Research Topics
| H P AdamsSummaryAffiliation: University of Iowa Country: USA Publications
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Detail Information
Publications
Management of acute ischemic strokeE C Leira
Division of Cerebrovascular Diseases, Department of Neurology, University of Iowa, Iowa City 52242, USA
Clin Geriatr Med 15:701-20. 1999..The key to modern treatment is the emergent administration of tissue plasminogen activator (rtPA). Thrombocyte treatment improves outcome when it is given within 3 hours of onset of stroke to carefully selected patients...
10 most commonly asked questions about which antiplatelet agent to prescribeHarold P Adams
Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA
Neurologist 9:318-22. 2003
Certification in vascular neurology: a new subspecialty in the United StatesHarold P Adams
Division of Cerebrovascular Diseases, Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA
Stroke 36:2293-5. 2005
Stroke: a vascular pathology with inadequate managementHarold P Adams
Department of Neurology, University of Carver College of Medicine, Iowa City, Iowa, USA
J Hypertens Suppl 21:S3-7. 2003..These agents could be combined with antithrombotic agents and surgical interventions to lessen the risk of stroke...
Effective prophylaxis for deep vein thrombosis after stroke: low-dose anticoagulation rather than stockings alone: forHarold P Adams
Department of Neurology, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA
Stroke 35:2911-2. 2004
New strategies for prevention of ischemic stroke: the LIFE studyHarold P Adams
Department of Neurology, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52246, USA
Curr Neurol Neurosci Rep 3:46-51. 2003..The Losartan Intervention For Endpoint (LIFE) reduction in hypertension study provides additional data to support the use of the ACE inhibitors to lower the risk of stroke among patients with hypertension and vascular diseases...
Emergency administration of abciximab for treatment of patients with acute ischemic stroke: results of an international phase III trial: Abciximab in Emergency Treatment of Stroke Trial (AbESTT-II)Harold P Adams
Department of Neurology, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA
Stroke 39:87-99. 2008..The current phase 3 study was planned to test the relative efficacy and safety of abciximab in patients with acute ischemic stroke with planned treatment within 5 hours since symptoms onset...
Treating patients with 'wake-up' stroke: the experience of the AbESTT-II trialHarold P Adams
Department of Neurology, University of Iowa, Iowa City, Iowa 52242, USA
Stroke 39:3277-82. 2008..We elected to test the safety and possible efficacy of abciximab in treatment of enrolled subjects with wake-up stroke...
Preview of a new trial of extracranial-to-intracranial arterial anastomosis: the carotid occlusion surgery studyH P Adams
Division of Cerebrovascular Diseases, Department of Neurology, University of Iowa College of Medicine, Iowa City, Iowa 52242, USA
Neurosurg Clin N Am 12:613-24, ix-x. 2001..Several issues that are being addressed in this new trial are described in this article...
Measuring outcomes as a function of baseline severity of ischemic strokeHarold P Adams
Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA
Cerebrovasc Dis 18:124-9. 2004..While clinical trials are using baseline severity as an enrollment criterion or a stratified variable, adjustment of outcome measures as a function of initial impairments has not been done...
Treatment of acute ischemic stroke: selecting the right treatment for the right patientH P Adams
Division of Cerebrovascular Diseases, Department of Neurology, University of Iowa College of Medicine, Iowa City, Iowa, USA
Eur Neurol 45:61-6. 2001..The most important factors are the time interval from stroke, the severity of the neurological impairments, the results of the baseline brain imaging and the cause of stroke...
Treating ischemic stroke as an emergencyH P Adams
Department of Neurology, University of Iowa College of Medicine, Iowa City 52242, USA
Arch Neurol 55:457-61. 1998..Thus, strategies for emergent treatment should aim at management of patients whose strokes are diagnosed and first treated by emergency treatment and primary care physicians with the collaboration of neurologists...
Management of acute stroke: impact of registration studiesHarold P Adams
Division of Cerebrovascular Disorders, Department of Neurology, Carver College of Medicine, University of Iowa Health Care Stroke Center, University of Iowa, Iowa City, Iowa 52242, USA
Acta Neurol Taiwan 19:153-63. 2010..Taiwan is an ideal location for the development of such regional stroke programs...
Antithrombotic treatment of ischemic stroke among patients with occlusion or severe stenosis of the internal carotid artery: A report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST)H P Adams
Department of Neurology, University of Iowa College of Medicine, Iowa City 52242, USA
Neurology 53:122-5. 1999....
Baseline NIH Stroke Scale score strongly predicts outcome after stroke: A report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST)H P Adams
Department of Neurology, University of Iowa College of Medicine, Iowa City 52242, USA
Neurology 53:126-31. 1999..To compare the baseline National Institutes of Health Stroke Scale (NIHSS) score and the Trial of Org 10172 in Acute Stroke Treatment (TOAST) stroke subtype as predictors of outcomes at 7 days and 3 months after ischemic stroke...
Frequency, risk factors, anatomy, and course of unilateral neglect in an acute stroke cohortJ M Ringman
Department of Neurology, University of California, Los Angeles, 710 Westwood Plaza, Suite 2 238, Los Angeles, CA 90095 1769, USA
Neurology 63:468-74. 2004..To delineate the frequency, course, risk factors, and neuroanatomy of hemispatial neglect in a large stroke cohort...
Baseline NIH stroke scale responses estimate the probability of each particular stroke subtypeE C Leira
Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, Iowa 52242, USA
Cerebrovasc Dis 26:573-7. 2008....
Circadian variation in ischemic stroke subtypesS Chaturvedi
Department of Neurology, Wayne State University, Detroit, Mich 48201, USA
Stroke 30:1792-5. 1999..The purpose of our study was to define the circadian patterns of symptom onset in an acute stroke trial with an established system for stroke subtype classification...
Differences between anterior and posterior circulation stroke in TOASTR B Libman
Department of Neurology, Long Island Jewish Medical Center, Long Island Campus, Albert Einstein College of Medicine, New Hyde Park, NY 11040, USA
Cerebrovasc Dis 11:311-6. 2001..We sought to explore differences between AC and PC stroke in the Trial of ORG 10172 in Acute Stroke Treatment (TOAST)...
Hemispheric asymmetry of gaze deviation and relationship to neglect in acute strokeJ M Ringman
Department of Neurology, University of California, Los Angeles, CA 90095 1769, USA
Neurology 65:1661-2. 2005..There was no difference in its rate of co-occurrence with neglect between right- and nonright-handed patients...
Early recovery after cerebral ischemia risk of subsequent neurological deteriorationS Claiborne Johnston
Department of Neurology, University of California, San Francisco, CA 94143 0114, USA
Ann Neurol 54:439-44. 2003..7-5.2; p < 0.001). Among patients with acute cerebral ischemia, those who recover substantially within 24 hours may be at greater risk of subsequent neurological deterioration due to causes other than hemorrhage...
Emergent use of anticoagulation for treatment of patients with ischemic strokeHarold P Adams
Department of Neurology, University of Iowa College of Medicine, Iowa City 52242, USA
Stroke 33:856-61. 2002..Several clinical trials have tested the potential utility of emergent anticoagulation for acute ischemic stroke...
Neurological aspects of biological and chemical terrorism: a review for neurologistsColeman O Martin
Department of Neurology, University of Iowa College of Medicine, Iowa City, USA
Arch Neurol 60:21-5. 2003..Early recognition of these chemical and biological weapons is key to instituting specific therapy and preventing casualties within the health care team and the community at large...
Feasibility of acute clinical trials during aerial interhospital transferEnrique C Leira
Division of Cerebrovascular Diseases, Department of Neurology, 2 RCP, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52246, USA
Stroke 37:2504-7. 2006..If acute clinical research were feasible during the aerial interhospital transport, more patients might be enrolled in trials at a critical earlier stage...
Pneumocephalus after air travelMatt B Jensen
Department of Neurology, University of Iowa College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA
Neurology 63:400-1. 2004
Slow progressive acceptance of intravenous thrombolysis for patients with stroke by rural primary care physiciansEnrique C Leira
Division of Cerebrovascular Diseases, Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA
Arch Neurol 64:518-21. 2007..In the rural United States, patients with stroke are usually first evaluated locally by a nonneurologist physician (NNP) before treatment is determined...
Rural-urban differences in acute stroke management practices: a modifiable disparityEnrique C Leira
Department of Neurology, 2147 RCP, University of Iowa College of Medicine, 200 Hawkins Dr, Iowa City, IA 52242, USA
Arch Neurol 65:887-91. 2008....
Extending acute trials to remote populations: a pilot study during interhospital helicopter transferEnrique C Leira
Department of Neurology, Carver College of Medicine, Iowa City, Iowa, USA
Stroke 40:895-901. 2009..The purposes of this study were to evaluate the safety and acceptability of initiating acute stroke trials during early helicopter evacuation and to test an intervention to facilitate informed consent...
Escitalopram and enhancement of cognitive recovery following strokeRicardo E Jorge
Department of Psychiatry, Roy J and Lucille A Carver College of Medicine, University of Iowa, Iowa City, IA 52242 1000, USA
Arch Gen Psychiatry 67:187-96. 2010..Adjunctive restorative therapies administered during the first few months after stroke, the period with the greatest degree of spontaneous recovery, reduce the number of stroke patients with significant disability...
Peripheral aneurysms of the lateral posterior choroidal artery: clinical presentation and endovascular treatment: report of two casesJohn B Weigele
Interventional Neuroradiology Service, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242 1077, USA
Neurosurgery 50:392-5; discussion 395-6. 2002..To describe the clinical presentation and endovascular management of peripheral aneurysms of the lateral posterior choroidal artery. Aneurysms in this location are exceptionally rare and optimal treatment may be difficult...
Can we predict early recurrence in acute stroke?Enrique C Leira
Division of Cerebrovascular Diseases, Department of Neurology, Roy J and Lucille A Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA
Cerebrovasc Dis 18:139-44. 2004..The ability to predict which patients are at risk for early recurrence would be useful for both the management and design of clinical trials...
Hemiplegic migraine induced by exertionM Razavi
Department of Neurology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242, USA
Arch Neurol 57:1363-5. 2000..It is known that exertion can aggravate migraine headache. However, the relationship between exertion and migraine aura is unknown...
Education Research: The challenge of incorporating formal research methodology training in a neurology residencyE C Leira
Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA
Neurology 70:e79-84. 2008....
Vascular neurology: a new neurologic subspecialtyHarold P Adams
Carver College of Medicine, University of Iowa, Iowa City, IA, USA
Neurology 63:774-6. 2004....
Spontaneous improvement after acute ischemic stroke. A pilot studyJ Biller
Department of Neurology, University of Iowa College of Medicine, Iowa City 52242
Stroke 21:1008-12. 1990..Our results suggest that spontaneous, often dramatic improvement occurs in patients with acute ischemic stroke and should be taken into consideration in the design of any trial of acute treatment...
Use of antiplatelet agents for prevention of ischemic strokeR Charles Callison
Division of Cerebrovascular Diseases Department of Neurology, Carver College of Medicine University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA
Neurol Clin 26:1047-77, ix. 2008..This article discusses antithrombotic treatment for ischemic stroke prevention, placing major emphasis on the indications for and administration of antiplatelet therapy...
Secondary prevention of atherothrombotic events after ischemic strokeHarold P Adams
Department of Neurology, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA
Mayo Clin Proc 84:43-51. 2009..Nevertheless, administration of antiplatelet agents remains the core of management for preventing recurrent stroke and other cardiovascular events in at-risk patients...
Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the AtherosHarold P Adams
University of Iowa Carver College of Medicine, USA
Circulation 115:e478-534. 2007..The intended audience is physicians and other emergency healthcare providers who treat patients within the first 48 hours after stroke. In addition, information for healthcare policy makers is included...
Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the AtherosHarold P Adams
Stroke 38:1655-711. 2007..Because many of the recommendations are based on limited data, additional research on treatment of acute ischemic stroke is needed...
The Carotid Occlusion Surgery StudyRobert L Grubb
Department of Neurological Surgery, Washington University School of Medicine, Washington University Medical Center, St Louis, Missouri 63110 1093, USA
Neurosurg Focus 14:e9. 2003..It is estimated that 186 patients will be required in each group. Assuming that 40% of PET scans will demonstrate increased OEF, this will require enrolling 930 clinically eligible individuals...
Guidelines for the early management of patients with ischemic stroke: A scientific statement from the Stroke Council of the American Stroke AssociationHarold P Adams
Stroke 34:1056-83. 2003
Clinical implications of PROGRESS: questions and answersJohn Chalmers
Institute for International Health, University of Sydney, Newtown, NSW, Australia
J Hypertens Suppl 21:S21-4. 2003
Patent foramen ovale: paradoxical embolism and paradoxical dataHarold P Adams
Mayo Clin Proc 79:15-20. 2004
Vascular neurology: a new neurologic subspecialty in the United StatesHarold P Adams
Int J Stroke 1:41-2. 2006
Lessons from adult stroke trialsSteven G Pavlakis
Mount Sinai School of Medicine, New York, New York, USA
Pediatr Neurol 34:446-9. 2006..Because clinical trials, more often than not, fail to give positive (effective treatment) results, it seems reasonable to attempt to learn from others' past experiences before initiating pediatric stroke trials...
Perspectives in the management of acute strokeHarold P Adams
Ital Heart J 4:291-4. 2003
