Selected Patients May Benefit from Later Stroke Treatment

A new study has demonstrated that some strokes may be treated later than was previously thought. The EXTEND study, performed in Australia, treated patients with the clot dissolving medication Alteplase (tPA) between 4.5 and 9 hours after the start of the stroke, including patients that noticed their symptoms after waking from sleep. More patients who … Read more

New Blood Pressure Guideline Impacts Stroke Prevention

Last month, the American College of Cardiology and the American Heart Association released a new guideline for the prevention, detection, evaluation and management of high blood pressure in adults. This is the first comprehensive update since 2003. The most important points for the public are new thresholds for starting treatment with medications, and new levels … Read more

Modern Stroke Treatment Turns 20

The modern era of stroke treatment began 20 years ago today, with the publication of the NINDS tPA trial in The New England Journal of Medicine. Back in those days, stroke was not considered treatable, and there was no urgency attached to the care of stroke patients. A CT scan was not a test that … Read more

Detecting Atrial Fibrillation in Stroke of ‘Unknown’ Cause

Atrial fibrillation is a type of irregular heartbeat that is quite common in the elderly. This condition results in the tendency for blood clots to originate in the heart and move into the brain, plugging blood vessels and causing a stroke. The strokes associated with atrial fibrillation tend to be large and severe. There are … Read more