Stroke Update
Clinical presentations of stroke; anticoagulant reversal strategies; TIA triage and imaging; neurocritical care pearls; and more.
Atrial Cardiopathy & Stroke Risk: Anticoagulation and LAA Closure in AF
Reviews CHA2DS2-VASc risk stratification, warfarin vs DOACs, and the evolving role of left atrial appendage occlusion (PROTECT AF, PRAGUE-17).
- Analyze the benefits and risks of anticoagulant therapies for stroke-risk mitigation in AF.
- Recognize the role of LAA occlusion devices in preventing stroke in patients with AF.
- Appraise the indications, contraindications, and complications following LAA closure.
Update on Stroke Management & Prevention: Anticoagulant Reversal
A time-driven protocol for the bleeding patient — reversal agents (idarucizumab, andexanet alfa, 4-factor PCC, vitamin K, FFP) and blood-pressure control.
- Estimate the risk for massive intracranial hemorrhage expansion associated with common anticoagulants.
- Cite the indications for anticoagulant reversal based on patient-specific factors.
- Select appropriate reversal agents for different anticoagulants.
Update on Stroke Management: A Multidisciplinary Panel
A UCSF panel on ischemic stroke in the extended-thrombectomy era, perfusion imaging, subarachnoid hemorrhage, and contemporary neurocritical care.
- Recognize the role of perfusion imaging in stroke management.
- Implement the recommended protocol for patients with suspected stroke.
- Select appropriate long-term management strategies for older patients with aneurysms.
TIA & Stroke: Diagnostic Pearls
High-yield bedside discriminators (Hoover sign, pronator drift), appropriate imaging selection, and ABCD2-guided triage of transient ischemic attack.
- Differentiate the signs and symptoms of stroke from stroke mimics.
- Use appropriate imaging modalities to confirm the diagnosis of stroke.
- Select appropriate treatment based on ABCD2 score in patients with transient ischemic attack.
Update on Stroke in the Acute Care Setting
Acute intervention for ischemic stroke — the widening thrombolysis window, DWI-FLAIR mismatch, tenecteplase (TIMELESS), glucose targets (SHINE) — and acute hemorrhage management.
- Recognize the various clinical presentations of stroke.
- Interpret imaging findings in patients with stroke.
- Manage patients with stroke in the acute care setting.
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