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remote ischemic conditioning
Indications:
- post ischemic stroke
Procedure:
- involves repeated occlusion/release cycles on bilateral upper limb arteries [1]
- inflatable blood pressure cuff on 1 upper extremity <= 200 mm Hg for 5 minutes then 5 minutes of cuff deflation (5 cycles), started in ambulance, repeated at least once in hospital & for a subset twice a day for 7 days [2]
Clinical significance:
- remote ischemic conditioning may improve neurologic function post ischemic stroke [1]
- of no benefit [2]
General
clinical procedure
References
- Chen HS, Cui Y, Li XQ et al
Effect of Remote Ischemic Conditioning vs Usual Care on Neurologic Function
in Patients With Acute Moderate Ischemic Stroke.
The RICAMIS Randomized Clinical Trial.
JAMA. 2022;328(7):627-636.
PMID: 35972485
https://jamanetwork.com/journals/jama/fullarticle/2795267
- Blauenfeldt RA, Hjort N, MD, Valentin JB et al
Remote Ischemic Conditioning for Acute Stroke. The RESIST Randomized Clinical
Trial.
JAMA. 2023;330(13):1236-1246.
PMID: 37787796
https://jamanetwork.com/journals/jama/fullarticle/2810034