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AHA/ASA Stroke Guidelines Handbook

Guidelines

Chapter 1 – Stroke Epidemiology

Guideline:
Primary Prevention of Ischemic Stroke. 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.

Reference: Stroke 2006; 37: 1583–1633.

Writing Committee Members

Goldstein LB, Adams R, Alberts MJ, Appel LJ, Brass LM, Bushnell CD, Culebras A, DeGraba TJ, Gorelick PB, Guyton JR, Hart RG, Howard G, Kelly-Hayes M, Nixon JV, Sacco RL.

http://stroke.ahajournals.org/cgi/content/full/37/6/1583

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Chapter 2 – Stroke Systems

Statement:
Recommendations for the Establishment of Stroke Systems of Care: recommendations from the American Stroke Association's Task Force on the Development of Stroke Systems.

Reference: Stroke 2005; 36: 690–703.

Writing Committee Members

Schwamm LH, Pancioli A, Acker JE, 3rd, Goldstein LB, Zorowitz RD, Shephard TJ, Moyer P, Gorman M, Johnston SC, Duncan PW, Gorelick P, Frank J, Stranne SK, Smith R, Federspiel W, Horton KB, Magnis E, Adams RJ.

http://stroke.ahajournals.org/cgi/content/full/36/3/690


Statement:
Preventing cancer, cardiovascular disease, and diabetes: a common agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association.

Reference: Stroke 2004; 35: 1999–2010.

Writing Committee Members

Eyre H, Kahn R, Robertson RM, Clark NG, Doyle C, Hong Y, Gansler T, Glynn T, Smith RA, Taubert K, Thun MJ.

http://circ.ahajournals.org/cgi/content/full/109/25/3244


Statement:
Implementation Strategies for Emergency Medical Services Within Stroke Systems of Care: a policy statement from the American Heart Association/American Stroke Association Expert Panel on Emergency Medical Services Systems and the Stroke Council.

Reference: Stroke 2007; 38: 3097–115.

Writing Committee Members

Acker JE, 3rd, Pancioli AM, Crocco TJ, Eckstein MK, Jauch EC, Larrabee H, Meltzer NM, Mergendahl WC, Munn JW, Prentiss SM, Sand C, Saver JL, Eigel B, Gilpin BR, Schoeberl M, Solis P, Bailey JR, Horton KB, Stranne SK.

http://stroke.ahajournals.org/cgi/content/full/38/11/3097

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Chapter 3 – Primordial and Primary Prevention of Stroke

Guideline:
Primary Prevention of Ischemic Stroke: 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: The American Academy of Neurology affirms the value of this guideline.

Reference: Stroke 2006; 37: 1583.

Writing Committee Members

Larry B. Goldstein, MD, FAAN, FAHA, Chair; Robert Adams, MS, MD, FAHA; Mark J. Alberts, MD, FAHA; Lawrence J. Appel, MD, MPH, FAHA; Lawrence M. Brass, MD, FAHA; Cheryl D. Bushnell, MD, MHS, FAHA; Antonio Culebras, MD, FAAN, FAHA; Thomas J. DeGraba, MD, FAHA; Philip B. Gorelick, MD, MPH, FAAN, FAHA; John R. Guyton, MD, FAHA; Robert G. Hart, MD, FAHA; George Howard, DrPH, FAHA; Margaret Kelly-Hayes, RN, EdD, MS, FAHA; J.V. (Ian) Nixon, MD, FAHA Ralph L. Sacco, MD, MS, FAAN, FAHA.

http://stroke.ahajournals.org/cgi/content/full/37/6/1583


Complete Report:
National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.

Reference: JAMA 2003; 289: 2560–2572 [published correction appears in JAMA 2003; 290: 197].

Writing Committee Members

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ.

http://hyper.ahajournals.org/cgi/content/full/42/6/1206

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Chapter 4 – Treatment of Patients with Acute Ischemic Stroke

Guideline:
Guidelines for the Early Management of Adults With Ischemic Stroke.

Reference: Stroke 2007; 38; 1655–1711.

Writing Committee Members

Harold P. Adams, Jr, Gregory del Zoppo, Mark J. Alberts, Deepak L. Bhatt, Lawrence Brass, Anthony Furlan, Robert L. Grubb, Randall T. Higashida, Edward C. Jauch, Chelsea Kidwell, Patrick D. Lyden, Lewis B. Morgenstern, Adnan I. Qureshi, Robert H. Rosenwasser, Phillip A. Scott and Eelco F.M. Wijdicks.

http://stroke.ahajournals.org/cgi/content/full/38/5/1655

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Chapter 5 – Intracerebral Hemorrhage

Guideline:
Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.

Reference: Stroke 2007;38:2001-2023.

Writing Committee Members

Joseph P. Broderick, MD; Harold P. Adams, Jr, MD; William Barsan, MD; William Feinberg, MD; Edward Feldmann, MD; James Grotta, MD; Carlos Kase, MD; Derek Krieger, MD; Marc Mayberg, MD; Barbara Tilley, PhD; Joseph M. Zabramski, MD Mario Zuccarello, MD.

http://stroke.ahajournals.org/cgi/content/full/38/6/2001

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Chapter 6 – Subarachnoid Hemorrhage

Guideline:
Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.

Reference: Stroke 2009: published online before print January 22, 2009

Writing Committee Members

Bederson JB, Connolly ES Jr, Batjer HH, Dacey RG, Dion JE, Diringer MN, Duldner JE Jr, Harbaugh RE, Patel AB, Rosenwasser RH.

http://stroke.ahajournals.org/cgi/reprint/STROKEAHA.108.191395


Statement:
Recommendations for the management of patients with unruptured intracranial aneurysms: A statement for healthcare professionals from the Stroke Council of the American Heart Association.

Reference: Circulation 2000; 102: 2300–8.

Writing Committee Members

Joshua B. Bederson, MD, Chair; Issam A. Awad, MD; David O. Wiebers, MD; David Piepgras, MD; E. Clarke Haley, Jr, MD; Thomas Brott, MD; George Hademenos, PhD; Douglas Chyatte, MD; Robert Rosenwasser, MD; Cynthia Caroselli, RN.

http://circ.ahajournals.org/cgi/content/full/102/18/2300


Statement:
Recommendations for the management of intracranial arteriovenous malformations: a statement for healthcare professionals from a special writing group of the Stroke Council, American Stroke Association.

Reference: Stroke 2001; 32: 1458–71.

Writing Committee Members

Christopher S. Ogilvy, MD, Chair; Philip E. Stieg, PhD, MD; Issam Awad, MD; Robert D. Brown, Jr, MD; Douglas Kondziolka, MD; Robert Rosenwasser, MD; William L. Young, MD; George Hademenos, PhD.

http://stroke.ahajournals.org/cgi/content/full/32/6/1458

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Chapter 7 – Prevention of Recurrent Ischemic Stroke

Guideline:
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke.

Reference: Stroke 2006; 37; 577–617.

Writing Committee Members

Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly-Hayes M, Kenton EJ, Marks M, Schwamm LH, Tomsick T.

http://stroke.ahajournals.org/cgi/content/full/37/2/577


AHA/ASA Science Advisory:
Update to the AHA/ASA Recommendations for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack.

Reference: Stroke 2008; 39: 1647–52.

Writing Committee Members

Adams RJ, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly-Hayes M, Kenton EJ, Marks M, Sacco RL, Schwamm LH.

http://stroke.ahajournals.org/cgi/content/full/39/5/1647

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Chapter 8 – Post-stroke Rehabilitation and Recover

Guideline:
Management of Adult Stroke Rehabilitation Care: A Clinical Practice Guideline.

Reference: Stroke 2005; 36: e100.

Writing Committee Members

Pamela W. Duncan, PhD, FAPTA, Co-Chair; Richard Zorowitz, MD, Co-Chair; Barbara Bates, MD; John Y. Choi, MD; Jonathan J. Glasberg, MA, PT; Glenn D. Graham, MD, PhD; Richard C. Katz, PhD; Kerri Lamberty, PhD Dean Reker, PhD.

http://stroke.ahajournals.org/cgi/content/full/36/9/e100


Guideline:
Veterans Affairs/Department of Defense Clinical Practice Guideline for the Management of Adult Stroke Rehabilitation Care: Executive Summary.

Reference: Stroke 2005; 36: 2049.

Writing Committee Members

Barbara Bates, MD; John Y. Choi, MD; Pamela W. Duncan, PhD, FAPTA; Jonathan J. Glasberg, MA, PT; Glenn D. Graham, MD, PhD; Richard C. Katz, PhD; Kerri Lamberty, PhD; Dean Reker, PhD Richard Zorowitz, MD.

http://stroke.ahajournals.org/cgi/content/full/36/9/2049


Statement:
Physical Activity and Exercise Recommendations for Stroke Survivors: an American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council.

Reference: Stroke 2004; 35: 1230–40.

Writing Committee Members

Neil F. Gordon, MD, PhD, Cochair; Meg Gulanick, PhD, APRN, Cochair; Fernando Costa, MD; Gerald Fletcher, MD; Barry A. Franklin, PhD; Elliot J. Roth, MD; Tim Shephard, RN, MSN; American Heart Association Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council.

http://stroke.ahajournals.org/cgi/content/full/35/5/1230


Guideline:
Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention.

Reference: Journal of the American Geriatrics Society 2001; 49: 664–72.

http://onlinelibrary.wiley.com/doi/10.1046/j.1532-5415.2001.49115.x/abstract

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Chapter 9 – Stroke in Women

Statement:
Guidelines for the Early Management of Patients with Ischemic Stroke. A scientific statement from the Stroke Council of the American Stroke Association.

Reference: Stroke 34: 1056–83.

Writing Committee Members

Harold P. Adams, Jr, MD, Chair; Robert J. Adams, MD; Thomas Brott, MD; Gregory J. del Zoppo, MD; Anthony Furlan, MD; Larry B. Goldstein, MD; Robert L. Grubb, MD; Randall Higashida, MD; Chelsea Kidwell, MD; Thomas G. Kwiatkowski, MD; John R. Marler, MD; George J. Hademenos, PhD, (ex-officio member).

http://stroke.ahajournals.org/cgi/content/full/34/4/1056


Guideline:
Guidelines for Prevention of Stroke in Patients with Ischemic Stroke or Transient Ischemic Attack.

Reference: Stroke 37: 577–617.

Writing Committee Members

Ralph L. Sacco, MD, MS, FAHA, FAAN, Chair; Robert Adams, MD, FAHA, Vice Chair; Greg Albers, MD; Mark J. Alberts, MD, FAHA; Oscar Benavente, MD; Karen Furie, MD, MPH, FAHA; Larry B. Goldstein, MD, FAHA, FAAN; Philip Gorelick, MD, MPH, FAHA, FAAN; Jonathan Halperin, MD, FAHA; Robert Harbaugh, MD, FACS, FAHA; S. Claiborne Johnston, MD, PhD; Irene Katzan, MD, FAHA; Margaret Kelly-Hayes, RN, EdD, FAHA; Edgar J. Kenton, MD, FAHA, FAAN; Michael Marks, MD; Lee H. Schwamm, MD, FAHA; Thomas Tomsick, MD, FAHA.

http://stroke.ahajournals.org/cgi/content/full/37/2/577


Guideline:
Primary Prevention of Ischemic Stroke. A guideline from the American Heart Association/American Stroke Association Stroke Council.

Reference: Stroke 2006; 37: 1583–633.

Writing Committee Members

Larry B. Goldstein, MD, FAAN, FAHA, Chair; Robert Adams, MS, MD, FAHA; Mark J. Alberts, MD, FAHA; Lawrence J. Appel, MD, MPH, FAHA; Lawrence M. Brass, MD, FAHA; Cheryl D. Bushnell, MD, MHS, FAHA; Antonio Culebras, MD, FAAN, FAHA; Thomas J. DeGraba, MD, FAHA; Philip B. Gorelick, MD, MPH, FAAN, FAHA; John R. Guyton, MD, FAHA; Robert G. Hart, MD, FAHA; George Howard, DrPH, FAHA; Margaret Kelly-Hayes, RN, EdD, MS, FAHA; J.V. (Ian) Nixon, MD, FAHA; Ralph L. Sacco, MD, MS, FAAN, FAHA.

http://stroke.ahajournals.org/cgi/content/full/37/6/1583


Guideline:
Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women: 2007 Update.

Reference: Circulation 2007; 115: 1481–501.

Writing Committee Members

Lori Mosca, MD, MPH, PhD, Chair; Carole L. Banka, PhD; Emelia J. Benjamin, MD; Kathy Berra, MSN, NP; Cheryl Bushnell, MD; Rowena J. Dolor, MD, MHS; Theodore G. Ganiats, MD; Antoinette S. Gomes, MD; Heather L. Gornik, MD, MHS; Clarissa Gracia, MD, MSCE; Martha Gulati, MD, MS; Constance K. Haan, MD; Debra R. Judelson, MD; Nora Keenan, PhD; Ellie Kelepouris, MD; Erin D. Michos, MD; L. Kristin Newby, MD, MHS; Suzanne Oparil, MD; Pamela Ouyang, MD; Mehmet C. Oz, MD; Diana Petitti, MD, MPH; Vivian W. Pinn, MD; Rita F. Redberg, MD, MSc; Rosalyn Scott, MD; Katherine Sherif, MD; Sidney C. Smith, Jr, MD; George Sopko, MD, MPH; Robin H. Steinhorn, MD; Neil J. Stone, MD; Kathryn A. Taubert, PhD; Barbara A. Todd, MSN, CRNP; Elaine Urbina, MD; Nanette K. Wenger, MD, for the Expert Panel/Writing Group. Representing the following participating organizations and major cosponsors: the American Heart Association (L.M., C.L.B., E.J.B., K.B., C.B., R.J.D., A.S.G., H.L.G., E.K., E.D.M., L.K.N., S.O., P.O., M.C.O., R.F.R., R.H.S., N.J.S., K.A.T., E.U., N.K.W.), American Academy of Family Physicians (T.G.G.), American College of Obstetricians and Gynecologists (C.G.), American College of Cardiology Foundation (M.G.), Society of Thoracic Surgeons (C.K.H.), American Medical Women’s Association (D.R.J.), Centers for Disease Control and Prevention (N.K.), Ad Hoc Writing Group Member (D.P.), Office of Research on Women’s Health (V.W.P.), Association of Black Cardiologists (R.S.), American College of Physicians (K.S.), World Heart Federation (S.C.S.), National Heart, Lung, and Blood Institute (G.S.), and American College of Nurse Practitioners (B.A.T.).

http://circ.ahajournals.org/cgi/content/full/115/11/1481


Statement:
Physical activity and exercise recommendations for stroke survivors.

Reference: Circulation 2004; 109: 2031–41.

Writing Committee Members

Neil F. Gordon, MD, PhD, Cochair; Meg Gulanick, PhD, APRN, Cochair; Fernando Costa, MD; Gerald Fletcher, MD; Barry A. Franklin, PhD; Elliot J. Roth, MD; Tim Shephard, RN, MSN.

http://circ.ahajournals.org/cgi/content/full/109/16/2031

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Chapter 10 – Stroke in Black Patients

Guideline:
Primary prevention of ischemic stroke. 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.

Reference: Stroke 2006; 37: 1583–1633.

Writing Committee Members

Goldstein LB, Adams R, Alberts MJ, Appel LJ, Brass LM, Bushnell CD, Culebras A, DeGraba TJ, Gorelick PB, Guyton JR, Hart RG, Howard G, Kelly-Hayes M, Nixon JV, Sacco RL.

http://stroke.ahajournals.org/cgi/content/full/37/6/1583


Guideline:
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke.

Reference: Stroke 2006; 37: 577–617.

Writing Committee Members

Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly-Hayes M, Kenton EJ, Marks M, Schwamm LH, Tomsick T.

http://stroke.ahajournals.org/cgi/reprint/STROKEAHA.107.189063

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Chapter 11 – Stroke in Children

Statement:
Management of stroke in infants and children: a scientific statement from a Special Writing Group of the American Heart Association Stroke Council and the Council on Cardiovascular Disease in the Young.

Reference: Stroke 2008; 39: 2644–91.

Writing Committee Members

Roach ES, Golomb MR, Adams R, Biller J, Daniels S, deVeber G, Ferriero D, Jones BV, Kirkham FJ, Scott RM, Smith ER.

http://stroke.ahajournals.org/cgi/content/full/39/9/2644

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Chapter 12 – Coagulopathy and Stroke

[To come]

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Chapter 13 – Genetics of Stroke

Guideline:
Primary prevention of ischemic stroke. 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.

Reference: Stroke 2006; 37: 1583–1633.

Writing Committee Members

Goldstein LB, Adams R, Alberts MJ, Appel LJ, Brass LM, Bushnell CD, Culebras A, DeGraba TJ, Gorelick PB, Guyton JR, Hart RG, Howard G, Kelly-Hayes M, Nixon JV, Sacco RL.

http://stroke.ahajournals.org/cgi/content/full/37/6/1583

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Chapter 14 – Surgical & Interventional Treatment for Carotid Disease

Guideline:
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke.

Reference: Stroke 2006; 37; 577–617.

Writing Committee Members

Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly-Hayes M, Kenton EJ, Marks M, Schwamm LH, Tomsick T.

http://stroke.ahajournals.org/cgi/content/full/37/2/577


Guideline:
Primary prevention of ischemic stroke. 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.

Reference: Stroke 2006; 37: 1583–1633.

Writing Committee Members

Goldstein LB, Adams R, Alberts MJ, Appel LJ, Brass LM, Bushnell CD, Culebras A, DeGraba TJ, Gorelick PB, Guyton JR, Hart RG, Howard G, Kelly-Hayes M, Nixon JV, Sacco RL.

http://stroke.ahajournals.org/cgi/content/full/37/6/1583

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Chapter 15 – Intracranial Atherosclerosis

Guideline:
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke.

Reference: Stroke 2006; 37; 577–617.

Writing Committee Members

Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly-Hayes M, Kenton EJ, Marks M, Schwamm LH, Tomsick T.

http://stroke.ahajournals.org/cgi/content/full/37/2/577

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Chapter 16 – Patent Foramen Ovale

Guideline:
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke.

Reference: Stroke 2006; 37; 577–617.

Writing Committee Members

Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly-Hayes M, Kenton EJ, Marks M, Schwamm LH, Tomsick T.

http://stroke.ahajournals.org/cgi/content/full/37/2/577

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Chapter 17 – Vascular Cognitive Impairment

[No current guidelines relating to this chapter.]

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Chapter 18 – Stroke Outcome Assessments

[No current guidelines relating to this chapter.]

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