Diabetes Management After Stroke
I. Check capillary blood glucose 1. “Before meals and at bedtime” or “before meals, bedtime, and 03:00” 2. “Every 6 h” for patients on continuous tube feeds or NPO II….
Rehabilitation in Subacute and Chronic Stage After Stroke
Fig. 33.1 Hypothetical pattern of recovery after stroke with timing of intervention strategies. Reproduced by permission of Lancet [1] There are two main mechanisms of neurological recovery. The first is…
Post-Stroke Management: Emotional Disturbances and Pain
Fig. 31.1 Diagram explaining the different manifestations of post-stroke mood and emotional disturbances 31.2 Post-Stroke Pain One of the most troublesome sequelae of stroke is pain, which occurs in 19–74%…
Understanding Paradox of Risk Factors
Fig. 27.1 Survival rate after intracerebral hemorrhage. Kaplan-Meier curves showing mortality over 4 years of follow-up. Reproduced by permission of Neurology [14] Table 27.1 Potential reasons for the obesity-stroke paradox…
Hypertension Management in Acute Ischemic Stroke
Study design Patients included No. of patients with ischemic stroke Intervention vs. control Mean time from stroke onset to randomization, h Outcome assessments Results Con studies against BP lowering…
Identification of Vascular Risk Factors
Category Risk factors Non-modifiable risk factors Age, sex, race/ethnicity, low birth weight, family history of stroke/transient ischemic attack Well-documented and modifiable risk factors Hypertension, smoking, diabetes, dyslipidemia, atrial fibrillation, carotid…
Cancer-Related Stroke
Patient characteristics Treatment-related factors Cancer-related factors Older age Prolonged immobility Prior history of thrombosis Elevated leukocyte and platelet counts Acute infection Comorbidity Obesity Chemotherapy Hormonal agents Growth factors Antiangiogenic agents…
Discrepancy and Pitfalls of Clinical Practice Guideline
Fig. 35.1 A backup strategy of real-world evidences to make a better clinical practice guidelines by resolving current problems of randomized controlled trials. RCT randomized controlled trial, CPG clinical practice…
Initial Diagnosis and Management of Acute Ischemic Stroke
Period measured Optimal time (min) From ED arrival to emergency physician evaluation 10 From ED arrival to CT scan initiation 25 From ED arrival to CT scan interpretation 45 From…
Selections of Antithrombotic Agents During Acute Stage
Fig. 12.1 The approach to antithrombotic therapy for acute ischemic stroke patients with non-cardioembolic stroke. * Several guidelines suggest that early anticoagulation is not recommended Fig. 12.2 The approach to…
