Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, April 11, 2020

Echocardiography-derived stroke volume index is associated with adverse in- hospital outcomes in intermediate-risk acute pulmonary embolism: A retrospective cohort study

SO FUCKING WHAT? Describing a problem with no provided solution or even a way to solve it is a fireable offense in my book.  Some stroke leader needs to lay down the law on stroke research requirements. 

  1. Protocols are created with efficacy ratings for every intervention.

  2. 100% recovery for all is the goal of all stroke research.

  3. No survivor is left behind.

  4. Distribution of protocols to every stroke doctor and hospital is required, OR  you distribute them to every 10 million yearly survivors every year from now on.

Echocardiography-derived stroke volume index is associated with adverse in- hospital outcomes in intermediate-risk acute pulmonary embolism: A retrospective cohort study

ChestProsperi-Porta G, et al. | April 06, 2020

This study was undertaken to investigate the association between echocardiography-derived stroke volume index (SVI) and death or cardiopulmonary decompensation in intermediate-risk patients with pulmonary embolism (PE).(How are these deaths preventable?) Echocardiographic-derived variables involving SVI were retrospectively examined in normotensive individuals with acute pulmonary embolism admitted between January 2012 and March 2017. Applying the Doppler velocity-time integral in the left or right ventricular outflow tract,  SVI was ascertained. The primary endpoint included in-hospital PE-related death or cardiopulmonary decompensation. A logistic regression was applied to ascertain the relationship between SVI and outcomes, and receiver operating characteristic analysis to compare the performance of SVI and other echocardiographic measures. Association was found between low SVI and in-hospital death or cardiopulmonary decompensation in acute PE. This study found excellent performance of SVJ in comparison with other clinical and echocardiographic variables.
Read the full article on Chest

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