Articles in "stroke"

Extended cardiac monitoring is indicated for evaluation of cryptogenic strokes in elderly patients

by Joseph Esherick, M.D., FAAFP, FHM

Extended cardiac rhythm monitoring, repeated three times in 6 months, significantly increased detection of paroxysmal atrial fibrillation in elderly patients with cryptogenic strokes.

Direct-Acting Oral Anticoagulants Have a Lower Mortality than Warfarin for Nonvalvular Afib

by Joseph Esherick, M.D., FAAFP, FHM

In patients with nonvalvular atrial fibrillation, Direct-acting oral anticoagulant therapy was associated with significant declines in all-cause mortality and vascular mortality (P<0.0001 for each). In addition, there was a striking decrease in bleeding mortality (relative risk, 0.54; P<0.0001), which was mainly due to a reduction in intracranial bleeding (RR, 0.42; P<0.00001).

Is prolonged monitoring for atrial fibrillation indicated after a cryptogenic stroke?

by Joseph Esherick, M.D., FAAFP, FHM

Up to 30% of ischemic strokes are cryptogenic strokes. Two studies suggest that paroxysmal atrial fibrillation may be the underlying etiology in some of these cryptogenic strokes.