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Hachinski Ischemia Score

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1. Hachinski Ischemia Score

Score." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Hachinski ischemia score (C0475492) Concepts Intellectual Product ( T170 ) SnomedCT 273499007 English Hachinski ischaemia score , Hachinski ischemia score , Hachinski ischemia score (assessment scale) Spanish puntaje de isquemia, de Hachinski (escala de evaluación) , puntaje de isquemia, de Hachinski Derived from the NIH UMLS ( ) Related Topics in Examination (...) Hachinski Ischemia Score Hachinski Ischemia Score Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hachinski Ischemia Score Hachinski

2018 FP Notebook

2. Hachinski Ischemia Score

Score." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Hachinski ischemia score (C0475492) Concepts Intellectual Product ( T170 ) SnomedCT 273499007 English Hachinski ischaemia score , Hachinski ischemia score , Hachinski ischemia score (assessment scale) Spanish puntaje de isquemia, de Hachinski (escala de evaluación) , puntaje de isquemia, de Hachinski Derived from the NIH UMLS ( ) Related Topics in Examination (...) Hachinski Ischemia Score Hachinski Ischemia Score Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hachinski Ischemia Score Hachinski

2015 FP Notebook

3. The Hachinski ischemic scale and cognition: the influence of ethnicity. Full Text available with Trip Pro

The Hachinski ischemic scale and cognition: the influence of ethnicity. cardiovascular burden is considered a risk factor for the development of cognitive dysfunction and dementia. While this link is well established in the literature, implementing this work in primary care settings remains a challenge. The goal of this study is to examine the utility of the Hachinski Ischemic Scale (HIS) in identifying cognitive dysfunction and diagnosis of mild cognitive impairment (MCI) in an ethnically (...) diverse sample.data were analysed on 517 participants (211 Mexican Americans and 306 non-Hispanic Whites) recruited from Project FRONTIER, a study of rural health. Neuropsychological measures were utilised to assess for cognitive functioning.among non-Hispanic Whites, HIS scores were significantly related to poorer performance on tasks of global cognition [B (SE) = -0.13 (0.06), P = 0.02], immediate memory [B (SE) = -0.85 (0.26), P < 0.001], attention [B (SE) = -1.6 (0.36), P < 0.001] and executive

2014 Age and ageing

4. Scientific rationale for the inclusion and exclusion criteria for intravenous alteplase in acute ischemic stroke

With Ischemic Stroke Who Arrived 0 to 3 Hours or 3 to 4.5 Hours After Symptom Onset13 2007 AHA Guidelines Exclusion Criteria Time From Symptom Onset to ED Arrival (n=1838), n (%) 0–3 h (n=395, 22%) 3–4.5 h (n=66, 3.4%) Minor symptoms (NIHSS score <5) 208 (11.5) 40 (2.1) SBP >185 mm Hg or DBP >110 mm Hg 61 (3.2) 7 (0.4) Stroke/head trauma in previous 3 mo 20 (2.6) 1 (0.1) INR >1.7 26 (2.1) 4 (0.2) aPTT >40 s 22 (1.1) 7 (0.4) Seizure in acute setting 13 (0.7) 4 (0.2) Major surgery in preceding 14 d 11 (0.6) 1 (...) of individual exclusion criteria among patients presenting to an emergency department within 3 hours from onset are listed in . In this study, even if all ischemic stroke patients arrived within the treatment time window, only 29% would have been eligible for alteplase. Table 5. Time to Presentation for Acute Ischemic Stroke Study Location Study Population n Median NIHSS Score 0-3 h, % 3-6 h, % 6-24 h, % >24 h, % Unknown de Los Rios la Rosa et al, 2012 Ohio/Kentucky Population based, including 1 academic

2015 American Academy of Neurology

5. Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke Full Text available with Trip Pro

. Eligibility for rtPA Within a Population of Patients With Ischemic Stroke Who Arrived 0 to 3 Hours or 3 to 4.5 Hours After Symptom Onset13 2007 AHA Guidelines Exclusion Criteria Time From Symptom Onset to ED Arrival (n=1838), n (%) 0–3 h (n=395, 22%) 3–4.5 h (n=66, 3.4%) Minor symptoms (NIHSS score <5) 208 (11.5) 40 (2.1) SBP >185 mm Hg or DBP >110 mm Hg 61 (3.2) 7 (0.4) Stroke/head trauma in previous 3 mo 20 (2.6) 1 (0.1) INR >1.7 26 (2.1) 4 (0.2) aPTT >40 s 22 (1.1) 7 (0.4) Seizure in acute setting 13 (...) , or reversible before alteplase administration. The prevalence rates of individual exclusion criteria among patients presenting to an emergency department within 3 hours from onset are listed in . In this study, even if all ischemic stroke patients arrived within the treatment time window, only 29% would have been eligible for alteplase. Table 5. Time to Presentation for Acute Ischemic Stroke Study Location Study Population n Median NIHSS Score 0-3 h, % 3-6 h, % 6-24 h, % >24 h, % Unknown de Los Rios la Rosa

2015 American Heart Association

6. Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack Full Text available with Trip Pro

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack | Stroke Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 February 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article (...) Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association , MD, Chair , MD, MSc, MAS, Vice Chair , MD , MD , MBChB, FAHA , MBChB, PhD , MD, MPH , MD, FAHA , MD, MPH, FAHA , MD , MD, PhD , MD, FAHA , MD, MPH, FAHA , PhD, RN, FAHA , MD , PhD , and MD, FAHA MDon behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing

2014 American Heart Association

7. Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack (Secondary Stroke Prevention)

of antithrombotic and anticoagulation therapy after an intracranial hemorrhage and implementation of guidelines. (Stroke. 2014;45:2160-2236.) Key Words: AHA Scientific Statements ? atrial fibrillation ? carotid stenosis ? hypertension ? ischemia ? ischemic attack, transient ? prevention ? stroke Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association The American Academy (...) of the event and the person, including age, event type, comor- bid illness, and adherence to preventive therapy. 10–12 In recognition of the morbidity of recurrent brain ischemia, the aim of the present statement is to provide clinicians with evidence-based recommendations for the prevention of future stroke among survivors of ischemic stroke or TIA. The cur- rent average annual rate of future stroke (˜3%–4%) represents a historical low that is the result of important discoveries in prevention science. 13

2014 Congress of Neurological Surgeons

8. Optimizing the Hachinski Ischemic Scale. (Abstract)

Optimizing the Hachinski Ischemic Scale. Vascular causes and factors remain the most significant preventable component of cognitive disorders of elderly individuals. The Hachinski Ischemic Score (HIS) is the questionnaire most commonly used for diagnosis of vascular dementia.To consolidate and further validate the HIS.The Canadian Study for Health and Aging was used for this study. It was a cohort study conducted in 3 waves in 1991, 1996-1997, and 2001-2002. The HIS containing 13 items (...) was subjected to correspondence analysis to identify its optimal scaling of item scores and minimal set of items while maximizing the explainable variance.A community-based cohort study.For this analysis, we used 2968 of 3054 well-characterized and well-diagnosed cases with complete HIS data (86 cases had ≥1 item missing) from Canadian Study for Health and Aging phases 2 (1996-1997; n = 2431) and 3 (2001-2002; n = 623).Two optimized HIS versions were identified that classify patients with vascular dementia

2011 Archives of Neurology

9. Digit symbol substitution test score and hyperhomocysteinemia in older adults. Full Text available with Trip Pro

Digit symbol substitution test score and hyperhomocysteinemia in older adults. Mounting evidence shows that hyperhomocysteinemia is a risk factor for cognitive decline. This study enrolled subjects with normal serum levels of B12 and folate and performed thorough neuropsychological assessments to illuminate the independent role of homocysteine on cognitive functions.Participants between ages 50 and 85 were enrolled with Modified Hachinski ischemic score of <4, adequate visual and auditory (...) , only the Digit Symbol Substitution (DSS) score was significantly lower in subjects with hyperhomocysteinemia (homocysteine >12 μmol/L) than those with homocysteine ≤12 μmol/L in the elderly group (DSS score: 7.1 ± 2.7 and 9.0 ± 3.0, respectively, beta = -1.6, 95% confidence interval [CI] = -2.8∼-0.5, P = 0.001) and borderline significance was noted in the combined age group (beta = -1.1, 95% CI = -2.1∼-0.1, P = 0.04). We did not find an association between hyperhomocysteinemia and other

2016 Medicine

10. Remote ischemic preconditioning prevents deterioration of short-term postoperative cognitive function after cardiac surgery using cardiopulmonary bypass: results of a pilot investigation. (Abstract)

Remote ischemic preconditioning prevents deterioration of short-term postoperative cognitive function after cardiac surgery using cardiopulmonary bypass: results of a pilot investigation. Remote ischemic preconditioning (RIPC) exerts neuroprotective effects in models of cerebral ischemia-reperfusion injury. The authors tested the hypothesis that RIPC decreases the incidence of postoperative delirium and prevents deterioration of short-term postoperative cognitive function in isoflurane-fentanyl (...) periods of reperfusion (tourniquet deflation).The Intensive Care Delirium Screening Checklist was used to assess delirium before and each day after surgery for as many as 5 consecutive days. Recent verbal and nonverbal memory and executive functions were assessed before and 1 week after surgery using a standard neuropsychometric test battery or at 1-week intervals in nonsurgical controls. The Geriatric Depression and the Hachinski Ischemia scales were used to identify the presence of clinical

2015 Journal of cardiothoracic and vascular anesthesia Controlled trial quality: uncertain

11. Definition and evaluation of transient ischemic attack Full Text available with Trip Pro

of neurological dysfunction resulting from focal cerebral ischemia not associated with permanent cerebral infarction. In the past, TIAs were operationally defined as any focal cerebral ischemic event with symptoms lasting <24 hours. Recently, however, studies from many groups worldwide have demonstrated that this arbitrary time threshold was too broad because 30% to 50% of classically defined TIAs show brain injury on diffusion-weighted magnetic resonance (MR) imaging (MRI). Several groups have advanced newer (...) ischemic stroke and TIA. Review Methods and Key Words This scientific statement is intended for use by physicians and allied health personnel caring for patients with transient neurological symptoms resulting from brain, retinal, and spinal cord ischemia. A formal literature search was performed of the following Medline database: using the search strategy transient ischemic attack crossed with terms definition , epidemiology , incidence , prevalence , prognosis , recurrent stroke , diagnosis , imaging

2009 American Academy of Neurology

12. Traditional Chinese herbal medicine for vascular dementia. Full Text available with Trip Pro

of Diseases 9 or 10; (4) the Hachinski or the Modified Hachinski Ischaemic Score. We required the use of an imaging technique to differentiate VaD from other dementias. We excluded (1) trials with participants diagnosed with mixed dementia or those that did not use an imaging technique to ascertain VaD; (2) trials of NEDL-listed Gingko biloba or Huperzine A as experimental interventions, to avoid duplication of existing Cochrane Reviews; (3) trials using acupuncture alone as the experimental intervention

2018 Cochrane

13. ACR-ASNR-SIR-SNIS Practice Parameter for the Performance of Diagnostic Cervicocerebral Catheter Angiography in Adults

and set of images resulting in identification or exclusion of the suspected pathology or other pathology capable of being identified with arteriography Stroke – a focal neurological deficit lasting >24 hours, typically documented by imaging findings clinically relevant to the deficit Threshold – a specific level of an indicator that should prompt the performance of a review Transient ischemic attack (TIA) – a brief episode of neurological dysfunction caused by focal brain or retinal ischemia (...) A, Hachinski VC. Migraine and the risks from angiography. Arch Neurol. 1988;45(8):911-912. 76. Skalpe IO. Complications in cerebral angiography with iohexol (Omnipaque) and meglumine metrizoate (Isopaque cerebral). Neuroradiology. 1988;30(1):69-72. 77. Spies JB, Berlin L. Complications of femoral artery puncture. AJR Am J Roentgenol. 1998;170(1):9-11. 78. Theodotou BC, Whaley R, Mahaley MS. Complications following transfemoral cerebral angiography for cerebral ischemia. Report of 159 angiograms

2019 American Society of Neuroradiology

14. ACR–ASNR–SNIS–SPR Practice Parameter for the Performance of Cervicocerebral Magnetic Resonance Angiography (MRA)

and set of images resulting in identification or exclusion of the suspected pathology or other pathology capable of being identified with arteriography Stroke – a focal neurological deficit lasting >24 hours, typically documented by imaging findings clinically relevant to the deficit Threshold – a specific level of an indicator that should prompt the performance of a review Transient ischemic attack (TIA) – a brief episode of neurological dysfunction caused by focal brain or retinal ischemia (...) A, Hachinski VC. Migraine and the risks from angiography. Arch Neurol. 1988;45(8):911-912. 76. Skalpe IO. Complications in cerebral angiography with iohexol (Omnipaque) and meglumine metrizoate (Isopaque cerebral). Neuroradiology. 1988;30(1):69-72. 77. Spies JB, Berlin L. Complications of femoral artery puncture. AJR Am J Roentgenol. 1998;170(1):9-11. 78. Theodotou BC, Whaley R, Mahaley MS. Complications following transfemoral cerebral angiography for cerebral ischemia. Report of 159 angiograms

2019 American Society of Neuroradiology

15. Diagnostic evaluation of cryptogenic stroke

. This article seeks to review diagnostic approach to cryptogenic stroke based on available evidence. Standard Evaluation of Ischemic Stroke Acute stroke management involves urgent evaluation with rapid brain imaging by noncontrast CT or magnetic resonance imaging (MRI), electrocardiogram (ECG) and troponins as many patients also present with concurrent cardiac ischemia [6], and standard blood tests. In the emergent setting, blood glucose, serum electrolytes, complete blood count, and coagulation profile (...) . Neurology . 2016;87(10):988-95. Brambatti M, Connolly SJ, Gold MR, et al. Temporal relationship between subclinical atrial fibrillation and embolic events. Circulation . 2014;129(21):2094-9. Sposato LA, Cipriano LE, Saposnik G, Vargas ER, Riccio PM, Hachinski V. Diagnosis of atrial fibrillation after stroke and transient ischaemic attack: a systematic review and meta-analysis. Lancet Neurol . 2015;14(4):377-87. Dussault C, Toeg H, Nathan M, Wang ZJ, Roux JF, Secemsky E. Electrocardiographic monitoring

2019 Clinical Correlations

16. Should Patients Undergo Atrial Fibrillation Screening for Primary Stroke Prevention?

the Atiral Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) study. Am Heart J . 2005;149(4):657-63. Lubitz SA, Yin X, McManus DD, et al. Stroke as the initial manifestation of atrial fibrillation: the Framingham Heart Study. 2017;48(2):490-2. Sposato LA, Cipriano LE, Saposnik G, Vargas ER, Riccio PM, Hachinski V. Diagnosis of atrial fibrillation after stroke and transient ischaemic attack: a systematic review and meta-analysis. Lancet Neurol . 2015;14(4):377-87. January CT, Wann LS (...) be interpreted with caution. While a significant portion of patients with screen-detected AF may qualify for anticoagulation, it is unclear which patients would benefit with improved vascular outcomes. Introduction Atrial fibrillation (AF) is a sustained arrhythmia commonly encountered in clinical practice, especially in those over age 65. [1,2]. However, absence of symptoms does not confer a better prognosis and is [3]. Up to 5% of patients with AF present with ischemic stroke as their first manifestation

2018 Clinical Correlations

17. Diagnosis and Treatment of Peripheral Arterial Diseases Full Text available with Trip Pro

-CLI Best Endovascular vs. Best Surgical Therapy in Patients with Critical Limb Ischaemia BMT Best medical therapy BP Blood pressure CABG Coronary artery bypass grafting CAD Coronary artery disease CAPRIE Clopidogrel versus Aspirin in Patients at Risk of Ischaemic Events CAPTURE Carotid ACCULINK/ACCUNET Post-Approval Trial to Uncover Rare Events CARESS Clopidogrel and Aspirin for the Reduction of Emboli in Symptomatic carotid Stenosis CASPAR Clopidogrel and Acetylsalicylic Acid in Bypass Surgery (...) for Endarterectomy SAPT Single antiplatelet therapy SBP Systolic blood pressure SFA Superficial femoral artery SPACE Stent Protected Angioplasty versus Carotid Endarterectomy STAR Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function TAMARIS Efficacy and Safety of XRP0038/NV1FGF in Critical Limb Ischaemia Patients With Skin Lesions TAVI Transcatheter aortic valve implantation TBI Toe-brachial index TcPO 2 Transcutaneous oxygen pressure TIA Transient ischaemic attack

2017 European Society of Cardiology

18. ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay

of bradycardia and cardiac conduction disorders is summarized, this guideline is not intended to be an exhaustive review. Rather, it focuses on practical clinical evaluation and management. Specific objectives and goals include: • Describe the clinical significance of bradycardia with respect to mortality, symptoms (e.g., syncope, impaired functional capacity), and exacerbations of associated disorders (e.g., ischemia, heart failure, provoked tachyarrhythmias). • Address inherited and acquired disorders (...) of the sinus node, atrioventricular node, His-Purkinje fibers, and intramyocardial conducting tissue, including the effects of medications, aging, metabolic derangements, trauma, radiation, infiltrative, ischemic, and inflammatory disorders, infectious and toxic agents, and iatrogenic factors. • Delineate the clinical presentation and general approach to clinical evaluation of patients with overt or suspected bradycardias or conduction diseases. • Comprehensively evaluate the evidence supporting

2018 American College of Cardiology

19. Improving Quality of Life: Substance Use and Aging

older adults considered themselves to be successful agers despite having chronic medical conditions. A similar pattern was documented by Vahia and colleagues (2010) in a study of 1,979 women over age 60. Respondents were asked to rate themselves on a scale from 1 (not successfully aging) to 10 (successfully aging). Nearly 90% of older women rated themselves with a score of 7 or higher despite only 15% of the sample reporting absence of disease and only 38% reporting freedom from disability (see also

2018 Canadian Centre on Substance Abuse

20. Defining Optimal Brain Health in Adults Full Text available with Trip Pro

system disease in terms of decline from previously documented levels of function or as adequacy to perform all activities that the individual wishes to undertake. Pragmatic Criteria to Evaluate and Promote Optimal Brain Health Throughout the Life Span Actionable criteria need to focus on age-appropriate sensitive measures and modifiable risk factors. Screening tests for brain health range from structured or semistructured questionnaires that score self-assessments or close family member assessments (...) by diffusion tensor imaging and functional MRI, respectively. , On a population level, International Classification of Diseases, 10th Revision –coded clinical diagnoses are more practical to assess than competencies or metrics of brain structure. In addition, surveillance of certain outcomes such as stroke, dementia, and mortality from these causes is more reliable than the surveillance of milder clinical disease expressions such as transient ischemic attack (defined as a transient focal neurological

2017 American Heart Association

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