Tips Sheet

TeleStroke Consult Tip Sheet

Lectures

Ischemic CVA (Cerebrovascular Accident) - teachIM

Stroke Jan 2024 CCS Lecture

Videos

Ischemic and Hemorrhagic Strokes | video

Podcasts

#164 Stroke and TIA Deconstructed with Chris Favilla MD - The Curbsiders

#385 TIA/Stroke for the Hospitalist featuring Dr. Karima Benameur - The Curbsiders

Stroke Alert March 2023 (ahajournals.org)

Review Articles

Diagnosis of Acute Stroke | AAFP

Subacute Management of Ischemic Stroke | AAFP

Landmark Trials

CHANCE Trial: Clopidogrel with Aspirin in Acute Minor Stroke or Transient Ischemic Attack | NEJM

POINT Trial: Clopidogrel and Aspirin in Acute Ischemic Stroke and High-Risk TIA | NEJM

THALES Trial: Ticagrelor and Aspirin or Aspirin Alone in Acute Ischemic Stroke or TIA | NEJM

Benefits and Risks of Clopidogrel vs. Aspirin Monotherapy after Recent Ischemic Stroke: A Systematic Review and Meta-Analysis - PubMed (nih.gov)

• Clopidogrel vs aspirin LESS risk

  • Major adverse cardiovascular and cerebrovascular events (risk ratio 0.72 [95% CI, 0.53-0.97])

  • Any ischemic or hemorrhagic stroke (0.76 [0.58, 0.99)

  • Recurrent ischemic stroke (0.72 [0.55, 0.94])

  • Bleeding (0.57 [0.45, 0.74])

  • But NO difference in the rate of all-cause mortality

Effects of Early Blood Pressure Lowering on Early and Long-Term Outcomes after Acute Stroke: An Updated Meta-Analysis | PLOS ONE

Guidelines

2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association - PubMed (nih.gov)