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Posts Tagged ‘stroke’

Podcast 154: Treating heart failure’s hypercoagulable state — warfarin or aspirin?

Joe Elia • May 2nd, 2012

Categories: aspirin, Audio, Heart failure, Uncategorized, warfarin

(9 votes, average: 3.11 out of 5)

Heart failure brings problems associated with hypercoagulation, such as stroke and sudden death. An international study followed some 2300 patients with heart failure (ejection fractions of 35% or less) and in stable sinus rhythm for a mean of 3.5 years, randomizing them to treatment with either warfarin or aspirin. The two treatment groups showed [...]

Podcast 150: Depression (and antidepressant use) after stroke or TIA

Joe Elia • March 29th, 2012

Categories: Audio, depression, screening, stroke, transient ischemic attack, Uncategorized

(5 votes, average: 4.00 out of 5)

After stroke or transient ischemic attack, depression is more common than among the general population, and the risk for depression extends beyond the early time period after the event. More alarmingly, less than a third of those with persistent depression — defined as depression detected both at 3 and 12 months after the cerebrovascular [...]

Podcast 141: Clinically apparent atrial fibrillation increases stroke risk; does subclinical afib do the same?

Joe Elia • January 13th, 2012

Categories: Anticoagulation, Atrial fibrillation, Audio, stroke, Uncategorized

(4 votes, average: 2.75 out of 5)

Yes, it apparently does. An international study in the New England Journal of Medicine monitored subclinical atrial fibrillation among some 2600 patients who’d just received an implanted pacemaker or cardioverter-defibrillator. After 3 months of monitoring, about 10% of the group showed subclinical episodes of afib lasting at least 6 minutes. Over an additional 2.5 [...]

Podcast 115: Talking about the real-world use of dabigatran with Drs. Elaine Hylek and Samuel Goldhaber

Joe Elia • March 10th, 2011

Categories: Anticoagulants, Atrial fibrillation, Audio, Dabigatran, stroke, Uncategorized, warfarin

(22 votes, average: 4.09 out of 5)

Clinical Conversations, in a collaboration with CardioExchange, has interviewed two expert working clinicians on how best to use dabigatran — a drug poised to supplant warfarin in the prevention of stroke and systemic embolism in patients with atrial fibrillation. The wide ranging discussion with Drs. Elaine Hylek and Samuel Goldhaber  includes sections on who [...]

Podcast 107: Hospital falls and how to reduce them

Joe Elia • November 5th, 2010

Categories: Audio, falls, Patient care, Quality of care, Uncategorized

(2 votes, average: 4.50 out of 5)

Our conversation is with Dr. Patricia Dykes of Boston’s Partners HealthCare. She’s first author on a paper published in JAMA earlier this week. In her study of fall prevention in hospitals, she and her team randomized eight medical units in four Boston-area hospitals either to their usual standards of fall prevention or to use [...]

Podcast 102: Short compression stockings would seem to have no further role clinically.

Joe Elia • September 26th, 2010

Categories: Audio, compression stockings, stroke, Uncategorized

(1 votes, average: 2.00 out of 5)

Prof. Martin Dennis chats with us about his latest trial, comparing the utility of thigh- versus below-knee-length stockings for patients immobilized after stroke. The latest results show the superiority of thigh-length stockings, but at the further risk of skin breaks in these vulnerable patients. Taken together with the results of his earlier work, at [...]