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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...

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Related Experiment Video

Updated: May 19, 2026

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
07:42

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients

Published on: December 16, 2022

Cognitive screening in the acute stroke setting.

Daniel J Blackburn1, Leila Bafadhel, Marc Randall

  • 1Academic Neurology Unit, University of Sheffield, Sheffield Institute for Translational Neuroscience, 385a Glossop Road, Sheffield, S. Yorks S10 2HQ, UK. d.blackburn@shef.ac.uk

Age and Ageing
|August 28, 2012
PubMed
Summary
This summary is machine-generated.

The Montreal Cognitive Assessment (MoCA) is a quick and effective tool for identifying cognitive impairment in acute stroke patients. It is more sensitive than the Mini-Mental State Examination (MMSE) and can be completed in under 10 minutes.

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Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
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Published on: June 6, 2025

Area of Science:

  • Neurology
  • Cognitive Science

Background:

  • Two-thirds of stroke patients experience cognitive impairment at 3 months, impacting function and mortality.
  • UK guidelines mandate cognitive assessment within 6 weeks post-stroke.
  • No definitive "gold standard" cognitive screening tool exists.

Purpose of the Study:

  • To evaluate the Montreal Cognitive Assessment (MoCA) as a screening tool for cognitive impairment in acute stroke patients.
  • To compare the sensitivity of MoCA with the Mini-Mental State Examination (MMSE).

Main Methods:

  • A convenience sample of 50 stroke or transient ischemic attack (TIA) patients were screened within 14 days of admission.
  • Both MoCA and MMSE were administered to assess cognitive function.

Main Results:

  • 70% of patients showed impairment on MoCA (cut-off <26), compared to 26% on MMSE (cut-off <27).
  • The mean MoCA score was 21.80, while the mean MMSE score was 26.98.
  • MoCA completion time was under 10 minutes for 90% of patients.

Conclusions:

  • MoCA is a rapid and user-friendly tool for acute stroke settings.
  • Further research is needed to validate MoCA's predictive ability for long-term cognitive and functional status post-stroke.
  • Optimal MoCA cut-off scores for acute post-stroke cognitive impairment require further investigation.