In this episode of The Curbsiders, Drs. Monee Amin and Meredith Trubitt interview neurologist Dr. Karima Benameur about the inpatient management of strokes and TIAs. Dr. Benameur outlines the initial steps in evaluating a stroke alert, including imaging priorities and contraindications for thrombolytics. She discusses the importance of permissive hypertension and fever management in acute stroke care. The conversation covers antiplatelet and anticoagulation strategies, including aspirin dosing, the use of dual antiplatelet therapy, and managing patients on existing antithrombotic medications. Dr. Benameur also emphasizes the significance of identifying the stroke mechanism through comprehensive workups, including MRI, MRA, TTE, and TEE, to guide treatment decisions. The episode concludes with a discussion on post-stroke depression, cognitive decline, and the critical role of nutrition, particularly the Mediterranean diet, in stroke prevention and brain health.
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