Stroke

Cardiovascular departments are playing a role in stroke interventions at numerous health systems, working as part of the stroke care team with neurologists, radiology and the emergency department. Stroke first has be be classified as ischemic or hemorrhagic. These have very different care pathways. Ischemic strokes are increasingly being treated with neurological-interventional therapy that includes catheter based mechanical thrombectomy to remove the clot. This is a more aggressive treatment compared to traditional IV administration of tissue plasminogen activator (tPA) thrombolytic therapy to dissolve the clot. Subarachnoid hemorrhage (SAH) and  intracerebral hemorrhage (ICH) brain bleeds can also be treated in some cases stent flow diverters and embolization coils. 

Stroke thrombectomy outcomes similar between radiologists, fellowship-trained neurointerventionalists

Increased volume has led to stress among endovascular stroke physicians, with some hospitals relying on interventional rads to relieve the strain. 

Monitoring high-risk patients for AFib fails to reduce stroke risk

"These findings might imply that not all AFib is worth screening for, and not all screen-detected AFib merits anticoagulation," researchers wrote. 

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Mobile stroke units improve patient outcomes, reduce risk of disability

Researchers tracked data from more than 1,000 patients who received care from 2014 to 2020. 

COVID-19 coronavirus burnout depression pandemic

‘Not just a respiratory illness’: New stroke data highlight the importance of COVID-19 vaccinations

COVID-19 carries a higher stroke risk than similar infectious conditions, the authors explained, making it especially important to seek out a vaccine as soon as possible.

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CT-based Mobile Stroke Care

Germany's ground-breaking use of CT scanners in ambulances to assess for possible stroke inspired one program in Houston to follow suit. Supporters predict it will transform care in the future. 

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