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Stroke in Elderly
Presenter: Sanjeeva Reddy Onteddu, MD
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Knowledge Gap: 
The purpose of this activity is to educate healthcare providers with the most up-to-date information on 
Stroke in Elderly.

Target Audience
The target audience includes all healthcare professionals such as physicians, nurses, pharmacists and allied health professionals who would like to learn about 
Stroke in Elderly and how it pertains to their respective profession.

 Release and Expiration Dates
12/15/2017 -12/15/2020

Objectives
  1. Discuss incidence of stroke in elderly
  2. Discuss acute treatment
  3. Discuss secondary stroke management in elderly

References:
  1. Sudlow CM, Rodgers H, Kenny RA, Thomson RG. Service provision and use of anticoagulants in atrial fibrillation. BMJ?: British Medical Journal. 1995;311(7004):558-560.
  2. Outcomes of carotid endarterectomy in the elderly: report from the National Cardiovascular Data Registry.AURajamani K, Kennedy KF, Ruggiero NJ, Rosenfield K, Spertus J, Chaturvedi S SOStroke. 2013 Apr;44(4):1172-4. Epub 2013 Feb 19. 
  3. Carotid endarterectomy in octogenarian: short- and midterm results.AUSalomon du Mont L, Ravelojaona M, Puyraveau M, Al Sayed M, Ritucci E, Rinckenbach S SOAnn Vasc Surg. 2014 May;28(4):917-23. Epub 2013 Oct 25.
  4. Early and long-term outcomes of carotid endarterectomy in the very elderly: An 18-year single-center study Enzo Ballotta, MD,a Giuseppe Da Giau, MD,a Mario Ermani, MD,b Giorgio Meneghetti, MD,b Marina Saladini, MD,b Renzo Manara, MD,b and Claudio Baracchini, MD,b Padua, Italy
  5. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study.
  6. Lowres N, Neubeck L, Redfern J, Freedman SB. Screening to identify unknown atrial fibrillation. A systematic review. Thromb Haemost. 2013;110:213–222. doi: 10.1160/TH13-02-0165
  7. Clinical Outcome of Mechanical Thrombectomy for Stroke in the Elderly. Azkune etal. .Journal of stroke and cerebrovascular disease. 2017 Mar;26(3):582-588. 
  8. Bhatnagar P, Sinha D, Parker RA, Guyler P, O’Brien A. Intravenous thrombolysis in acute ischaemic stroke: a systematic review and meta-analysis to aid decision making in patients over 80 years of age. J Neurol Neurosurg Psychiatry. 2011;82:712–717. doi: 10.1136/jnnp.2010.223149
  9. Bhatnagar P, Sinha D, Parker RA, Guyler P, O’Brien A. Intravenous thrombolysis in acute ischaemic stroke: a systematic review and meta-analysis to aid decision making in patients over 80 years of age. J Neurol Neurosurg Psychiatry. 2011;82:712–717. doi: 10.1136/jnnp.2010.223149.
  10. Wardlaw JM, Murray V, Berge E, del Zoppo G, Sandercock P, Lindley RL, Cohen G. Recombinant tissue plasminogen activator for acute ischaemicstroke: an updated systematic review and meta-analysis. Lancet.2012;379:2364–2372. doi: 10.1016/S0140-6736(12)60738-7.
  11. Gottesman RF, Kleinman JT, Davis C, et al. Unilateral neglect is more severe and common in older patients with right hemispheric stroke. Neurology. 2008;71(18):1439-1444. doi:10.1212/01.wnl.0000327888.48230.d2. more severe Unilateral neglect in older patients with right hemispheric stroke.
  12. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services Allison E. Arch, MD, MPH; David C. Weisman, MD; Steven Coca, DO, MS, Karin V. Nystrom, APRN, MSN; Charles R. Wira, III, MD; Joseph L. Schindler, MD

Biographical Info

Dr. Sanjeeva Reddy Onteddu is an Assistant Professor of Neurology, and the Medical Director for the AR SAVES Program and the Stroke Program at the University of Arkansas for Medical Sciences. After completion of a 4-year neurology residency at UAMS, he completed a 1-year vascular neurology fellowship at the University of Massachusetts. He is board certified in neurology and vascular neurology, and maintains active memberships with the American Heart Association and American Academy of Neurology.

Speaker Disclosures:
The planners, speakers, moderators, peer reviewers and /or panelists of this CE activity have no relevant financial relationships with commercial interests to disclose.

Planners: 
Priya Mendiratta, MD
Paula Podrazik, MD
Gohar Azhar, MD
Susan Smithwick, MD 

Speaker:
Sanjeeva Reddy Onteddu, MD

Peer Reviewers: 
Kim Miller, MCHES


Instructions to obtain credit:

1.       Launch the activity 
2.       View the entire activity online 
3.       Complete the post-test 
           (must pass the post-test with a score of 65% to receive credit)
           You may retake the post-test if you do not receive a passing score.
4.       Complete Evaluation 
Print certificate or transcript (Available in the “My Profile” tab).

Direct Provider Statement
In support of improving patient care, University of Arkansas for Medical Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Designation Statement 
The University of Arkansas for Medical Science Office of Continuing Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Policy statement

It is the policy of the University of Arkansas for Medical Sciences Office of Continuing Education to ensure balance, independence, objectivity and scientific rigor in all provided and jointly provided educational activities.  All individuals who are in a position to control the content of the educational activity (course/activity, directors, planning committee members, staff, teachers, or authors of CE) must disclose all relevant financial relationships they have with any commercial interest(s) as well as the nature of the relationship.  Financial relationships of immediate family members must also be disclosed, if the nature of the relationship(s) could influence the objectivity of the individual in a position to control the content.  The ACCME describes relevant financial relationships as those in any amount occurring within the past 12 months that create a conflict of interest.  Individuals who refuse to disclose are disqualified from participation in the development, management, presentation, or evaluation of the CE activity.

UAMS Office of Continuing Education

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Phone: 501-661-7962 Fax: 501-661-7968

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Type:  Internet Activity (Enduring Material)
114 Registered Users
Credits
1 Hours> Non-Accredited

1 Credits> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit