#abcd2

[obakanosandoitchi]

Short Term Stroke Risk

#ABCD2 Score #medblr #medblog #flashcards

[mcatmemoranda]

ABCD2: age, blood pressure, clinical features, duration of symptoms, and diabetes; DAPT: dual antiplatelet therapy (eg, aspirin and clopidogrel, or aspirin and ticagrelor); BP: blood pressure; SBP: systolic blood pressure; DBP: diastolic blood pressure. * Indications for long-term oral anticoagulation include embolism prevention for patients with atrial fibrillation, ventricular thrombus, mechanical heart valve, and treatment of venous thromboembolism.

OA: oral anticoagulants; IVT: intravenous thrombolysis; MT: mechanical thrombectomy; NIHSS: National Institutes of Health Stroke Scale; DAPT: dual antiplatelet therapy (eg, aspirin and clopidogrel, or aspirin and ticagrelor). * Refer to text and associated algorithm for details. ¶ Brain and large vessel imaging, cardiac evaluation, and (for select patients) other laboratory tests. Δ For severe systemic or symptomatic intracranial bleeding, withhold all anticoagulant and antiplatelet therapy for one to two weeks or until the patient is stable.

Tx of Acute Ischemic CVA from UpToDate:

Immediate treatment– All patients with acute ischemic stroke should be evaluated to determine eligibility for reperfusion therapy with intravenous thrombolysis and/or mechanical thrombectomy, and aspirin and other antithrombotic agents should not be given alone or in combination for the first 24 hours following treatment with intravenous thrombolysis.

Otherwise, antiplatelet agents should be started as soon as possible after the diagnosis of transient ischemic attack (TIA) or ischemic stroke is confirmed, even before the evaluation for ischemic mechanism is complete. For most patients with no indication for long-term oral anticoagulation who have TIA (algorithm 2 [first algorithm above]) or ischemic stroke (algorithm 3 [second algorithm above]), we start antiplatelet therapy as follows:

•Aspirin alone – For patients with a low-risk TIA, defined by an ABCD2 score <4 (table 2), or moderate to major ischemic stroke, defined by a National Institutes of Health Stroke Scale (NIHSS) score >5 (table 3), we start treatment with aspirin (162 to 325 mg daily) alone.

•DAPT – For patients with a high-risk TIA, defined by an ABCD2 score ≥4 (table 2), or minor ischemic stroke, defined by a NIHSS score ≤5 (table 3), we begin with dual antiplatelet therapy (DAPT) for 21 days using aspirin (160 to 325 mg loading dose, followed by 50 to 100 mg daily) plus clopidogrel (300 to 600 mg loading dose, followed by 75 mg daily) rather than aspirin alone.

●Treatment by ischemic mechanism – Once the evaluation for TIA or stroke is complete, early antithrombotic therapy can be modified if necessary (algorithm 4 and algorithm 5) according to the ischemic mechanism:

•Atrial fibrillation – For patients with TIA or ischemic stroke who have atrial fibrillation, oral anticoagulation with warfarin or a direct oral anticoagulant (DOAC) is recommended for secondary stroke prevention. Oral anticoagulation can be started immediately for patients with TIA, and soon after stroke onset for medically stable patients with a small- or moderate-sized infarct and no bleeding complications or uncontrolled hypertension. For patients with large infarctions, symptomatic hemorrhagic transformation, or poorly controlled hypertension, withholding oral anticoagulation for one to two weeks is generally recommended.

•Intracardiac thrombus – For patients with acute cardioembolic TIA or ischemic stroke who have intracardiac thrombus in the left ventricle or associated with mechanical or native heart valves, we suggest early parenteral anticoagulation rather than aspirin (Grade 2C). This approach is controversial.

•No indication for anticoagulation – For most patients without atrial fibrillation or another indication for long-term oral anticoagulation, the initial antiplatelet regimen can be continued; for patients with low-risk TIA or moderate to severe stroke, we recommend aspirin monotherapy (160 to 325 mg daily) (Grade 1A). For patients with high-risk TIA or minor ischemic stroke, we recommend DAPT using aspirin and clopidogrel for 21 days rather than aspirin alone (Grade 1A).

However, certain additional modifications may apply:

-Carotid revascularization – Aspirin monotherapy is preferred by some experts prior to carotid endarterectomy, while DAPT is preferred by others. DAPT is recommended prior to and continuing for 30 days after carotid artery stenting.

-Intracranial large artery atherosclerosis – For patients with TIA or ischemic stroke attributed to intracranial large artery atherosclerosis stenosis of 70 to 99 percent, we suggest DAPT for 90 days.

-Dissection – The antithrombotic treatment of TIA or ischemic stroke caused by large artery dissection is discussed in detail separately.

●Long-term antiplatelet therapy – Beyond the acute phase of TIA and ischemic stroke, and in the absence of an indication for oral anticoagulation, long-term single-agent antiplatelet therapy for secondary stroke prevention should be continued with aspirin, clopidogrel, or aspirin-extended-release dipyridamole. Long-term DAPT with aspirin and clopidogrel is not recommended.

#ischemic stroke #TIA

[welidot]

Ira Dubey

This Biography is about one of the best Actress Ira Dubey including her Height, weight, Age & Other Detail… Express info Real Name Ira Dubey Nickname Not Known Profession Actress Age (as in 2023) 38 Years old Physical Stats & More Info Height in centimeters- 163 cm in meters- 1.63 m in Feet Inches- 5' 4” Weight in Kilograms- 52 kg in Pounds- 115 lbs Figure Measurements 33-25-34 Eye Colour Black Hair Colour Black Personal Life of Ira Dubey Date of Birth 1 August 1984 Birth Place Mumbai, Maharashtra, India Zodiac sign/Sun sign Leo Nationality Indian Hometown Mumbai, Maharashtra, India School The Cathedral & John Connon School, Mumbai College St. Xavier's College, Mumbai Yale University, New Haven, Connecticut, USA Educational Qualifications Bachelors in English Literature Majored in Theater Studies Debut Film Debut: Marigold (2007) Family Father- Ravi Dubey (former senior vice-president, corporate communications, in the Tata Group) Mother- Lillete Dubey (Actress) Brother- N/A Sister- Neha Dubey Religion Hindu Hobbies Travelling and yoga Controversies Not Known Favourite Things of Ira Dubey Favourite Food Italian food, chocolates and gulab jamun Favourite Actor Akshay Kumar, Ranveer Singh, Shahid Kapoor, Hrithik Roshan and Arjun Rampal Favourite Actress Madhuri Dixit, Deepika Padukone and Aishwarya Rai Favourite Films Bollywood: ABCD2 Hollywood: The Japanese Wife Favourite Colour Black Favourite Perfume Chanel’s Coco Mademoiselle and Jean Paul Gaultier Classique Favourite Restaurant New Yorker in Mumbai Boys, Affairs and More of Ira Dubey Marital Status Unmarried Affairs/Boyfriends Not Known Husband N/A This Biography Written By www.welidot.com Read the full article

[darlene-mccoy]

[awkwardqueenofhell]

Sorry to... burst your bubble

i'll see myself out.

Prabhu Deva proving that this movie is in fact 3D - ABCD 2

#Prabhu Deva #Bollywood #ABCD2 #Indian film #Indian cinema #i don't know what's wrong with me #i am really this lame

[raghavfam]

Tiger🐅 ko jana Hoga show se 😳😂🤣 💝📲Follow this page for such amazing video🔥🎥😍 -----Admin @raghavfam_ ⏩If you want to get featured 🔎 on our page then send your video in DM 💌📽📩 ---------------------- #danceworld0204 #dancersofig #dancerlife #dancersforlife #bellydancers #poledancers #dancergirl #superdancer #Indiasdancingsuperstar #superdancerchapter3 #danceauditions #deepikapadukon #apnatimeayega #abcd #abcd2 #raghavkechutkule #paulmarshal #dancechoreography #shaktimohan #emiway #divine #raftaar #polo #zara #danceshoe #danceworld0204 💯©️™️ https://www.instagram.com/p/CCp0YyNB2BX/?igshid=9gcw2yyuug1g

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[easterlyqueen]

#shraddhakapoor #abcd2 #half girlfriend #happybirthday #fireworks #love

[sohamoganiyasingeruniverse-blog]

O Jeena Jeena Jeena Re Uda Gulaal Mayi Teri Chunariyan Laherai...I Just Tried To Sing In My Voice... #OJeenajeenajeenare #chunar #arijitsingh #instareels #instastars #instagramsingers #singer #abcd2 #varundhawan #shraddhakapoor https://www.instagram.com/p/CRodLT8J46W/?utm_medium=tumblr

#ojeenajeenajeenare #chunar #arijitsingh #instareels #instastars #instagramsingers #singer #abcd2 #varundhawan #shraddhakapoor

[wowhealthfitness20]

Prabhu Deva To Tie the Knot Again, Nine Years After Divorce: Report Director, actor and choreographer Prabhu Deva known for his mind-blowing dancing moves and decent acting might be tying the knot pretty soon.

#abcd2 #bollywood #choreographer #Director #marriage #Prabhu Deva #Tamil film industry

[celebanything]

DID YOU KNOW..? 🙂 The movie ‘ABCD 2’ required Shraddha to master her dance skills. For this, She worked hard with sheer determination and got her skills right. Moreover, She injured herself during this procedure. . . . . #shraddhakapoor #Shraddha #celebanything #facts #didyouknow #did #u #know #celebs #unknownfact #abcd #abcd2 #injured #herself #worked #hard #danceskills #skills #share #fact #instagram #instafan #instamotivation #mind #mindgrowth #instapollywood #bollywood https://www.instagram.com/p/CCtZUORFuS0/?igshid=xducf53y4dvy

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[moviematemedia]

Class Act! During The Pandemic, @VarunDhawan Has Been Sending Out Money Every Month To The Background Dancers He Worked With For #ABCD2 & #StreetDancer3D. #varundhawan #beinghuman #supporting #bollywood #actor #dancer #bollywoodeagle #insta #instadaily #MoviemateMedia https://www.instagram.com/p/CCdO7PNpcL0/?igshid=1wmd5gtkse8lm

#abcd2 #streetdancer3d #varundhawan #beinghuman #supporting #bollywood #actor #dancer #bollywoodeagle #insta #instadaily #moviematemedia

[welidot]

#iradubeyactress #iradubeyad #iradubeyage #iradubeyandravidubey #iradubeyandsonamkapoor #iradubeybiography #iradubeybirha #iradubeyboyfriend #iradubeydateofbirth #iradubeyfather #iradubeyindearzindagi #iradubeyinstagram #iradubeymarried #iradubeymom #iradubeymother #iradubeymovies #iradubeysister

[mredlich21]

Varun Dhawan Week: Pick His Best Looks!

Varun Dhawan Week: Pick His Best Looks!

He doesn’t have that much variation in the looks, but there is some there! At least enough for us to be judgemental (it doesn’t take much).

(more…)

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#ABCD2 #Badrinath ki Dulhania #Birthday #Judwaa 2 #Varun Dhawan

[iaryankhan-blog]

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[potter-and-more-edits-blog]

Sun Saathiya from ABCD 2

#sun saathiya #shraddha kapoor #varun dhawan #ABCD2 #my edit #mine

[queenareeba]

#newpost #shraddhakapoor 🖤🖤🖤 . . #shraddhakapoorhot #shraddhadas #shraddha_kapoor #shraddhasrinath #shraddhagems #shraddhakapoorsuperfans #shraddhakapoorfans #shraddhakapoorlovers #shraddhalovers #shraddhakapoorworld #shraddhafans #ekvillian #okjaanu #aashiqui2 #abcd2 #halfgirlfriend #saaho #chhichhore #stree #baaghi #شرادها_كابور #ممثلات_هنديات https://www.instagram.com/p/B5IKlNOovoz/?igshid=183a1q2ueg730

#newpost #shraddhakapoor #shraddhakapoorhot #shraddhadas #shraddha_kapoor #shraddhasrinath #shraddhagems #shraddhakapoorsuperfans #shraddhakapoorfans #shraddhakapoorlovers #shraddhalovers #shraddhakapoorworld #shraddhafans #ekvillian #okjaanu #aashiqui2 #abcd2 #halfgirlfriend #saaho #chhichhore #stree #baaghi #شرادها_كابور #ممثلات_هنديات