Ischemic stroke occurs when a blood vessel supplying the brain is obstructed.
Consider stroke in any patient presenting with sudden focal neurological deficit or any alteration in level of consciousness.
Rapid evaluation is essential for sure of time-sensitive treatments.
Determine if patient's symptoms are due to stroke and exclude stroke mimics (eg migraine, hypertensive encephalopathy, hypoglycemia, seizures or post-ictal paresis); identify other conditions requiring immediate intervention and determine the potential causes of stroke.
Vegetarian and pescetarian diets are associated with a lower risk of ischaemic heart disease compared with a diet that include meat, according to the longitudinal EPIC*-Oxford study with 18 years of follow-up.
Women who develop infection during delivery hospitalization are at higher risk of being readmitted for ischaemic stroke within 30 days postpartum, especially those with no hypertensive disorders of pregnancy, a study reports.
Older individuals with atrial fibrillation (AF) who received direct oral anticoagulants (DOACs) upon discharge from hospital following an ischaemic stroke had better long-term function and independence and a lower risk of major adverse cardiovascular events (MACE) compared with those who received warfarin, according to findings of the observational PROSPER* study.
Individuals working >10 hours daily for at least 50 days per year are at heightened risk of stroke, and the risk increases with higher exposure duration to long working hours, a recent study has found.
Off-label low dosing of rivaroxaban appears to do more harm than good to Asian patients with atrial fibrillation (AF), with a recent study showing that such a strategy confers an increased risk of ischaemic stroke without reducing that of intracranial haemorrhage (ICH) as compared with on-label dosing.
Mood stabilizers for bipolar disorder are implicated in the risk of stroke, which appears to vary among the different types of drugs, as suggested in a recent study. Carbamazepine carries the highest risk of stroke, followed by valproic acid, whereas lithium and lamotrigine have a null effect.
Infection could be a risk factor for stroke, with the risk for ischaemic stroke particularly high among individuals who had a urinary tract infection (UTI) 7 days prior, according to a recently published report.
Catching any type of infection, including those that affect the urinary and respiratory tracts and sepsis, could increase the chances of having subsequent acute ischaemic stroke, according to a recent study.
Among atrial fibrillation (AF) patients receiving nonvitamin K antagonist oral anticoagulants (NOACs), factors such as off-label NOAC dosing, atrial enlargement, hyperlipidaemia and high CHA2DS2-VASc score increase susceptibility to stroke or cerebrovascular events, according to data from the RENo study.
Similarities in insulin signaling mechanisms between the brains of Alzheimer’s disease patients and the pancreas of diabetic patients may point the way to improved treatment for the former, according to researchers.
High-resistant starch, low-protein flour improves blood glucose and lipid levels among people with early type 2 diabetic neuropathy, as well as improves their ability to prevent antioxidative stress, reports a recent study.