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.

Friday, February 9, 2024

ED evaluation of stroke-like symptoms may be more traumatic than actual stroke diagnosis

 Does your competent? doctor have a protocol for treating such PTSD?

Maybe ecstasy? Or

Psychoactive Ibogaine and Magnesium Show Promise for PTSD

The latest here:

ED evaluation of stroke-like symptoms may be more traumatic than actual stroke diagnosis

Key takeaways:

  • Hospitalization for stroke-like symptoms was tied to higher odds of PTSD at 1 month than true stroke diagnosis.
  • Preexisting PTSD was linked to higher odds of 1-month PTSD, regardless of the final diagnosis.

Patients who are hospitalized with stroke-like symptoms, but do not experience a stroke, may yet develop PTSD at a higher rate than patients who actually had a stroke, a speaker reported.

Stroke-like symptoms — or stroke mimics — included migraine, numbness and dizziness.

Emergency room
Hospitalization for stroke-like symptoms was tied to higher odds of PTSD at 1 month than true stroke diagnosis.

Image: Adobe Stock

Findings from the ReACH Stroke study were presented at the International Stroke Conference.

“Stroke mimics matter. As clinicians, we may be quick to dismiss a patient’s less life-threatening diagnosis, such as migraine or vertigo. However, these patients may experience significant psychological distress, which can increase their risk for poorer cardiovascular health,” Melinda Chang, MS, ANP-BC, research nurse at the Center for Behavioral Cardiovascular Health at Columbia University Irving Medical Center, said in a press release. “Knowing that being evaluated for stroke in an emergency department can itself be a traumatic experience for many people may help health care professionals recognize PTSD symptoms and connect patients quickly to the appropriate resources.

“Stroke specialists typically view stroke mimics as less serious than a confirmed stroke, so we did not expect patients with stroke mimics to be at higher risk for having PTSD at 1-month follow-up,” Chang said. “However, the neurologists on our team have noted that patients with stroke mimics can suffer significant distress from their stroke-like conditions, so our findings support these clinical experiences.”

To assess the association between stroke mimic, stroke or transient ischemic attack diagnosis and likelihood of PTSD 1 month after the index event, Chang and colleagues enrolled 1,000 patients with suspected stroke or TIA (mean age, 62 years; 51% women) who presented at the Columbia University Irving Medical Center from June 2016 to March 2022.

PTSD was evaluated using the PTSD Checklist-5 at index hospitalization and at 1 month after discharge.

The patients’ charts were reviewed by a neurologist, who was masked to PTSD status and provided a final diagnosis of stroke, TIA, stroke mimic or equivocal.

Overall, 59.6% of the cohort was diagnosed with stroke, 7.9% with TIA and 27.4% with stroke mimic, whereas 5.1% was equivocal or missing.

The researchers reported that the most common stroke mimics were migraine and other headaches, peripheral or cranial neuropathy and peripheral vertigo.

At 1 month, the prevalence of PTSD was 15.1% for patients with stroke mimic, 6.3% for those with stroke and 5.5% for those with TIA.

After adjusting for age, gender, ethnicity, NIH Stroke Scale, modified Rankin Scale score and prior PTSD, the odds for PTSD at 1 month were higher for patients diagnosed with a stroke mimic compared with those who actually experienced a stroke (OR = 2.99, 95% CI, 1.45-6.18; P < .01) but not TIA (P = .45).

Preexisting PTSD was the only covariate linked to PTSD at 1 month and was associated with a 10-fold increased likelihood across all diagnoses (OR = 10.32; 95% CI, 5.3-20.1; P < .01), according to the study.

“It is important for people who are evaluated for stroke to know they are not alone if they experience flashbacks, disrupted sleep or feel on edge after their medical event. They should feel comfortable and empowered to report any concerning symptoms to their health care team so they can get the help they need,” Chang said in the release.

Reference:

Sources/Disclosures

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Source:

Chang M, et al. Abstract Poster WP35. Presented at: International Stroke Conference; Feb. 7-9, 2024; Phoenix.

Disclosures: Chang reports no relevant financial disclosures.

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