Page last updated: 2024-10-23

aspirin and Hemorrhagic Stroke

aspirin has been researched along with Hemorrhagic Stroke in 8 studies

Aspirin: The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
acetylsalicylate : A benzoate that is the conjugate base of acetylsalicylic acid, arising from deprotonation of the carboxy group.
acetylsalicylic acid : A member of the class of benzoic acids that is salicylic acid in which the hydrogen that is attached to the phenolic hydroxy group has been replaced by an acetoxy group. A non-steroidal anti-inflammatory drug with cyclooxygenase inhibitor activity.

Hemorrhagic Stroke: Stroke due to rupture of a weakened blood vessel in the brain (e.g., CEREBRAL HEMISPHERES; CEREBELLUM; SUBARACHNOID SPACE).

Research Excerpts

ExcerptRelevanceReference
" Patients with diagnosis codes for ischemic stroke without cardiac disease were included and divided into two groups, those receiving cilostazol and those receiving clopidogrel."8.31Long-term effectiveness and safety of cilostazol versus clopidogrel in secondary prevention of noncardioembolic ischemic stroke. ( Je, NK; Lee, YJ, 2023)
"This study compared the effectiveness of dual antiplatelet therapy (DAPT) with clopidogrel-aspirin with that of aspirin monotherapy (AM) in mild-to-moderate acute ischemic stroke considering the risk of recurrent stroke using the Stroke Prognosis Instrument II (SPI-II) score."7.96Comparative Effectiveness of Dual Antiplatelet Therapy With Aspirin and Clopidogrel Versus Aspirin Monotherapy in Mild-to-Moderate Acute Ischemic Stroke According to the Risk of Recurrent Stroke: An Analysis of 15 000 Patients From a Nationwide, Multicent ( Bae, HJ; Cha, JK; Cho, KH; Cho, YJ; Choi, JC; Choi, KH; Hong, JH; Hong, KS; Kang, K; Kim, BJ; Kim, DE; Kim, DH; Kim, JG; Kim, JT; Kim, WJ; Kwon, JH; Lee, BC; Lee, HL; Lee, J; Lee, JS; Lee, KB; Lee, SJ; Park, HK; Park, JM; Park, MS; Park, SS; Park, TH; Ryu, WS; Shin, DI; Sohn, SI; Sun Oh, M; Yu, KH, 2020)
" Patients with diagnosis codes for ischemic stroke without cardiac disease were included and divided into two groups, those receiving cilostazol and those receiving clopidogrel."4.31Long-term effectiveness and safety of cilostazol versus clopidogrel in secondary prevention of noncardioembolic ischemic stroke. ( Je, NK; Lee, YJ, 2023)
"To evaluate the effects of aspirin in the primary prevention, we evaluated disability grades and mortality after ischemic/hemorrhagic stroke and myocardial infarction (MI)."4.31Pre-aspirin use has no benefit on the neurological disability and mortality after cardiovascular events: A nation-wide population-based cohort study. ( Kang, MJ; Kim, HS; Kim, JH; Lee, JH; Lim, HS; Park, D; Yoon, SY, 2023)
"To examine the association between CAC, bleeding, and ASCVD and explore the net estimated effect of aspirin at different CAC thresholds."4.02Value of Coronary Artery Calcium Scanning in Association With the Net Benefit of Aspirin in Primary Prevention of Atherosclerotic Cardiovascular Disease. ( Ajufo, E; Ayers, CR; de Lemos, JA; Joshi, PH; Khera, A; Rohatgi, A; Vigen, R, 2021)
"Aspirin and warfarin increased the risk for hemorrhagic stroke by 3."3.96Predictors of hemorrhagic stroke in older persons taking nonsteroidal anti-inflammatory drugs: Results from the Food and Drug Administration Adverse Event Reporting System. ( McDonald, DD; Srisopa, P, 2020)
"This study compared the effectiveness of dual antiplatelet therapy (DAPT) with clopidogrel-aspirin with that of aspirin monotherapy (AM) in mild-to-moderate acute ischemic stroke considering the risk of recurrent stroke using the Stroke Prognosis Instrument II (SPI-II) score."3.96Comparative Effectiveness of Dual Antiplatelet Therapy With Aspirin and Clopidogrel Versus Aspirin Monotherapy in Mild-to-Moderate Acute Ischemic Stroke According to the Risk of Recurrent Stroke: An Analysis of 15 000 Patients From a Nationwide, Multicent ( Bae, HJ; Cha, JK; Cho, KH; Cho, YJ; Choi, JC; Choi, KH; Hong, JH; Hong, KS; Kang, K; Kim, BJ; Kim, DE; Kim, DH; Kim, JG; Kim, JT; Kim, WJ; Kwon, JH; Lee, BC; Lee, HL; Lee, J; Lee, JS; Lee, KB; Lee, SJ; Park, HK; Park, JM; Park, MS; Park, SS; Park, TH; Ryu, WS; Shin, DI; Sohn, SI; Sun Oh, M; Yu, KH, 2020)
"aspirin monotherapy was carried out, to determine optimal peri-operative management with these antiplatelet agents."2.82Editor's Choice - Peri-Operative Outcomes of Carotid Endarterectomy are Not Improved on Dual Antiplatelet Therapy vs. Aspirin Monotherapy: A Systematic Review and Meta-Analysis. ( Bissacco, D; Chechik, O; Chisci, E; Cusimano, MD; Ku, JC; Larrue, V; Macdonald, RL; Michelagnoli, S; Nasr, N; Pasarikovski, CR; Priola, SM; Rabinovich, Y; Settembrini, PG; Taslimi, S; Yang, VXD; Zuccato, J, 2022)
"Hemorrhagic stroke is the most common type of obstetric stroke."2.72Stroke in Pregnancy: A Multidisciplinary Approach. ( Camargo, EC; Singhal, AB, 2021)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's8 (100.00)2.80

Authors

AuthorsStudies
Ku, JC1
Taslimi, S1
Zuccato, J1
Pasarikovski, CR1
Nasr, N1
Chechik, O1
Chisci, E1
Bissacco, D1
Larrue, V1
Rabinovich, Y1
Michelagnoli, S1
Settembrini, PG1
Priola, SM1
Cusimano, MD1
Yang, VXD1
Macdonald, RL1
Lee, YJ1
Je, NK1
Kim, JH1
Park, D1
Lim, HS1
Kang, MJ1
Lee, JH1
Yoon, SY1
Kim, HS1
Chichareon, P1
Modolo, R1
Kerkmeijer, L1
Tomaniak, M1
Kogame, N1
Takahashi, K1
Chang, CC1
Komiyama, H1
Moccetti, T1
Talwar, S1
Colombo, A1
Maillard, L1
Barlis, P1
Wykrzykowska, J1
Piek, JJ1
Garg, S1
Hamm, C1
Steg, PG1
Jüni, P1
Valgimigli, M1
Windecker, S1
Onuma, Y1
Mehran, R1
Serruys, PW1
McDonald, DD1
Srisopa, P1
Ajufo, E1
Ayers, CR1
Vigen, R1
Joshi, PH1
Rohatgi, A1
de Lemos, JA1
Khera, A1
Lee, HL1
Kim, JT1
Lee, JS1
Park, MS1
Choi, KH1
Cho, KH1
Kim, BJ1
Park, JM1
Kang, K1
Lee, SJ1
Kim, JG1
Cha, JK1
Kim, DH1
Park, TH1
Park, SS1
Lee, KB1
Lee, J2
Hong, KS1
Cho, YJ1
Park, HK1
Lee, BC1
Yu, KH1
Sun Oh, M1
Kim, DE1
Ryu, WS1
Choi, JC1
Kwon, JH1
Kim, WJ1
Shin, DI1
Sohn, SI1
Hong, JH1
Bae, HJ1
Camargo, EC1
Singhal, AB1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
GLOBAL LEADERS: A Clinical Study Comparing Two Forms of Anti-platelet Therapy After Stent Implantation[NCT01813435]Phase 315,991 participants (Actual)Interventional2013-07-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With a Bleeding Academic Research Consortium (BARC) 3 or 5 Bleeding

"BARC definition. We only considered BARC 3 or 5 for this secondary safety endpoint.~Type 3: Clinical, laboratory, and/or imaging evidence of bleeding with:~Type 3a:~Overt bleeding + Hb drop of 3 to < 5 g/dL (provided Hb drop is related to bleed)~Any transfusion with overt bleeding~Type 3b:~Overt bleeding + Hb drop ≥5 g/dL (provided Hb drop is related to bleed)~Cardiac tamponade~Bleeding requiring surgical intervention (excluding dental/nasal/skin/haemorrhoid)~Bleeding requiring intravenous vasoactive agents~Type 3c:~Intracranial haemorrhage (does not include microbleeds or haemorrhagic transformation, does include intraspinal)~Subcategories confirmed by autopsy or imaging or lumbar puncture~Intraocular bleed compromising vision. Type 5: Fatal bleeding~Type 5a:~• Probable fatal bleeding; no autopsy or imaging confirmation but clinically suspicious~Type 5b:~Definite fatal bleeding; overt bleeding or autopsy or imaging confirmation" (NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy163
Reference Treatment Strategy169

Number of Participants With a Composite of All-cause Mortality or Non-fatal New Q-wave Myocardial Infarction (MI)

Number of Participants with a composite of all-cause mortality or non-fatal new Q-wave MI up to 2 years post randomisation. (NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy304
Reference Treatment Strategy349

Number of Participants With a Composite of All-cause Mortality, Stroke, or New Q-wave Myocardial Infarction

shown are the first event per event type for each patient only. Multiple events of the same type within the same patient are disregarded (NCT01813435)
Timeframe: 2-year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy362
Reference Treatment Strategy416

Number of Participants With a Definite Stent Thrombosis

(NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy64
Reference Treatment Strategy64

Number of Participants With a Myocardial Revascularisation

(NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy739
Reference Treatment Strategy793

Number of Participants With a Stroke

(NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy80
Reference Treatment Strategy82

Number of Participants With All-cause Mortality

(NCT01813435)
Timeframe: 2-year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy224
Reference Treatment Strategy253

Number of Participants With Myocardial Infarction

(NCT01813435)
Timeframe: 2 year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy248
Reference Treatment Strategy250

Number of Participants With New Q-wave Myocardial Infarction

(NCT01813435)
Timeframe: 2-year

InterventionParticipants (Count of Participants)
Experimental Treatment Strategy83
Reference Treatment Strategy103

Reviews

2 reviews available for aspirin and Hemorrhagic Stroke

ArticleYear
Editor's Choice - Peri-Operative Outcomes of Carotid Endarterectomy are Not Improved on Dual Antiplatelet Therapy vs. Aspirin Monotherapy: A Systematic Review and Meta-Analysis.
    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 2022, Volume: 63, Issue:4

    Topics: Aspirin; Brain Ischemia; Carotid Stenosis; Endarterectomy, Carotid; Hematoma; Hemorrhage; Hemorrhagi

2022
Stroke in Pregnancy: A Multidisciplinary Approach.
    Obstetrics and gynecology clinics of North America, 2021, Volume: 48, Issue:1

    Topics: Aspirin; Brain Diseases; Cardiomyopathies; Cesarean Section; Eclampsia; Embolism, Paradoxical; Femal

2021

Trials

1 trial available for aspirin and Hemorrhagic Stroke

ArticleYear
Association of Sex With Outcomes in Patients Undergoing Percutaneous Coronary Intervention: A Subgroup Analysis of the GLOBAL LEADERS Randomized Clinical Trial.
    JAMA cardiology, 2020, 01-01, Volume: 5, Issue:1

    Topics: Aged; Aspirin; Coronary Artery Disease; Drug-Eluting Stents; Dual Anti-Platelet Therapy; Female; Hem

2020

Other Studies

5 other studies available for aspirin and Hemorrhagic Stroke

ArticleYear
Long-term effectiveness and safety of cilostazol versus clopidogrel in secondary prevention of noncardioembolic ischemic stroke.
    European journal of clinical pharmacology, 2023, Volume: 79, Issue:8

    Topics: Aspirin; Cilostazol; Clopidogrel; Drug Therapy, Combination; Gastrointestinal Hemorrhage; Hemorrhagi

2023
Pre-aspirin use has no benefit on the neurological disability and mortality after cardiovascular events: A nation-wide population-based cohort study.
    Medicine, 2023, Jun-23, Volume: 102, Issue:25

    Topics: Aged; Aspirin; Cardiovascular Diseases; Cohort Studies; Hemorrhagic Stroke; Humans; Platelet Aggrega

2023
Predictors of hemorrhagic stroke in older persons taking nonsteroidal anti-inflammatory drugs: Results from the Food and Drug Administration Adverse Event Reporting System.
    Journal of the American Association of Nurse Practitioners, 2020, Sep-01, Volume: 33, Issue:11

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Hemorrhagic Stroke; Human

2020
Value of Coronary Artery Calcium Scanning in Association With the Net Benefit of Aspirin in Primary Prevention of Atherosclerotic Cardiovascular Disease.
    JAMA cardiology, 2021, 02-01, Volume: 6, Issue:2

    Topics: Adult; Aspirin; Atherosclerosis; Cohort Studies; Coronary Artery Disease; Coronary Disease; Eye Hemo

2021
Comparative Effectiveness of Dual Antiplatelet Therapy With Aspirin and Clopidogrel Versus Aspirin Monotherapy in Mild-to-Moderate Acute Ischemic Stroke According to the Risk of Recurrent Stroke: An Analysis of 15 000 Patients From a Nationwide, Multicent
    Circulation. Cardiovascular quality and outcomes, 2020, Volume: 13, Issue:11

    Topics: Aged; Aspirin; Clopidogrel; Comparative Effectiveness Research; Databases, Factual; Dual Anti-Platel

2020