Long-term Predictors of Stroke in Healthy Middle-aged Men - Erik Prestgaard

August 18, 2017

As you can imagine a longitudinal study of 2014 Norwegian men who were recruited from 1972-1975, and then followed up until 1997, is an amazing source of data. Researchers from the Institute of Clinical Medicine, and the Department of Informatics at the University of Oslo, and from the Department of Cardiology, Oslo University Hospital, Ullevål, Norway investigated the long term predictive impact on stroke risk of baseline variables including haemodynamic variables measured at rest and during exercise in these same middle-aged, healthy men. 

Carmen Lahiff-Jenkins, Managing Editor of the International Journal of Stroke and I spoke to Dr Erik Prestgaard, lead author of the paper‘Long-term Predictors of Stroke in Healthy Middle-aged Men, recently published in the International Journal of Stroke.

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Where to now? AVERT answered an important question, but raised many more

August 14, 2017

The AVERT trial was a Phase 3 randomised trial with over 2100 subjects designed to end the controversy about the early mobilisation of stroke patients. It sounds intuitive doesn’t it, if a patient has a stroke get them up and moving as soon as possible get the blood flowing and consequently the patient healing faster.

But this wasn’t the case, and the stroke community, especially the rehab and recovery arm were collectively shocked by the results which indicated that early mobilization may actually cause harm.  

Undoubtedly this ultimately successful trial answered an important clinical question, opening the door for more large scale rehab and recovery trials.

Now the priority questions are: (1) What is the optimal dose in minutes of VEM in duration and frequency? (2) How intense should the exertion be? (3) How should we design trials that compare different specified doses for different subgroups? 

I’m Carmen Lahiff-Jenkins Managing Editor of the International Journal of Stroke and I spoke to Mark Bayley author of Where to now? AVERT answered an important question, but raised many more recently published in the International Journal of Stroke.

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Stroke while driving: frequency and association with automobile accidents

August 6, 2017

Driving while having a stroke is potentially life threatening, imagine driving down a dark road at night, or a busy peak hour city street and suffering a stroke? A group of researchers in Japan, have looked at stroke while driving and they may be on the way to pinpointing the risk factors, that may potentially be modified to make driving safer to those at risk of stroke. 

Carmen Lahiff-Jenkins, Managing Editor of the International Journal of Stroke spoke to Dr Joji Inamasu from Saiseikai Utsunomiya Byoin, Department of Neurosurgery in Tochigi, Japan. This article is published online, via the International Journal of Stroke. Please follow this link to read this article

In this study a majority of patients with stroke while driving were women, with a medium age of 63, age however, did not differ from gender, and the most common co-morbidity was hypertension across both stroke types.

The international Journal of Stroke is the flagship publication of the World Stroke Organisation, please consider becoming a member. Click here to open our webpage

 

The music used in this podcast ‘Kool Kats’ composed by Kevin MacLeod is licence free. 

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