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Strokes

News, opinions and meeting coverage in neurology.

Registry Underway for Watchman CMS Coverage

But who to include and how to follow them are still fluid issues

Stroke Rounds: Passing Out from Brain Bleed Is a Bad Sign

Losing consciousness in subarachnoid hemorrhage predicts poor outcome

High Strain Job Increases Stroke Risk

All work no say particularly harmful for women

Stroke Rounds: Seizures More Common in Afib

Stroke prediction score also predicts seizure risk in afib patients

Slippery Slope: Does Convenience Trump Safety With NOACs?

Celebrities tout ease of new anticoagulants, but is there real benefit?

Slippery Slope: FDA Reviewer Questions Eliquis Mortality Claim

Trial data from more than 300 patients is missing

Impact Slides: MR CLEAN to SWIFT-PRIME With Patrick Lyden, MD

Lyden reviews the 'field changing' results of endovascular stroke tx trials

Testosterone Shots: Riskier Than Gels or Patches?

Spike in T levels from bolus injections may explain higher adverse outcome rates.

'Brain Code' Speeds Meds to Neuro Patients

Algorithm plus medication distribution system reverses herniation, lowers intracranial pressure.

ACC: Folate Supplements Cut Strokes in Hypertension

Hypertensive patients with low blood folate levels gain big benefit.

Delays, Anesthesia Impact Endovascular Thrombectomy

Stent retriever trial analyses reinforce "time is brain" and argue against general anesthesia.

Mixed Results for Low-Dose Statin in Second Stroke

Pravastatin didn't reduce incidence of recurrent stroke, but did offer other benefits.

Stroke Survivors May Face Greater Cancer Risk

Ischemic stroke increased likelihood of cancer within 2 years of the event.

Hard Drinking in Middle Age Linked to Stroke

F. Perry Wilson, MD, critiques an interesting new study in 150 seconds.

FDA Panel Torn on Watchman Device

Calls the device safe, but splits on its efficacy.

ESC: Xarelto Safe for Cardioverting Afib

BARCELONA -- Switching atrial fibrillation patients awaiting elective cardioversion to rivaroxaban (Xarelto) was as safe as warfarin in that setting.

More Brain Bleeds With Stroke Drug in 'Real World’

BOSTON -- Intracerebral hemorrhage was more common among patients receiving tissue plasminogen activator (tPA) in the real world compared with those in a clinical trial, a small, single-center study showed.

Humans Beat Stroke Scales for ICH Prognosis

PHILADELPHIA -- Physicians and nurses in stroke units more accurately predicted outcomes in patients with intracerebral hemorrhage (ICH) compared with common prognostic scales, a researcher reported here.

Stroke Rounds: Early Surgery Looks Safe After tPA

Performing carotid endarterectomy or stenting in patients who were recently treated with thrombolytic therapy for an acute stroke appeared to be safe, an observational study showed.

Ob/Gyns Uneasy With AHA's Take on Stroke in Pregnancy

NEW ORLEANS -- Recent guidelines from the American Heart Association on the management of stroke risk in pregnant women differ significantly from those issued by the American Congress of Obstetricians and Gynecologists, maternal-fetal medicine specialists said here.

Is There a Flaw in This Large Vitamin D Trial?

A co-principal investigator of the VITAL trial addresses the possibility that out-of-study testing of vitamin D levels and initiation of high-dose supplementation could be a limitation, but not a serious one.

CardioBuzz: More Money Needed for Heart Research?

The NIH dedicates a lot of money for research into heart disease and stroke, but it still might not be enough, a new study suggested.

Gestational Diabetes Tied to Perinatal Stroke

AUSTIN, Texas -- Perinatal arterial ischemic stroke has many possible risk factors, including gestational diabetes, researchers reported here.

Xarelto Gets a No for Stent Thrombosis

SILVER SPRING, Md. -- The FDA has rejected an application for a new indication allowing rivaroxaban (Xarelto) to be used to reduce the risk of stent thrombosis in patients with acute coronary syndrome.

ECG for Eyes Sorts Strokes from Vertigo

A device described as an ECG for the eye accurately distinguishes stroke from other causes of dizziness in the emergency department, a small proof-of-concept study showed.

Is Pot Smoking a Stroke Trigger?

HONOLULU -- Middle age stroke patients were twice as likely to be pot smokers than healthy middle age controls, researchers found.

Extended Apixaban Stops VTE Recurrence

ATLANTA -- Apixaban taken for an additional year after standard venous thromboembolism (VTE) treatment reduced recurrent events in a placebo-controlled trial, researchers said.

Early Stroke Risk After Hip Replacement

Patients undergoing a total hip replacement appear to have an elevated risk of stroke in the weeks following the operation, researchers found.

AHA: No Excess Bleeding Risk with Dabigatran

LOS ANGELES -- Patients starting dabigatran (Pradaxa) did not have a higher risk of bleeding compared with new users of warfarin, according to a postmarketing data review by the FDA.

Working with Weights May Help Stroke Rehab

Resistance training -- which is often overlooked in stroke rehab -- may help improve thinking and memory in stroke survivors, researchers found.

Brain Bleed Size Affects Therapy in Afib Patients

NEW ORLEANS -- The size of a brain bleed appears to determine which medications, if any, are given to atrial fibrillation patients after an intracerebral hemorrhage, a retrospective study showed.

FDA Adds More Warnings for Lipitor, Crestor, and Zocor

WASHINGTON -- Statins may cause drug-drug interactions for patients taking drugs to treat HIV/AIDS or hepatitis C, according to a new statin warning from the FDA.

FDA Adds Diabetes Warning to Statin Label

WASHINGTON -- The FDA is changing the labeling on statins to include a warning about increased risks of hyperglycemia and transient memory problems, but the agency is no longer recommending routine liver function testing.

Early VTE Therapy OK After Brain Bleed

HOUSTON --The risk of re-bleeding after intracranial hemorrhage did not increase when patients received early prophylaxis for venous thromboembolism (VTE), a retrospective review showed.

Systolic BP That's Too Low After Stroke Not Good Either

Systolic blood pressure that is too low -- as well as too high -- may put patients who have had a noncardioembolic ischemic stroke at risk for another one, researchers found.

Life Expectancy Shorter After TIA

Nine years after discharge, the survival of patients hospitalized with a transient ischemic attack was 20% lower than expected, with older patients more likely to be affected, according to an Australian study.

AHA: Rivaroxaban Scores Win While Omega-3 Flops

CHICAGO -- Good news and not so good news about investigational treatments for atrial fibrillation are featured in this exclusive InFocus video report from the American Heart Association meeting.

Giving tPA Late: Risk May Outweigh Benefit

Although beneficial within 4.5 hours of stroke onset, administering recombinant tissue plasminogen activator (tPA) beyond that window appears to increase the risk of dying, a pooled analysis of eight clinical trials showed.

CT Safety Warnings Follow Radiation Overdose Accident

Reports of stroke patients who were accidentally exposed to eight times the normal radiation dose during diagnostic CT scans at Cedars-Sinai Medical Center in Los Angeles are prompting safety warnings and soul searching in radiology.

Heavy Daily Drinking Boosts Chances of Lethal Brain Hemorrhage

WHEELING, W.Va. -- Fatal hemorrhagic strokes were more than three times as common in men who had at least six drinks a day, researchers found.

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