Tia vs stroke
[DOC File]Journal Club Handout Template - Goldilocksthedoc
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Ischemic stroke. TIA. Systemic thromboembolism. Major bleeding was defined by diagnosis codes for: Intracranial bleeding. Severe bleeding from respiratory, GI, or urinary tract. Endpoints: Occurrence of a primary outcome. Death. Five years of follow-up. December 31, 2012 Statistical analysis Time dependent Cox proportional hazards models
[DOC File]DEFINITION: rapid occurrence of neurological dysfunction ...
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The latter results from the rupturing of a cerebral vessel and bleeding into brain tissue or ventricles. The stroke can be classified based on neurological deficits: - transcient ischemic attack (TIA) - deficits are temporary, lasting only minutes or up to 24 hours. - reversible ischemic attack - deficits are temporary, but last days to weeks.
[DOC File]Stroke - Webs
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A prior transient ischemic attack (a temporary interrupting of the brain's blood supply, often called a mini-stroke) Age: 60 or older . Family members who have had a stroke . Race: Black. Some patients experience a "warning stroke" or transient ischemic attack (TIA). These are symptoms of a stroke that resolve completely, usually within minutes.
[DOC File]Topic - Pinson & Tang
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Based on your medical judgment, can you further clarify in the progress notes the most likely or suspected underlying cause of the TIA symptoms such as: CVA / Stroke. Transient cerebral thrombosis or embolism. Occlusion or stenosis of a precerebral/cerebral artery (partial or complete) Other cause (please specify) None of the above / Not applicable
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TIA/stroke. Vertebrobasilar insufficiency – turning head upward can cause external mechanical forces on an already compromised vertebrobasilar arteries poor perfusion to RAS . Other. Meds (alpha blocker, beta blocker, diuretics, nitrates, sedating meds)
[DOC File]APPLICATION MEDICAL DECISION MAKING RULES TO SEIZURE DISORDERS
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An abrupt change in neurologic status (seizure, TIA, stroke, weakness, sensory loss, AMS changes, marked worsening of degenerative disease) Drug therapy requiring intensive monitoring for toxicity (4 points), e.g., coumadin, immunosuppressants, some AEDs, black box drugs. Illnesses that pose a threat to life or body function . Examples:
[DOC File]AFFIRM (Atrial Fibrillation Follow-up Investigation of ...
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Prior stroke or TIA. Prior revascularization > 50% stenosis of coronary, carotid, or lower extremity arteries. Documented symptomatic CHD. Documented asymptomatic cardiac ischemia. HF NYHA II-III. Chronic kidney disease > 60 yo with at least ONE CV RISK FACTOR. Microalbuminuria or proteinuria. Hypertension and left ventricular hypertrophy
[DOC File]Stroke guideline
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Pertinent Negatives Headache, weakness, pupil dilation, slurred speech, aphasia, incontinent SAMPLE Medications; history consistent with stroke or TIA Initial Exam ABCs and correct any immediate life threats Detailed Focused Exam Vital signs: Initial Blood Glucose, BP q 15” and adjust to maintain within parameters
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Assessing TIA Risk: ABCD2 Score. 20-25% will have CVA in next year; 30% with TIA will have CVA within 5 years (5% in 48hrs, 10% in 1/12, 10-20% in 90/7)
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A total of 14,264 patients with a moderate-to-high risk of stroke (mean CHADS2 score of 3.5) were included and treated for a median duration of 590 days. Over half of the population had a history of prior transient ischemic attack (TIA) or stroke, and about 40% of patients were 75 years or older.
[DOC File]UMD
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History of Stroke or TIA. Signs and Symptoms. Generalized. Hemiparesis. Aphasia. Headache. Confusion or Altered Mental Status. Dizziness. Numbness, weakness, or paralysis. Loss of bladder or bowel control. Impaired vision or loss of vision in one eye. Hypertension. Dyspnea. Nausea or vomiting. Seizures. Unequal pupils.
[DOC File]Calcium Supplements and Cardiovascular Disease in Women
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Non-significant increases in stroke (RR 1.42 [95% CI 0.83-2.43]) and the composite endpoint (RR 1.47 [0.97-2.23]) were observed. When unreported information from a hospital admissions database was included in the analysis, the differences in events between groups were less significant, although similar trends remained.
[DOC File]SPS
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However, there was a three times greater risk of major bleeding (0.6% vs. 1.8%)15,19. ATLAS-ACS 2 –TIMI 51 excluded patients with a history of TIA; this may have created a positive bias for both safety and efficacy for rivaroxaban, since these patients are at a higher risk of bleeding and thromboembolism12.
[DOCX File]POINT: Amendment 3 Protocol Changes
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CHANCE (Clopidogrel in High-Risk Patients with Acute Non-disabling Cerebrovascular Events) was a randomized, double-blind, placebo-controlled trial conducted at 114 centers in China. 5170 patients were randomly assigned within 24 hours after the onset of minor ischemic stroke or high-risk TIA to clopidogrel plus aspirin vs. aspirin alone for 21 days, followed by clopidogrel vs. aspirin for the ...
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