Prof Alejandro Bimbo Diaz,MD

I love this advocacy- #CheckYourBloodPressure #StopStroke

This is interesting especially for centers who have limited resources like EVT..

My latest -- on the topic of dysphagia, a devastating and frequently overlooked complication of stroke and other causes of severe brain injury. In this Medicare claims data analysis of patients treated for acute ischemic and hemorrhagic stroke, higher resource utilization and costs were observed in patients with dysphagia and related post-stroke complications. Efforts to improve the management of post-stroke complications may result in significant clinical and economic benefits for payers and providers. link.springer.com/article/10.100…

📊Effects of Exercise and Intensive Vascular Risk Reduction on Cognitive Function in Older Adults: A Randomized Clinical Trial from @JAMANeuro 🔓Free to read online during #AAN2026 ja.ma/4ctGS7S

In patients with atrial fibrillation and recent stroke, adding catheter ablation to oral anticoagulation did not significantly reduce recurrent stroke, systemic embolism, death, or hospitalization for heart failure compared to standard therapy. ja.ma/4dUjoLB

Biologic vs chronologic age matters..

Systolic Blood Pressure Trajectory and Outcomes in Acute Intracerebral Hemorrhage: Pooled Analysis of the 4 INTERACT and ATACH-II Clinical Trials hubs.la/Q049x1Y10

In a secondary analysis of the TEMPO-2 trial, the presence of hemorrhagic transformation was associated with worse clinical outcomes. #stroke ahajrnls.org/3O8wtGF @mihill68 @vancouverstroke @draravindganesh @amyyu_md @RAppireddy @nishita_singh3 @SCouttsMD

It's World Parkinson's Day and we still have no disease-modifying drug or prevention for this condition, the 2nd most common and fastest growing neurodegenerative disease. That needs to change! nature.com/articles/s4158…

Among patients with atherosclerotic cardiovascular disease, targeting an LDL cholesterol level below 55 mg per deciliter led to a lower 3-year risk of cardiovascular events than targeting a level below 70 mg per deciliter. Full Ez-PAVE trial results and Research Summary: nejm.org/doi/full/10.10…

A secondary analysis of the SELECT2 RCT found that among patients with large ischemic core, EVT was associated with greater cerebral edema compared with BMT. Increased midline shift was linked to early neurological worsening and worse functional outcomes. ahajournals.org/doi/full/10.11…

In patients with unruptured intracranial aneurysms, postdiagnostic anxiety and depression are associated with increased rupture risk and mortality. ahajrnls.org/4bKQhZK @MAEssibayi @AhmedYAzzam @Hamza_isleem @HAlvinChenNeuro @dhairyalakhani 41 @HaranhalliMD @DavidAltschulMD

Published today, 2026 Dietary Guidance to Improve Cardiovascular Health: A Scientific Statement from the American Heart Association. This statement: ➡️ Reinforces the importance of focusing on heart-healthy dietary patterns, rather than on single foods or nutrients. ➡️ Highlights the importance of adopting heart-healthy eating habits early in life and maintaining them across the life course. ➡️ Organizes the guidance into nine features to facilitate adoption of a dietary pattern that support cardiovascular health. ➡️ Recognizes the additional benefits that come with adoption of a heart-healthy dietary pattern beyond CVD. 📷 Features of a dietary pattern to promote cardiovascular health.

The statement provides a concise update that summarizes food-based cardiovascular health optimization and CVD risk reduction guidance related to features of heart-healthy dietary patterns. The nine features for heart-healthy dietary patterns across the life course are updated with the latest evidence, and apply regardless of where food is procured, prepared, or consumed. This statement updates the Association’s dietary guidance last published in 2021 and reflects the most recent scientific evidence and expert consensus.

We do this BP augmentation in selected AIS patients..

Endovascular vs Medical Treatment of Basilar Artery Occlusion @JAMANeuro “At 3 years, the clinical benefit of EVT in patients with acute BAO was durable, with substantially better functional outcomes and reduced mortality compared with medical management. These results reinforce EVT as the standard of care for BAO and support broader implementation and timely access to thrombectomy services.” #curingcoma jamanetwork.com/journals/jaman…

🧠💉 In TNK-treated LVO stroke patients eligible for EVT, thrombus migration occurred in 36% and made EVT impossible in 26% vs 4% without migration. Thrombus migration significantly reduced rates of complete reperfusion but did not affect functional outcomes. Read more here: bit.ly/4lpk658 @jildazz

#MondayTip Hypoperfusion Intensity Ratio #HIR may be the most practical collateral biomarker in AIS ⬆️High HIR (>0.4) → rapid core growth, ↑ hemorrhage risk, worse mRS. ⬇️Low HIR → robust collaterals & better EVT outcomes. doi.org/10.3174/ajnr.A…

🧠 Dyslipidemia Management in Stroke Prevention ✍ Current evidence and a phenotype-guided, individualized framework for dyslipidemia management across stroke subtypes Read the review here! 👇 journals.sagepub.com/doi/full/10.11…

The OPTION trial at #ISC26 Better outcomes with TNK vs placebo for non-LVO AIS pts treated between 4.5 and 24 hours

🆕PRESTIGE-AF subanalysis: Neuroimaging Markers Associated With Recurrent Stroke in Intracerebral Hemorrhage & #Afib Full results:🖇️tinyurl.com/mr26z87f #stroke @JacopoImberti @LiverpoolCCS @Fra_Vitali90 @L_Bergamaschi @annapodlasek