Disability After Stroke

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Published in JAMA Neurology.¹ a population based prospective cohort study with longitudinal follow-up looking at disability trajectories after stroke compared with myocardial infarction (MI).

Turns out compared with MI disability trajectories after stroke are markedly increased greater than 3 fold. This increased trajectory was also markedly different than before either stroke or MI.

The take home message according to the authors: In addition to the acute event, stroke may be associated with treatable long-term adverse events that result in accelerated functional decline.

References:

1. Dhamoon MS, Longstreth WT Jr, Bartz TM, et al. Disability Trajectories Before and After Stroke and Myocardial Infarction: The Cardiovascular Health Study. JAMA Neurol. 2017 Oct 23. doi: 10.1001/jamaneurol.2017.2802. [Epub ahead of print]