Internal Med Medical News about Stroke

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MRI Detection of New Microbleeds in Patients With Ischemic Stroke. Five-Year Cohort Follow-Up Study
Stroke, 11/09/09

Gregoire SM et al. – Patients with ischemic stroke or transient ischemic attack are at risk of developing new microbleeds over 5.5 years, despite most surviving patients remaining clinically stable. Systolic blood pressure is the strongest predictor of microbleed development; better control of hypertension may help prevent new microbleed formation.

Exclusive Author Commentary
David J. Werring, 11/11/09

Whilst many cross-sectional studies show a strong relationship between hypertension and brain microbleeds, this follow-up study is new in showing that baseline blood pressure is a predictor of developing new microbleeds over five years. This study strengthens the causal link between blood pressure and microbleeds, and suggests that finding microbleeds should encourage careful control of hypertension.

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Differences Between Ischemic Stroke Subtypes in Vascular Outcomes Support a Distinct Lacunar Ischemic Stroke Arteriopathy. A Prospective, Hospital-Based Study
Stroke, 11/09/09 Relevance Score: 93%

Oral anticoagulant therapy safely prevented stroke in older patients with atrial fibrillation
Evidence-Based Medicine, 10/26/09 Relevance Score: 93%

Ischemic stroke and hyperhomocysteinemia: truth or myth
Acta Neurologica Belgica, 10/21/09 Relevance Score: 93%

Advancing the hypothesis that geographic variations in risk factors contribute relatively little to observed geographic variations in heart disease and stroke mortality
Preventive Medicine, 10/16/09 Relevance Score: 93%

Prevention and management of stroke in very elderly patients
The Lancet Neurology, 10/15/09 Relevance Score: 93%