The Demo Site

General Stroke Guidelines

• Definitive Stroke Guidelines (2009)
  American Heart Association
• Canadian Best Practice Recommendations for Stroke Care (2006)
  Canadian Stroke Network
• A supplement to the Canadian Stroke Strategy Canadian Best Practices Recommendations for Stroke Care (Update 2008)
  Canadian Stroke Network
• Stroke Consensus Statements (2008)
  7th Karolinska Stroke Update
• National Clinical Guidelines for Stroke, 2nd Edition (June 2004)
  Royal College of Physicians
  • Tables of Evidence, 2nd Edition
  • Concise Guide, 2nd Edition
  • Primary Care Concise Guidelines for Stroke, 2nd Edition
• Recognition and Treatment of Stroke in Children (2000)
  Brain Attack Coalition - Ad Hoc Committee on in Children
• American Heart Association Prevention Conference IV: Prevention and Rehabilitation of Stroke
  Executive Summary (see individual sections below)
  Journal link: Circulation (log in may be required)
• Recognition and Treatment of Stroke in Children (Updated 2005)
  The Child Neurology Society Ad Hoc Committee on Stroke in Children. (National Institute for Neurologic Disorders and Stroke)

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Acute Stroke Management

• Indications for the Performance of Intracranial Endovascular Neurointerventional Procedures (2009) American Heart Association Scientific Statement Journal link: Circulation
• Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage Stroke (2009) American Heart Association Scientific Statement
  Journal link: Stroke
• Partnering to Reduce Risks and Improve Cardiovascular Outcomes (2009) American Heart Association Scientific Statement
  Journal link: Circulation
• The American Heart Association's 2008 Statement of Principles for Healthcare Reform (2008) American Heart Association Scientific Statement Journal link: Circulation
• AHA/ASA Policy Statement: Implementation Strategies for Emergency Medical Services Within Stroke Systems of Care (2007) American Heart Association Scientific Statement Journal link: Stroke
• Guidelines for the Early Management of Patients With Ischemic Stroke(2007) American Heart Association Scientific Statement Journal link: Stroke
• Guidelines for the Management of Spontaneous Intracerebral Hemorrhage in Adults (2007 Update) American Heart Association Journal link: Circulation
• Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke (2006)
  A Scientific Statement From the American Heart Association Council on Cardiovascular Nursing and Stroke Council
  
• Stroke Management (2004)
  Karolinska Stroke Update
• Blood Pressure Control and Secondary Stroke Prevention (2004)
  Karolinska Stroke Update
• Reperfusion in Acute Occlusive Stroke (2004)
  Karolinska Stroke Update
• Antiplatelet Therapy (2004)
  Karolinska Stroke Update
• Prophylaxis and Treatment - Information for doctors in hospitals and practice - Update 2003/2004
  European Stroke Initiative
• European Stroke Initiative Recommendations for Stroke Management - Update 2003
• Anticoagulants and Antiplatelet Agents in Acute Ischemic Stroke (2002)
  American Heart Association Scientific Statement
  Journal link: Stroke (log in may be required)
• Use of Intravenous tPA for the Management of Acute Stroke in the Emergency Department (2002)
  American College of Emergency Physicians
• Thrombolysis for Acute Ischemic Stroke (2007)
  Thrombosis Interest Group of Canada
• Brain Attack Coalition - Acute Stroke Toolbox
  Tools for health care professionals developing systems to enable the rapid diagnosis and treatment of acute stroke. Includes patient management guidelines and pathways.
• Guide to Anticoagulant Therapy: Heparin (2001)
  American Heart Association Scientific Statement
  Journal link: Circulation (log in may be required)
• Recommendations for clinical trial evaluation of acute stroke therapies (2001)
  Stroke Therapy Academic Industry Roundtable II (STAIR-II).
  Journal link: Stroke (log in may be required)
• Thrombolysis for Acute Ischemic Stroke (2001)
  Consensus Statement of the 3rd Karolinska Stroke Update
  Journal link: Stroke (log in may be required)
• Antithrombotic and thrombolytic therapy for ischemic stroke (2001)
  From: Sixth ACCP Consensus Conference on Antithrombotic Therapy
  Journal link: Chest (log in may be required)
• Addendum to the Supplement to the Guidelines for the Management of Transient Ischemic Attacks (2000)
  American Heart Association Scientific Statement
  Journal link: Stroke
• AHA/ACC Conference Proceedings: Measuring and Improving Quality of Care (2000)
  American Heart Association Scientific Statement
  Journal link: Circulation
• Acute Treatment of Ischemic Stroke (2000)
  European Stroke Initiative ( version)
• Recommendations for the Management of Patients With Unruptured Intracranial Aneurysms (2000)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke (log in may be required)
• Consensus Conference on Stroke Treatment and Service Delivery (2000)
  Royal College of Physicians of Edinburgh
• Supplement to the Guidelines for the Management of Transient Ischemic Attacks (1999)
  American Heart Association Scientific Statement
  Journal link: Stroke
• Guidelines for the Management of Spontaneous Intracerebral Hemorrhage (1999)
  American Heart Association Scientific Statement
  Journal link: Stroke (log in may be required)
• The American Heart Association Stroke Outcome Classification (1998)
  Executive Summary
  American Heart Association Scientific Statement
  Journal link: Circulation
• The American Heart Association Stroke Outcome Classification (1998)
  Full Text
  American Heart Association Scientific Statement
  Journal link: Stroke
• Canadian Guidelines for Intravenous Thrombolytic Treatment in Acute Stroke (1998)
  A Consensus Statement of The Canadian Stroke Consortium
• Management of patients with stroke: rehabilitation, prevention and management of complications, and discharge planning (2002 - 5)
  Scottish Intercollegiate Guidelines Network (SIGN)
  (Quick Reference Guide )
• Practice Guidelines for the Use of Imaging in Transient Ischemic Attacks and Acute Stroke (1997)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke (log in may be required)
• Acute Stroke Treatment Guidelines (1997)
  National Institute for Neurologic Disorders and Stroke, NIH.
  (Executive Summary)
• American Heart Association Prevention Conference IV: Prevention and Rehabilitation of Stroke: Acute Interventions (1997)
  Executive Summary
  Journal link: Circulation (log in may be required)
• Thrombolytic Therapy for Acute Ischemic Stroke (1996)
  American Academy of Neurology Practice Advisory
• Guidelines for Thrombolytic Therapy for Acute Stroke: A Supplement to the Guidelines for the Management of Patients With Acute Ischemic Stroke (1996)
  American Heart Association Medical/Scientific Statement
  Journal link: Circulation (log in may be required)
• Guidelines for the Management of Transient Ischemic Attacks (1994)
  American Heart Association Medical/Scientific Statement
• Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (1994)
  American Heart Association Medical/Scientific Statement

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Stroke Prevention

• Update to the AHA/ASA Recommendations for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack (2008)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke
• Primary Prevention of Ischemic Stroke (2006)
  A Guideline From the American Heart Association/American Stroke Association Stroke Council: Cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group
• Digest - Primary Prevention of Ischemic Stroke (2006) American Heart Association Medical/Scientific Statement
  Journal link: Stroke
• Risk estimation and the prevention of cardiovascular disease
  Full guideline / Patient Guideline
  Scottish Intercollegiate Guidelines Network (SIGN)
• Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack (2006)
  Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke
  
• Carotid Endarterectomy and Angioplasty (2004)
  Karolinska Stroke Update
• Statins and Thrombin Inhibitors (2004)
  Karolinska Stroke Update
• Determining the Appropriateness of Selected Surgical and Medical Management Options in Recurrent Stroke Prevention: A Guideline for Primary Care Physicians (2004)
  National Stroke Association Work Group on Recurrent Stroke Prevention
• Recurrent Stroke in Patients with Patent Foramen Ovale and Atrial Septal Aneurysm (2004)
  American Academy of Neurology practice statement
• Prevention of Ischemic Stroke (2005)
  Thrombosis Interest Group of Canada
• The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (2003)
  US National Heart, Lung, and Blood Institute, NIH
  (reference card)
• Primary Prevention of Hypertension: Clinical and Public Health Advisory from the National High Blood Pressure Education Program (2003)
  US National Heart, Lung, and Blood Institute, NIH
• Role of Warfarin in Primary or Secondary Stroke Prevention (2002)
  Stroke Council of the American Heart Association
• AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update (2002)
  American Heart Association
  Journal link: Circulation (log in may be required)
• Recommendations for the Endovascular Treatment of Intracranial Aneurysms (2002)
  American Heart Association Scientific Statement
• Stroke Prevention in Atrial Fibrillation (2007)
  Thrombosis Interest Group of Canada
• Recommendations for the Management of Intracranial Arteriovenous Malformations (2001)
  American Heart Association Scientific Statement
  Journal link: Stroke (log in may be required)
• ACC/AHA/ESC Guidelines for the Management of Patients With Atrial Fibrillation (2006) ( available)
  American College of Cardiology / American Heart Association - Executive Summary
• Stanol/Sterol Ester-Containing Foods and Blood Cholesterol Levels (2001)
  American Heart Association Science Advisory
  Journal link: Circulation (log in may be required)
• ATP III At-A-Glance: Quick Desk Reference (2001)
  National Heart, Lung and Blood Institute's updated cholesterol guidelines.
• Primary Prevention of Ischemic Stroke (2001)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke (log in may be required)
• Antithrombotic therapy in atrial fibrillation (2001)
  From: Sixth ACCP Consensus Conference on Antithrombotic Therapy
  Journal links: Chest (log in may be required)
• Antithrombotic and thrombolytic therapy for ischemic stroke (2001)
  From: Sixth ACCP Consensus Conference on Antithrombotic Therapy
  Journal links: Chest (log in may be required)
• Screening and Management of Hyperhomocysteinemia for the Prevention of Coronary Artery Disease Events (2000)
  Canadian Task Force on Preventitive Health Care
• Treatment guidelines--primary and secondary prevention of stroke (2000) Medical Commission of the German Medical Society. [Article in German]
• Risk factors and stroke prevention (2000)
  European Stroke Initiative ( version)
• Recommendations for the Management of Patients With Unruptured Intracranial Aneurysms (2000)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke (log in may be required)
• Consensus Conference on Stroke Treatment and Service Delivery (2000)
  Royal College of Physicians of Edinburgh
• Preventing Ischemic Stroke in Patients With Prior Stroke and Transient Ischemic Attack (1999)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke (log in may be required)
• Italian Guidelines for Stroke Prevention (1999)
  Stroke Prevention and Educational Awareness Diffusion (SPREAD) Collaboration
• Prevention of a first stroke (1999)
  A review of guidelines and a multidisciplinary consensus statement from the National Stroke Association
  Journal link: JAMA (log in may be required)
• Guidelines for Carotid Endarterectomy (1998)
  American Heart Association Medical/Scientific Statement
  Journal link: Circulation (log in may be required)
• Carotid Stenting and Angioplasty (1998)
  American Heart Association Medical/Scientific Statement
  Journal link: Circulation (log in may be required)
• Stroke Prevention in Patients with Nonvalvular Atrial Fibrillation (1998)
  American Academy of Neurology Practice Parameter
  
• Consensus Against Both Endarterectomy and Routine Screening for Asymptomatic Carotid Artery Stenosis (1997)
  Canadian Stroke Consortium
• Practice Guidelines for the Use of Imaging in Transient Ischemic Attacks and Acute Stroke (1997)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke (log in may be required)
• Cigarette Smoking, Cardiovascular Disease, and Stroke (1997)
  American Heart Association Medical/Scientific Statement
  Journal link: Circulation (log in may be required)
• American Heart Association Prevention Conference IV: Prevention and Rehabilitation of Stroke: Rehabilitation (1997)
  Executive Summary
  Journal link: Circulation (log in may be required)
• Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (1997)
  US National Heart, Lung, and Blood Institute, NIH
  (Pocket Guide)
• Management of Patients with Atrial Fibrillation (1996)
  American Heart Association Medical/Scientific Statement
  Journal link: Circulation (log in may be required)
• Stroke Prevention: Recommendations (1995)
  The Secondary and Tertiary Prevention of Stroke Patient Outcomes Research Team (PORT), Agency for Health Care Policy and Research (AHCPR)
• Asymptomatic Carotid Disease (1994)
  Canadian Task Force on Preventive Health Care

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Recovery

• Management of Adult Stroke Rehabilitation Care: A Clinical Practice Guideline (2005)
  AHA/ASA-Endorsed Practice Guidelines
• Veterans Affairs/Department of Defense Clinical Practice Guideline for the Management of Adult Stroke Rehabilitation Care Executive Summary (2005)
  
• Physical Activity and Exercise Recommendations for Stroke Survivors (2004)
  AHA Scientific Statement
  Journal link: Circulation (log in may be required)
• Statins After Ischemic Stroke and Transient Ischemic Attack (2004)
  AHA/ASA Scientific Advisory
  Journal link: Stroke (log in may be required)
• Management of Stroke Rehabilitation Care (2003)
  Clinical Practice Guideline Working Group, Veterans Health Administration
• National Sentinal Stroke Audit Report 2004 (Concise Report)
  Royal College of Physicians
  (Concise Guide)
• Management of dementia (an evidence-based review) (2001)
  Report of the Quality Standards Subcommittee of the American Academy of Neurology
  Also: Summary Version for Physicians, and Summary Version for Families
• Diagnosis of dementia (an evidence-based review) (2001)
  Report of the Quality Standards Subcommittee of the American Academy of Neurology
• Care after Stroke (2000) (for patients and caregivers)
  Royal College of Physicians
• Consensus Conference on Stroke Treatment and Service Delivery (2000)
  Royal College of Physicians of Edinburgh
• Management of patients with stroke part IV: Rehabilitation, prevention and management of complications, and discharge planning (1998)
  Scottish Intercollegiate Guidelines Network (SIGN)
• American Heart Association Prevention Conference IV: Prevention and Rehabilitation of Stroke: Rehabilitation (1997)
  Journal link: Stroke (log in may be required)
• Management of patients with stroke: Rehabilitation, prevention and management of Complications, and discharge planning: A national clinical guideline (2002)
  Scottish Intercollegiate Guidelines Network (SIGN 64)
  
• Post-Stroke Rehabilitation (Clinical Guide #16) (1995)
  Agency for Health Care Policy and Research (AHCPR)
• Post-Stroke Rehabilitation (Quick Reference Guide #16) (1995)
  Agency for Health Care Policy and Research (AHCPR)

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Stroke Care Organization

• Recommendations for Comprehensive Stroke Centers (2005)
  A Consensus Statement From the Brain Attack Coalition
  Journal link: Stroke (log in may be required)
• Recommendations for the Establishment of Stroke Systems of Care (2005)
  American Stroke Association’s Task Force on the Development of Stroke Systems
  Journal link: Stroke (log in may be required)
• Recommendations for Improving the Quality of Care Through Stroke Centers and Systems: An Examination of Stroke Center Identification Options (2002)
  American Stroke Association Multidisciplinary Consensus Recommendations
  Journal link: Stroke (log in may be required)
• Organization of Stroke Care: Education, Stroke Units and Rehabilitation (2000)
  European Stroke Initiative ( version)
• Recommendations for the creation of neurovascular units (2000)
  French Neurovascular Society (Societe Francaise Neuro-Vasculaire)
  [Article in French]
• Recommendations for the use of intravenous thrombolytic therapy in cerebrovascular ischemic accident (2000)
  French Society of Neurovascular Disorders
• Recommendations for the Establishment of Primary Stroke Centers (2000)
  Brain Attack Coalition ( version)
• Consensus Conference on Stroke Treatment and Service Delivery (2000)
  Royal College of Physicians of Edinburgh
• Stroke Center Recommendations (1999)
  National Stroke Association
• Acute Stroke Treatment Guidelines (1997)
  National Institute for Neurologic Disorders and Stroke, NIH.
  (Executive Summary)

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Diagnosis

• Investigation for Suspected Hypercoagulable States (Thrombophilias) (2006)
  Thrombosis Interest Group of Canada
• Coronary Risk Evaluation in Patients With Transient Ischemic Attack and Ischemic Stroke (2003)
  AHA/ASA Scientific Statement
  Journal link: Circulation (log in may be required)
• Screening and Treatment of Hyperhomocysteinemia (2002)
  Thrombosis Interest Group of Canada
• ACR Standard for the Performance of Computed Tomography (CT) in the Extracranial Head and Neck in Adults and Children (2001)
  American College of Radiology
• Magnetic Resonance Angiography- Update on Applications for Extracranial Arteries (1999)
  American Heart Association Scientific Statement
  Journal link: Circulation (log in may be required)
• Use of Ambulatory Electrocardiography for the Detection of Paroxysmal Atrial Fibrillation in Patients with Stroke (1999)
  Canadian Task Force on Preventive Health Care
• Echocardiography for the Detection of a Cardiac Source of Embolus in Patients with Stroke (1999)
  Journal link: Canadian Medical Association Journal (log in may be required)
• ACR Standard for the Performance of Computed Tomography (CT) in Neuroradiologic Imaging of Adults and Children (1998)
  American College of Radiology
• ACC/AHA Guidelines for the Clinical Application of Echocardiography (1997)
  A Report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines
  Journal link: Circulation (log in may be required)
• Practice Guidelines for the Use of Imaging in Transient Ischemic Attacks and Acute Stroke (1997)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke (log in may be required)
• Applications of transcranial doppler ultrasound in neuroanesthesia
  Stephan Strebel, Department of Anaesthesia, University of Basel, Switzerland. Includes detailed technical description of TCD and use in anesthesia.

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Imaging

• Practice Guidelines for the Use of Imaging in Transient Ischemic Atacks and Acute Stroke (1997)
  American Heart Association
• The Impact of Imaging on Stroke Treatment and Clinical Outcome (2004)
  Karolinska Stroke Update
• Guidelines and Recommendations for Perfusion Imaging in Cerebral Ischemia (2003)
  American Heart Association Scientific Statement
• American College of Radiology Standards
  • Practice Guideline for the Performance and Interpretation of Magnetic Resonance Imaging (MRI) of the Brain (2006) \
  • ACR Practice Guideline for the Performance of Magnetic Resonance Imaging of the Head and Neck (Amended 2006)
    
  • ACR Practice Guideline for Performance of Computed Tomography (CT) of the Brain (2006)
  • ACR Practice Guideline for the Performance and Interpretation of Computed Tomography (CT) of the Head and Neck in Adults and Children (2006)
  • Practice Guideline for the Performance of Diagnostic Arteriography in Adults
    
  • ACR Practice Guideline for the Performance of Transcranial Doppler Ultrasound for Adults and Children (Collaborative with AIUM) (2007)
    
  • ACR Practice Guideline for the Performance of Cerebral Scintigraphy for Brain Death (Amended 2006)
  • ACR Practice Guideline for Performing and Interpreting Magnetic Resonance Imaging (MRI) (2006)
  • ACR Practice Guideline for the Performance of Pediatric and Adult Neurovascular Magnetic Resonance Angiography (MRA) (Amended 2006)
  • APR Practice Guideline for the Performance of Single Photo Emission Computed Tomography (SPECT) Brain Perfusion Imaging (Amended 2006)
  • Standard for the Performance of Diagnostic Cervicocerebral Angiography in Adults (Amended 2006)
• Recommendations for the Endovascular Treatment of Intracranial Aneurysms (2002)
  American Heart Association Scientific Statement
• Society of Cardiovascular & Interventional Radiology Clinical Practice Guidelines
• Use Of Ambulatory Electrocardiography For The Detection Of Paroxysmal Atrial Fibrillation In Patients With Stroke (2000)
  Canadian Task Force on Preventive Health Care
• Echocardiography for the detection of a cardiac source of embolus in patients with stroke (1999)
  Canadian Task Force on Preventive Health Care
• Carotid Stenting and Angioplasty (1998)
  American Heart Association Medical/Scientific Statement
  Journal link: Circulation (log in may be required)
• American College of Cardiology
  Searchable database of Practice Statements
• Practice Guidelines for the Use of Imaging in Transient Ischemic Attacks and Acute Stroke (1997)
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke (log in may be required)
• Echocardiographic Identification of Cardiovascular Sources of Emboli To Guide Clinical Management of Stroke: A Cost-Effectiveness Analysis (1997)
  Annals of Internal Medicine 1 November 1997. 127:775-787.
• Cost-Effectiveness of Screening for Carotid Stenosis in Asymptomatic Persons (1997)
  Annals of Internal Medicine 1 March 1997. 126:337-346.
• Magnetic Resonance Angiography: Vascular and Flow Imaging (1994)
  Agency for Health Care Policy and Research

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Pediatric Stroke

• Management of Stroke in Infants and Children
  American Heart Association Medical/Scientific Statement
  Journal link: Stroke
• Recognition and Treatment of Stroke in Children
  Child Neurology Society Ad Hoc Committee on Stroke in Children
  Brain Attack Coalition
• Stroke in Childhood Clinical Guidelines (2004)
  Roual College of Physicians ( available