On Demand: Ischemic Stroke: Improving Efficiency and Outcomes Through Neurology-EP Collaboration-Presentation Slides

Presentation Slides

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The document titled "Ischemic Stroke: Improving Efficiency and Outcomes Through Neurology-EP Collaboration" is a presentation hosted by MedAxiom for the year 2024. It features key speakers Salman Azhar, MD, and Nagib T. Chalfoun, MD, focusing on improving outcomes for ischemic stroke patients through multidisciplinary collaborations, specifically between neurologists and electrophysiologists.<br /><br />Dr. Azhar, affiliated with Lenox Hill Hospital, and Dr. Chalfoun, from Corewell Health, discuss strategies for preventing secondary strokes with an emphasis on cryptogenic strokes. This includes monitoring for atrial fibrillation (AF), which is undetected in many stroke cases due to inadequate follow-up or insufficient cardiac monitoring techniques. Several studies and guidelines from the American Heart Association (AHA) and the American Stroke Association (ASA) emphasize using algorithms and technologies like Implantable Cardiac Monitors (ICM) over external cardiac monitors (ECM) for more effective AF detection.<br /><br />The presentation details how ICM-first strategies are cost-effective, offering faster diagnosis and treatment of AF, resulting in reduced hospital readmissions and lower mortality rates. For a hospital to implement this effectively, the document outlines the creation of a structured stroke pathway and emphasizes the importance of continuous cardiac monitoring post-stroke. It also highlights the role of professional collaboration, patient education, and leveraging data to drive decisions.<br /><br />Key metrics are provided, comparing risk ratios and outcomes of standard monitoring practices versus prolonged or direct-to-ICM strategies. Real-world scenarios indicate higher detection rates and improved patient adherence with ICM, which can directly contribute to better patient outcomes and cost management.<br /><br />Overall, by integrating multi-disciplinary teams and streamlining stroke care pathways with advanced technological solutions, hospitals can achieve significantly improved stroke prevention and treatment outcomes.

Keywords

Ischemic Stroke

Neurology-EP Collaboration

Salman Azhar

Nagib T. Chalfoun

Atrial Fibrillation

Implantable Cardiac Monitors

Cryptogenic Strokes

Stroke Pathway

American Heart Association

Multidisciplinary Teams