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This meta-analysis of 45 audits covering 1.18 million stroke patients found that 81.1% received antithrombotic therapy within 48 hours, falling below the 85% quality benchmark established by stroke care guidelines. Treatment delivery rates were comparable between high-income and low-to-middle-income countries, with improvements noted in studies published after 2008.
This study compares stroke diagnostic and secondary prevention recommendations between American Heart Association/American Stroke Association (AHA/ASA) and European Stroke Organization (ESO) guidelines, analyzing 63 ESO and 82 AHA/ASA recommendations across 7 key topics. While most recommendations are similar, the guidelines assign different levels of evidence quality to many recommendations, with notable discrepancies in high-level evidence classifications.
This retrospective study evaluated patients with acute ischemic stroke or transient ischemic attack to assess how many cases could have been prevented through better management of vascular risk factors such as hypertension, dyslipidemia, atrial fibrillation, and smoking. The researchers developed a 10-point preventability scale to classify the degree to which each event was avoidable based on the optimization of modifiable risk factors at presentation.
This retrospective study evaluated left atrial reservoir strain using echocardiography in 79 stroke/TIA patients without prior atrial fibrillation history to identify cardiac sources of emboli. Reduced reservoir strain was associated with cardioembolic stroke mechanisms and atrial fibrillation occurrence, suggesting it may aid in stroke risk stratification and AF detection.
This systematic review and meta-analysis examines the incidence and risk factors for cerebrovascular events (including stroke) in patients with cervical fibromuscular dysplasia, a non-atherosclerotic vascular condition affecting arterial walls. The study synthesizes evidence to characterize stroke risk and associated factors in this patient population.