient Ischemic Attack: An Updated Systematic Review and Meta-Analysis
Ka Sing Lawrence Wong, Yilong Wang, Xinyi Leng, Chen Mao, Jinling Tang, Philip M. W. Bath, Hugh S. Markus, Philip B. Gorelick, Liping Liu, Wenhua Lin, and Yongjun Wang Circulation. Originally published September 12, 2013. “For patients with acute non-cardioembolic…
Antithrombotic Therapy for Patients With Atrial Fibrillation
Carlo Patrono and Felicita Andreotti. Circulation. 2013;128:684-686. Originally published July 16, 2013. “Atrial fibrillation (AF), the most prevalent cardiac arrhythmia, is estimated to affect 1.5% to 2.0% of the general population, that is, at least 100 million people worldwide. Left untreated, patients…
Long-Term Effects of Secondary Prevention on Cognitive Function in Stroke Patients
Abdel Douiri, Christopher McKevitt, Eva S. Emmett, Anthony G. Rudd, and Charles D. A. Wolfe. Circulation. Originally published August 9, 2013. For our patients with ischaemic strokes without history of atrial fibrillation, we must target vascular risk factors as a key…
中风 － 人人怕！
《李光耀观天下》：新书 《生比死好。但所有人终究都得面对死亡。这是许多壮年的人宁愿不去想的课题。但我都89岁了，没必要回避这个问题。我关注的是，我会怎么离世？会不会是冠状动脉中风，迅速地离开人世？还是脑部中风，陷入半昏迷状态，卧病在床几个月？ 这两种方式当中，我选择迅速的那种方式。 我较早前做了预先医疗指示，表示如果我必须通过吸管进食，并且没有复原或恢复行动能力的可能性，那医生就应该替我去除吸管，让我能迅速的辞世。》
Massive Stroke
I was recently asked to review a patient with sudden left-sided weakness. He is in his late sixties, an ex-smoker, with background medical history of high blood pressure and slightly raised cholesterol levels. On admission to the hospital, he was…