Mohana Maddula (@mpmaddula) 's Twitter Profile
Mohana Maddula

@mpmaddula

Stroke & Eldercare Physician. Views are my own

ID: 1372104956346429442

calendar_today17-03-2021 08:38:30

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Alasdair MacLullich (@a_maclullich) 's Twitter Profile Photo

The strong link between #delirium & mortality is not prominent enough in the minds of most acute care staff In this study a positive delirium test (4AT) predicted nearly 50% MORTALITY AT ONE YEAR

The strong link between #delirium & mortality is not prominent enough in the minds of most acute care staff

In this study a positive delirium test (4AT) predicted nearly 50% MORTALITY AT ONE YEAR
Sahil Bloom (@sahilbloom) 's Twitter Profile Photo

Your entire life will change when you accept one truth: You don't plan your future. You plan your actions today, and those actions create your future.

World Stroke Academy (@worldstrokeed) 's Twitter Profile Photo

#MondayTip 🔎 In #ESUS, multiple embolic sources often coexist & are underestimated. ⚠️ Don’t chase one cause—European Society of Cardiology stroke council recommends assessing overall thromboembolic risk doi.org/10.1093/eurhea…

#MondayTip

 🔎 In #ESUS, multiple embolic sources often coexist & are underestimated.
 ⚠️ Don’t chase one cause—<a href="/escardio/">European Society of Cardiology</a> stroke council recommends assessing overall thromboembolic risk

doi.org/10.1093/eurhea…
Stephan A Mayer (@stephanamayer) 's Twitter Profile Photo

The implications of this study are clear. Don’t withhold TNK her patient within the 4.5 hour window, even if they are going to go onto thrombectomy @NoLVOLeftBehind nejm.org/doi/10.1056/NE…

Sean Ninan (@sean9n) 's Twitter Profile Photo

1.8% of patients CFS 6-9 survived to discharge. resuscitationjournal.com/article/S0300-… In this study by Lucy Pollock , those patients who do survive to discharge often have QoL not compatible with their values. pubmed.ncbi.nlm.nih.gov/31519712/

Sahil Bloom (@sahilbloom) 's Twitter Profile Photo

An underrated life lesson: Your energy creates your reality. Give your energy to stress, complaints, and negative people, they will grow. Give your energy to ambitions, gratitude, and positive people, they will grow. Your energy is your destiny. Choose wisely.

Mohana Maddula (@mpmaddula) 's Twitter Profile Photo

Great to see Radiology & Stroke clinicians come together to learn about CTP. We need this for #strokecare Thanks to all speakers and a special shout out to Rayessa Rayessa for coming down all the way from Hull! David Hargroves 💙

Great to see Radiology &amp; Stroke clinicians come together to learn about CTP. We need this for #strokecare 
Thanks to all speakers and a special shout out to <a href="/rayessastroke/">Rayessa Rayessa</a> for coming down all the way from Hull! <a href="/HargrovesDavid/">David Hargroves 💙</a>
World Stroke Academy (@worldstrokeed) 's Twitter Profile Photo

#MondayTip #DWI_negative AIS 📊Meta-analysis, 3,236pt➡️6.8% had clinical diagnosis of AIS w/DWI (-) 🔑Post. circulation is key: 5x greater odds of (-) DWI vs anterior strokes ⏰Timing & size matter ☝️While DWI is highly sensitive, it can still be falsely (-) in selected AIS cases

#MondayTip
#DWI_negative AIS
📊Meta-analysis, 3,236pt➡️6.8% had clinical diagnosis of AIS w/DWI (-)
🔑Post. circulation is key: 5x greater odds of (-) DWI vs anterior strokes
⏰Timing &amp; size matter
☝️While DWI is highly sensitive, it can still be falsely (-) in selected AIS cases
Alasdair MacLullich (@a_maclullich) 's Twitter Profile Photo

The 2024 Lancet Commission stated that there are multiple preventable risk factors for #dementia. Addressing these factors may reduce future risk but there is a lack of interventional studies.

The 2024 Lancet Commission stated that there are multiple preventable risk factors for #dementia. Addressing these factors may reduce future risk but there is a lack of interventional studies.
World Stroke Academy (@worldstrokeed) 's Twitter Profile Photo

#MondayTip #BloodPressure management in Acute Ischemic Stroke ☝️Stability > aggressiveness 🚑Pre-reperfusion: #tolerate high BP (<185/110 if IVT, <220/120 if no reperfusion). 💉Post-reperfusion: #avoid intensive lowering, safer range is ~140–180 mmHg 🆓doi.org/10.1007/s11910…

#MondayTip
#BloodPressure management in Acute Ischemic Stroke
☝️Stability &gt; aggressiveness
🚑Pre-reperfusion: #tolerate high BP (&lt;185/110 if IVT, &lt;220/120 if no reperfusion). 
💉Post-reperfusion: #avoid intensive lowering, safer range is ~140–180 mmHg

🆓doi.org/10.1007/s11910…
Mohana Maddula (@mpmaddula) 's Twitter Profile Photo

Just when we thought TNK it is … In patients with salvageable brain tissue identified by perfusion imaging who did not initially receive MT, alteplase given 4.5 to 24 hours after acute ischemic stroke onset improves outcomes jamanetwork.com/journals/jama/…