Stroke

PPI use associated with risk of stroke, myocardial infarction

PPI use associated with risk of stroke, myocardial infarction

Use of PPIs was associated with increased risks of first -time ischemic stroke and MI, particularly among long -term users and at high doses.

Aspirin discontinuation increases risk of cardiovascular events

Aspirin discontinuation increases risk of cardiovascular events

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Patients who discontinued aspirin use experience a higher risk of cardiovascular events.

Case Study: Headache, neck stiffness, and fever

Case Study: Headache, neck stiffness, and fever

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A 55-year-old man with a history of hypertension and migraines is sent by his primary care provider to the emergency department for a spinal tap to rule out meningitis.

Individuals born in states with high stroke mortality have increased risk of dementia

Individuals born in states with high stroke mortality have increased risk of dementia

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Birth in a high stroke mortality state was associated with a significantly increased risk of dementia.

Stroke incidence has decreased over time in men

Stroke incidence has decreased over time in men

The incidence of all strokes decreased over time in men, but not women, due to a decrease in ischemic stroke.

Ending statin therapy after initial stroke increases risk of recurrence

Ending statin therapy after initial stroke increases risk of recurrence

Stopping statin therapy 3 to 6 months after an initial ischemic stroke may increase risk of a recurrent stroke.

Higher childhood intelligence linked to lower mortality risk

Higher childhood intelligence linked to lower mortality risk

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Researchers sought to examine the link between intelligence scores during childhood and leading causes of death during the life course.

Exercise may improve cognitive function after stroke

Exercise may improve cognitive function after stroke

The most effective programs offered patients exercises aimed at strength, balance, stretching, and aerobic fitness.

Apixaban linked to higher rates of stroke than warfarin in patients with atrial fibrillation

Apixaban linked to higher rates of stroke than warfarin in patients with atrial fibrillation

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Rivaroxaban once daily and dabigatran twice daily showed evidence of lower thromboembolic rates.

Prestroke psychosocial factors linked to poststroke depression risk in women

Prestroke psychosocial factors linked to poststroke depression risk in women

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Women with a good recovery after stroke and a moderate level of optimism had a 0.40‐fold reduction in the odds of developing new-onset poststroke depression.

Migraine increases stroke risk in surgical patients

Migraine increases stroke risk in surgical patients

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Surgical patients with a history of migraine have an increased risk of perioperative ischemic stroke and a higher 30-day hospital readmission rate.

Unchecked MRI results

Unchecked MRI results

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A clinician sends an 18-year-old patient for a same-day MRI but forgets to review the results with the same urgency.

Patients with atrial fibrillation and stroke risk treated with aspirin over oral anticoagulants

Patients with atrial fibrillation and stroke risk treated with aspirin over oral anticoagulants

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Specific patient characteristics predicted the type of therapy more likely to be prescribed.

Whole grain consumption reduces chronic disease, all-cause mortality

Whole grain consumption reduces chronic disease, all-cause mortality

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Reductions in disease risk were observed for an intake as high as 7.5 servings of whole grains per day.

Rates of CVD mortality declining in US

Rates of CVD mortality declining in US

Researchers found that mortality rates dropped less than 1% between 2011 and 2014.

Intensive blood pressure reduction offers no added benefit in stroke outcomes

Intensive blood pressure reduction offers no added benefit in stroke outcomes

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For patients with intracerebral hemorrhage, intensive blood pressure reduction has similar outcomes compared with standard treatment.

Air pollution among leading risk factors for stroke

Air pollution among leading risk factors for stroke

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About 90% of global stroke burden can be linked to modifiable risk factors.

Levonorgestrel, low-dose estrogen associated with lower risk for adverse vascular events among oral contraceptives

Levonorgestrel, low-dose estrogen associated with lower risk for adverse vascular events among oral contraceptives

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Compared with other estrogen doses and progestogen types, low-dose estrogen with levonorgestrel had a decreased risk of adverse events.

Aspirin significantly reduces the risk for secondary stroke

Aspirin significantly reduces the risk for secondary stroke

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Aspirin significantly reduces the risk of a recurrent stroke 6 weeks after a transient ischemic attack or minor stroke.

Migraine medications not linked to stroke risk

Migraine medications not linked to stroke risk

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For patients with basilar or hemiplegic migraines, two common migraine medications do not increase the risk of stroke and cardiovascular events.

Stroke risk reduced with DASH diet

Stroke risk reduced with DASH diet

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Researchers found a statistically significant link between modified DASH diet score and risk of ischemic stroke.

Diabetes drug may lower risk of recurrent stroke, MI in insulin-resistant patients

Diabetes drug may lower risk of recurrent stroke, MI in insulin-resistant patients

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Although pioglitazone decreased the risk of stroke and myocardial infarction in this population, it elevated the risk of weight gain, edema, and bone fracture.

Aspirin use pre-stroke reduces stroke severity

Aspirin use pre-stroke reduces stroke severity

Stroke severity was reduced in aspirin users with large artery atherosclerosis.

Personalizing anticoagulant treatments for nonvalvular atrial fibrillation

Personalizing anticoagulant treatments for nonvalvular atrial fibrillation

Multiple considerations come into play when choosing anticoagulant therapy for a patient with atrial fibrillation, a condition that greatly increases the risk for stroke.

Initiating alpha-blocker therapy linked to higher risk of stroke in men

Initiating alpha-blocker therapy linked to higher risk of stroke in men

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Investigators found an increased risk of ischemic stroke among all patients within 21 days following initiation of alpha-blocker therapy.

Shingles increases stroke, MI risk in elderly

Shingles increases stroke, MI risk in elderly

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Risk of stroke and myocardial infarction may be more than double in the first week following a shingles diagnosis in elderly patients.

Shingles increases stroke, myocardial infarction risk in the elderly

Shingles increases stroke, myocardial infarction risk in the elderly

Stroke risk increased for three months immediately following a shingles diagnosis, with a two-fold risk during the first week.

Higher stroke risk in children with infections

Higher stroke risk in children with infections

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According to research published in the journal Neurology, children who have had infections or who have not received their vaccinations are at a higher risk for stroke.

High stress jobs are linked to increased stroke risk

High stress jobs are linked to increased stroke risk

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High stress jobs are associated with a 22% higher risk of stroke, and were 58% more likely to have an ischemic stroke.

High stress jobs linked to increased stroke risk

High stress jobs linked to increased stroke risk

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As workplaces become increasingly more demanding, employees find themselves at an elevated risk for stroke.

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