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Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Ischemic Stroke l: Introduction01:15

Ischemic Stroke l: Introduction

Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...

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Related Experiment Video

Updated: Jun 28, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Patients with acute stroke admitted on the second visit.

Makoto Nakajima1, Teruyuki Hirano, Makoto Uchino

  • 1Department of Medicine, Kumamoto Rosai Hospital, Yatsushiro, Japan. nakazima@fc.kuh.kumamoto-u.ac.jp

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|November 6, 2008
PubMed
Summary

Physicians sometimes discharge stroke patients home prematurely. Alertness, sensory disturbance, or lack of paralysis may lead to this decision, impacting acute hospital treatment needs.

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Last Updated: Jun 28, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Area of Science:

  • Neurology
  • Public Health
  • Healthcare Management

Background:

  • Identifying characteristics of stroke patients discharged home despite needing acute care is crucial for patient safety and resource allocation.
  • Understanding premature discharge patterns can inform clinical decision-making and improve acute stroke management protocols.

Purpose of the Study:

  • To identify patient characteristics associated with initial discharge from acute hospital care following ischemic stroke.
  • To analyze factors influencing physicians' decisions to discharge stroke patients who may still require hospitalization.

Main Methods:

  • Retrospective analysis of 611 consecutive ischemic stroke patients admitted within 7 days of onset.
  • Comparison of characteristics and symptoms between directly admitted and readmitted patients.
  • Logistic regression modeling to identify independent predictors of initial discharge.

Main Results:

  • 10.0% of patients (61) were initially discharged home.
  • Factors associated with initial discharge included evaluation by non-neurologists, hypertension, absence of consciousness disturbance, absence of paralysis, and presence of sensory disturbance.
  • Hypertension and evaluation by neurologists were more frequent in the directly admitted group.

Conclusions:

  • Physicians may underestimate the need for acute hospital admission in alert stroke patients, particularly those with sensory disturbances or no paralysis.
  • Clinical judgment regarding admission needs to consider a broader range of stroke symptoms and patient factors to prevent premature discharge.