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Related Concept Videos

Regulation of Stroke Volume01:27

Regulation of Stroke Volume

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The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
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Updated: Dec 25, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Stroke prevention and control system in China: CSPPC-Stroke Program.

Bao-Hua Chao1, Feng Yan2, Yang Hua2

  • 1The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China, Beijing, China.

International Journal of Stroke : Official Journal of the International Stroke Society
|April 1, 2020
PubMed
Summary
This summary is machine-generated.

China

Keywords:
ChinaStrokestroke centerstroke prevention and control system

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Area of Science:

  • Public Health
  • Neurology
  • Health Services Research

Background:

  • Stroke is a leading cause of death and disability in China.
  • The China Stroke Prevention Project Committee (CSPPC) was established in 2011 to address this challenge.
  • Significant government funding supports stroke prevention and control initiatives.

Purpose of the Study:

  • To evaluate the impact of the CSPPC's stroke prevention and control program.
  • To assess the establishment and effectiveness of stroke centers and associated networks.
  • To analyze improvements in stroke care metrics, including pre-hospital and door-to-needle times.

Main Methods:

  • Implementation of a national stroke center network and a "Green Channel" system.
  • Establishment of three "1-hour gold rescue circles" focusing on onset-to-call, pre-hospital transfer, and door-to-needle times.
  • Monitoring of stroke care quality via the China Stroke Data Center Data Reporting Platform.
  • Analysis of stroke screening and follow-up data for millions of individuals (2012-2018).

Main Results:

  • Over 8.3 million people received stroke screening and follow-up across 31 provinces.
  • 380 stroke centers were established by December 2018.
  • Median door-to-needle time decreased by 4.0% (50 to 48 minutes) from 2017-2018.
  • Median onset-to-needle time decreased by 2.8% (180 to 175 minutes) from 2017-2018.

Conclusions:

  • The CSPPC Stroke program has significantly improved stroke care in China.
  • The "1-1-1" initiative and stroke center network show positive impacts on treatment times.
  • Nationwide promotion and continued monitoring are recommended for further advancements in stroke care.