Vascular Neurologist @MayoClinic | Medical Director, Mayo Telestroke Network | APD @MayoFL_NeuroRes | Proud husband @MelissaLyleMD and Dad x3 | Tweets=my own
Joined February 2018
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21 Photos and videos
Engage your friendly neighborhood vascular neurologist before LAAO if the indication is prior ICH or CAA. Better yet, send them to the @MayoClinic Heart-Brain Clinic. Risk stratification is essential.
Apr 21
Probable CAA is a very heterogenous population, and in select cases we don’t use anticoagulation in setting of high burden AF. Prior ICH and cortical superficial siderosis are significant risk factors for recurrent ICH, in which we may consider LAAO.
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Not noninferior = INFERIOR
Take your blood thinners folks - still the gold standard for stroke prevention in patients with AF who don’t have clear contraindication to anticoagulation.
Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nejm.org/doi/full/10.1056/NE…
Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? nejm.org/doi/full/10.1056/NE…
ALT A graph of the primary end point
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Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nejm.org/doi/full/10.1056/NE…
Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? nejm.org/doi/full/10.1056/NE…
ALT A graph of the primary end point
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22 Mar 2025
We need better prehospital tools to identify ischemic vs hemorrhagic stroke. ICH patients appear to do worse with PSC bypass and DTIR.
20 Mar 2025
Impact of Direct Transfer to Angiography Suite on Treatment Time Metrics in Patients With Acute Intracerebral Hemorrhage | Stroke ahajournals.org/doi/full/10.…
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Stephen English MD, MBA retweeted
7 Aug 2024
Join us for the Neurology breakout session at our annual virtual residency open house! @MayoClinicNeuro #mayoclinicflorida
Learn about the unique & plentiful opportunities for our residents at Mayo Clinic Florida!
mc-meet.zoom.us/meeting/regi…
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12 Jul 2024
Proud to be a part of this incredible multidisciplinary team! None of this is possible w/o the dedication of our residents @MayoFL_NeuroRes 💪🏼💉🧠
@lizmauricio23 @KevinMBarrettMD @freemanwd @MichelleLinMD @JamesMeschia #timeisbrain
11 Jul 2024
Mayo Clinic in Florida is dedicated to ensuring all #stroke patients have access to best practices and life-saving care, that’s how we earned the Get With The Guidelines GoldPlus award. Learn more 👉 bit.ly/3S6Efj4 #GetWithTheGuidelines @American_Stroke
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Stephen English MD, MBA retweeted
Time is brain & the best stroke care requires an organized, efficient & experienced team. Our residents partake in multidisciplinary stroke simulations to ensure the best outcomes for our patients at #mayoclinicflorida- the #1 hospital in Florida!
@MayoClinic @MayoClinicNeuro
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11 Jun 2024
Members of our Mayo Florida Comprehensive Stroke Center taking in a beautiful evening @JaxShrimp game while providing stroke education for our community! #BEFAST #TimeIsBrain #StrokeAwareness @MayoFL_NeuroRes
5 Jun 2024
Our Florida Stroke Center Team and their families met at the ballgame last week to partner with the Jacksonville Jumbo Shrimp for Good is Everywhere Wednesdays to raise awareness of stroke for National #StrokeAwarenessMonth in May! @JaxShrimp
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7 Mar 2024
Let’s say 10 but dang I like this a lot
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Stephen English MD, MBA retweeted
9 Feb 2024
@ChaturvediNeuro updates on 2024 best med tx in athero dz #ISC24 #neurotwitter
Major update on LDL tx 🟡, lower is better <55/40
🟡 PCSK9 inhib (Evolocumab), q2/4w subq inj💉
🟡 Inclisiran (q6m inj)🏥
🟡 Bempedoic acid (qd oral) 💊
⚪️ Semaglutide in overweight pts w/o DMII⭐️
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Stephen English MD, MBA retweeted
8 Feb 2024
Patients with the largest infarct burden showed the most benefit with early re-start of AC. We should avoid hesitancy/bias from "big-bad, looking infarcts" and stick to the evidence: Starting earlier is better. Thank you @FishingNeurons #ISCH2024 @NAsdaghi @AmerMalikMD @vdelbrutto @ShadiYaghi2 #stroke #sticktothefacts
8 Feb 2024
New data from @ELAN_Trial presented by @StrokeBern @FishingNeurons and @mbgoeldlin suggest that benefit of early start of DOAC after stroke is equal for all stroke sizes, probably even biggest in large sized strokes. Investigators did a great job estimimating stroke size 👏👏
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8 Feb 2024
Happening now at #ISC24 ‼️
Dr. James Meschia, our 2024 William M. Feinberg Award Lecturer 🚨🚨
@MayoClinicNeuro @MayoFL_NeuroRes @AHAMeetings
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8 Feb 2024
The future of stroke care is bright! Love seeing residents and fellows present their research at #ISC24 🫀🧠 @AHAMeetings
@MayoClinicNeuro @MayoFL_NeuroRes @lizmauricio23 @EYemmCoon @zoewolcott4
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Stephen English MD, MBA retweeted
7 Feb 2024
Algorithms won’t replace stroke experts but they might be able to improve mimic detection by ED or EMS personnel. No one TS mimic score stands alone but provide complementary info.
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Stephen English MD, MBA retweeted
Thank you @Braindoc_MGH and congratulations @NikitaChhabra94 and @SWEnglishMD and all co-authors @MayoClinic @MayoClinicNeuro stroke team @OanaDumitrascu5 @cumara_o
7 Feb 2024
Dr Chhabra presenting on TS mimic scores comparing 4 published scales. Her AZ Mayo crew here to cheer her on! @Demaerschalk
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Incredible mentor and colleague, very well deserved recognition!
7 Feb 2024
James F. Meschia, M.D., FAHA, Professor of Neurology and Chair Emeritus, Department of Neurology, Mayo Clinic, Jacksonville, Florida received the William M. Feinberg Award at the @American_Stroke Association’s International Stroke Conference 2024 in Phoenix. @JamesMeschia
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11 Jan 2024
Come heal the sick and advance the science with us at the #1 neurology residency program in the Southeast!
10 Jan 2024
Mayo Clinic Florida is now recruiting an Adult Neurology PGY2 Resident to start in July 2024!
Apply through ERAS in the 2024 Match- NRMP Program Code 1032180R0.
@MayoFL_NeuroRes @NMatch2024 @MatchNeuro @Inside_TheMatch @AANmember
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Stephen English MD, MBA retweeted
17 Dec 2023
CODE-ICH: A Call to Action 🧠 🩸
“Time is brain” in ICH too and even more time critical with 6-8million neurons lost per min vs 1.9 million neurons in LVO (PMID: 33952393)
ahajournals.org/doi/10.1161/…
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Stephen English MD, MBA retweeted
6 Dec 2023
Session 3 of the @svinsociety Virtual Stroke Academy Grand Rounds series on the “Principles of Thrombectomy” by Dr. Dileep Yavagal.
Dont forget to register at the link below @EmoryStroke @EmoryNeurology @EmoryNeurohosp1 @SVINJournal @dyavagal
5 Dec 2023
Virtual Stroke Academy is back!
Principal of Mechanical Thrombectomy (MT) presented by Dr.@dyavagal founder and president of Mission Thrombectomy MT2020
Register: smithbucklin.zoom.us/webinar…
@elghanemmoh @MThrombectomy @SVINJournal @StrokeAHA_ASA @YoungNIR @WomenInNeuroIR
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