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Cerebrovascular Disease


The Practical Cardiology™ Cerebrovascular Disease clinical resource center offers the latest in management of cerebrovascular disease including stroke, transient ischemic attack, aneurysm, and vascular malformation. The fifth most common cause of death in the US, this page will host articles, podcasts, and videos related to prevention and treatment of cerebrovascular disease.

Anticoagulant Use Among Afib Patients Wanes Over Time

November 18, 2015

ORLANDO -- Barely half of patients with atrial fibrillation who were prescribed rivaroxaban (Xarelto) to prevent stroke remained on the treatment after 2 years, but their adherence was still better than Afib patients on warfarin or dabigatran (Pradaxa), researchers said here.

Risk of Atrial Fibrillation Increased in HFpEF

October 30, 2015

Congestive heart failure (with decreased ejection fraction) has always been recognized as a risk factor for stroke or systemic embolism in patients with atrial fibrillation (AF) and is included in the CHA2DS-VASc risk score calculation.

Atrial Fibrillation May Increase Risk of Dementia

October 06, 2015

Atrial fibrillation (AF) may increase the risk of dementia, according to a new study conducted in the Netherlands. The study looked at 20 years of follow-up data on over 6000 people, and found that younger participants with a longer duration of AF had the highest risk of dementia.

Ablation Therapy for AF Who, What is it Good For

October 06, 2015

1. Which of the following is probably not a characteristic of someone who has had catheter ablation for atrial fibrillation (AF)?

Persistent AF Improved via LAA Isolation

September 02, 2015

Catheter ablation offers an appealing option for patients with atrial fibrillation (AF) in whom rhythm control is desired. However, the success rate of the procedure remains somewhat dismal, with only 30% to 40% of persons achieving long term rhythm control. There are many theories as to why AF ablation may have limited success, including multiple sites of AF origination.

ESC '15 Real World Patients, Real World Numbers from GARFIELD-AF

September 02, 2015

Atrial fibrillation (AF) has the luxury (and curse) of being one of those conditions for which large scale randomized clinical trials (such as RELY, ROCKET-AF, ARISTOTLE, ENGAGE-TIMI48) have paved the way for understanding risk and guiding disease management.

Stroke Rounds: Muddled Thinking May Signal CV Event Risk

August 14, 2015

In dementia-free older adults at high risk for cardiovascular disease, impaired executive function appears to be associated with higher risk of incipient coronary heart disease and stroke, a meta-analysis of prospective observational studies now shows.

Cardiology Update 6 New Things From ACP

May 03, 2015

At the American College of Physicians Internal Medicine Meeting 2015 in Boston, Peter Zimetbaum, MD, Associate Professor of Medicine, Harvard Medical School, presented an “Update In Cardiology.” Here are the highlights of his presentation and the implications for clinical practice.

Statins Do Double Duty Against Stroke

April 20, 2015

A new study suggests that inpatient statin use is linked to improved outcomes after ICH, and that stopping statins during hospitalization is associated with worse outcomes.