Clinical Practice Guidelines

UNC Stroke Center CPGs

Acute Ischemic Stroke

1. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

   William J. Powers, MD, FAHA, Chair, Alejandro A. Rabinstein, MD, FAHA, Vice Chair, Teri Ackerson, BSN, RN, Opeolu M. Adeoye, MD, MS, FAHA, Nicholas C. Bambakidis, MD, FAHA, Kyra Becker, MD, FAHA, José Biller, MD, FAHA, Michael Brown, MD, MSc, Bart M. Demaerschalk, MD, MSc, FAHA, Brian Hoh, MD, FAHA, Edward C. Jauch, MD, MS, FAHA, Chelsea S. Kidwell, MD, FAHA, Thabele M. Leslie-Mazwi, MD, Bruce Ovbiagele, MD, MSc, MAS, MBA, FAHA, Phillip A. Scott, MD, MBA, FAHA, Kevin N. Sheth, MD, FAHA, Andrew M. Southerland, MD, MSc, FAHA, Deborah V. Summers, MSN, RN, FAHA, David L. Tirschwell, MD, MSc, FAHA, on behalf of the American Heart Association Stroke Council
2. Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

   Shadi Yaghi, MD, Chair, Joshua Z. Willey, MD, MS, FAHA, Vice Chair, Brett Cucchiara, MD, FAHA, Joshua N. Goldstein, MD, PhD, FAHA, Nicole R. Gonzales, MD, Pooja Khatri, MD, MSc, FAHA, Louis J. Kim, MD, Stephan A. Mayer, MD, FAHA, Kevin N. Sheth, MD, FAHA, and Lee H. Schwamm, MD, FAHA on behalf of the American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Quality of Care and Outcomes Research

Hemorrhagic Stroke

1. 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association
   Steven M. Greenberg, MD, PhD, FAHA, Chair, Wendy C. Ziai, MD, MPH, FAHA, Vice Chair, Charlotte Cordonnier, MD, PhD, Dar Dowlatshahi, MD, PhD, FAHA, Brandon Francis, MD, MPH, Joshua N. Goldstein, MD, PhD, FAHA, J. Claude Hemphill III, MD, MAS, FAHA, Ronda Johnson, MBA, Kiffon M. Keigher, MSN, ACNP-BC, RN, SCRN, William J. Mack, MD, MS, FAHA, J. Mocco, MD, MS, FAHA, Eileena J. Newton, MD, Ilana M. Ruff, MD, Lauren H. Sansing, MD, MS, FAHA, Sam Schulman, MD, PhD, Magdy H. Selim, MD, PhD, FAHA, Kevin N. Sheth, MD, FAHA, Nikola Sprigg, MD, Katharina S. Sunnerhagen, MD, PhD, on behalf of the American Heart Association/American Stroke Association
2. 2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association
   Brian L. Hoh, MD, MBA, FAHA, Chair, Nerissa U. Ko, MD, MAS, Vice Chair, Sepideh Amin-Hanjani, MD, FAHA, Sherry Hsiang-Yi Chou, MD, MSc, Salvador Cruz-Flores, MD, MPH, FAHA, Neha S. Dangayach, MD, MBBS, MSCR, Colin P. Derdeyn, MD, FAHA, Rose Du, MD, PhD, Daniel Hänggi, MD, PhD, Steven W. Hetts, MD, Nneka L. Ifejika, MD, MPH, FAHA, Regina Johnson, BS, Kiffon M. Keigher, DNP, MSN, ACNP-BC, RN, Thabele M. Leslie-Mazwi, MD, Brandon Lucke-Wold, MD, PhD, Alejandro A. Rabinstein, MD, FAHA, Steven A. Robicsek, MD, PhD, Christopher J. Stapleton, MD, Jose I. Suarez, MD, Stavropoula I. Tjoumakaris, MD, FAHA, Babu G. Welch, MD
3. Diringer MN, Bleck TP, Claude Hemphill J 3rd, Menon D, Shutter L, Vespa P, Bruder N, Connolly ES Jr, Citerio G, Gress D, Hänggi D, Hoh BL, Lanzino G, Le Roux P, Rabinstein A, Schmutzhard E, Stocchetti N, Suarez JI, Treggiari M, Tseng MY, Vergouwen MD, Wolf S, Zipfel G; Neurocritical Care Society. Critical care management of patients following aneurysmal subarachnoid hemorrhage: recommendations from the Neurocritical Care Society’s Multidisciplinary Consensus Conference. Neurocrit Care. 2011 Sep;15(2):211-40. doi: 10.1007/s12028-011-9605-9. PMID: 21773873.
4. Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association
   Colin P. Derdeyn, MD, FAHA, Chair, Gregory J. Zipfel, MD, FAHA, Vice Chair, Felipe C. Albuquerque, MD, Daniel L. Cooke, MD, Edward Feldmann, MD, FAHA, Jason P. Sheehan, MD, PhD, and James C. Torner, PhD, MS, FAHA on behalf of the American Heart Association Stroke Council

Transient Ischemic Attack

1. Definition and Evaluation of Transient Ischemic Attack
   J. Donald Easton, MD, FAHA, Chair , Jeffrey L. Saver, MD, FAHA, Vice-Chair , Gregory W. Albers, MD , Mark J. Alberts, MD, FAHA , Seemant Chaturvedi, MD, FAHA, FAAN , Edward Feldmann, MD, FAHA , Thomas S. Hatsukami, MD , Randall T. Higashida, MD, FAHA , S. Claiborne Johnston, MD, PhD , Chelsea S. Kidwell, MD, FAHA , Helmi L. Lutsep, MD , Elaine Miller, DNS, RN, CRRN, FAHA , and Ralph L. Sacco, MD, MS, FAAN, FAHA

Cerebral Venous Thrombosis

1. Diagnosis and Management of Cerebral Venous Thrombosis
   Gustavo Saposnik, MD, MSc, FAHA, Chair , Fernando Barinagarrementeria, MD, FAHA, FAAN , Robert D. Brown, Jr, MD, MPH, FAHA, FAAN , Cheryl D. Bushnell, MD, MHS, FAHA , Brett Cucchiara, MD, FAHA , Mary Cushman, MD, MSc, FAHA , Gabrielle deVeber, MD , Jose M. Ferro, MD, PhD , and Fong Y. Tsai, MD on behalf of the American Heart Association Stroke Council and the Council on Epidemiology and Prevention

Prevention

1. Diagnosis and Management of Cerebral Venous Thrombosis
   Gustavo Saposnik, MD, MSc, FAHA, Chair , Fernando Barinagarrementeria, MD, FAHA, FAAN , Robert D. Brown, Jr, MD, MPH, FAHA, FAAN , Cheryl D. Bushnell, MD, MHS, FAHA , Brett Cucchiara, MD, FAHA , Mary Cushman, MD, MSc, FAHA , Gabrielle deVeber, MD , Jose M. Ferro, MD, PhD , and Fong Y. Tsai, MD on behalf of the American Heart Association Stroke Council and the Council on Epidemiology and Prevention
2. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration With the Society of Thoracic Surgeons
   Craig T. January, MD, PhD, FACC, Chair, L. Samuel Wann, MD, MACC, FAHA, Vice Chair, Hugh Calkins, MD, FACC, FAHA, FHRS, Lin Y. Chen, MD, MS, FACC, FAHA, FHRS, Joaquin E. Cigarroa, MD, FACC, Joseph C. Cleveland Jr, MD, FACC, Patrick T. Ellinor, MD, PhD, Michael D. Ezekowitz, MBChB, DPhil, FACC, FAHA, Michael E. Field, MD, FACC, FAHA, FHRS, Karen L. Furie, MD, MPH, FAHA, Paul A. Heidenreich, MD, FACC, FAHA, Katherine T. Murray, MD, FACC, FAHA, FHRS, Julie B. Shea, MS, RNCS, FHRS, Cynthia M. Tracy, MD, FAHA, Clyde W. Yancy, MD, MACC, FAHA

Cerebral Edema

1. Recommendations for the Management of Cerebral and Cerebellar Infarction With Swelling
   Eelco F. M. Wijdicks, MD, PhD, FAHA, Chair, Kevin N. Sheth, MD, FAHA, Co-Chair, Bob S. Carter, MD, PhD, David M. Greer, MD, MA, FAHA, Scott E. Kasner, MD, FAHA, W. Taylor Kimberly, MD, PhD, Stefan Schwab, MD, Eric E. Smith, MD, MPH, FAHA, Rafael J. Tamargo, MD, FAANS, and Max Wintermark, MD, MAS on behalf of the American Heart Association Stroke Council

Depression

1. Poststroke Depression: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association
   Amytis Towfighi, MD, Chair, Bruce Ovbiagele, MD, MSc, MAS, FAHA, Vice Chair, Nada El Husseini, MD, MHSc, Maree L. Hackett, PhD, Ricardo E. Jorge, MD, Brett M. Kissela, MD, MS, FAHA, Pamela H. Mitchell, PhD, RN, FAHA, Lesli E. Skolarus, MD, Mary A. Whooley, MD, and Linda S. Williams, MD, FAHA on behalf of the American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; and Council on Quality of Care and Outcomes Research

Nursing

1. Care of the Patient With Acute Ischemic Stroke (Prehospital and Acute Phase of Care): Update to the 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association
   Susan Ashcraft, DNP, APRN, FAHA, Chair, Susan E. Wilson, DNP, APRN, Karin V. Nyström, MSN, APRN, FAHA, Wendy Dusenbury, DNP, APRN, FAHA, Charles R. Wira, MD, FAHA, Tamika M. Burrus, MD, on behalf of the American Heart Association Council on Cardiovascular and Stroke Nursing and the Stroke Council
2. Care of the Patient With Acute Ischemic Stroke (Endovascular/Intensive Care Unit-Postinterventional Therapy): Update to 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association
   Mary L. Rodgers, DHA, ANP, CNS, RN, Chair, Elizabeth Fox, MSN, ACNS, AG-ACNP, CCRN, FAHA, Co-Chair, Tamer Abdelhak, MD, Lauren M. Franker, DNP, APRN, ACNP-BC, Brenda Joyce Johnson, DNP, CRNP-BC, ANVP, FAHA, Christina Kirchner-Sullivan, DNP, ACNP-BC, ANP-BC, SCRN, Sarah L. Livesay, DNP, RN, ACNP-BC, FAHA, Franklin A. Marden, MD, FAHA, on behalf of the American Heart Association Council on Cardiovascular and Stroke Nursing and the Stroke Council
3. Care of the Patient With Acute Ischemic Stroke (Posthyperacute and Prehospital Discharge): Update to 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association
   Theresa L. Green, PhD, RN, FAHA, Chair, Norma D. McNair, PhD, RN, FAHA, Vice Chair, Janice L. Hinkle, PhD, RN, FAHA, Sandy Middleton, PhD, RN, FAHA, Elaine T. Miller, PhD, RN, FAHA, Stacy Perrin, PhD, RN, Martha Power, MSN, APRN, FAHA, Andrew M. Southerland, MD, MSc, FAHA, Debbie V. Summers, MSN, RN, AHCNS-BC, FAHA, on behalf of the American Heart Association Stroke Nursing Committee of the Council on Cardiovascular and Stroke Nursing and the Stroke Council

Rehabilitation

1. Guidelines for Adult Stroke Rehabilitation and Recovery
   Carolee J. Winstein, PhD, PT, Chair, Joel Stein, MD, Vice Chair, Ross Arena, PhD, PT, FAHA, Barbara Bates, MD, MBA, Leora R. Cherney, PhD, Steven C. Cramer, MD, Frank Deruyter, PhD, Janice J. Eng, PhD, BSc, Beth Fisher, PhD, PT, Richard L. Harvey, MD, Catherine E. Lang, PhD, PT, Marilyn MacKay-Lyons, BSc, MScPT, PhD, Kenneth J. Ottenbacher, PhD, OTR, Sue Pugh, MSN, RN, CNS-BC, CRRN, CNRN, FAHA, Mathew J. Reeves, PhD, DVM, FAHA, Lorie G. Richards, PhD, OTR/L, William Stiers, PhD, ABPP (RP), and Richard D. Zorowitz, MD on behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research

Palliative Care

1. Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association
   Lynne T. Braun, PhD, CNP, FAHA, Chair, Kathleen L. Grady, PhD, MS, RN, FAHA, Co-Chair, Jean S. Kutner, MD, MSPH, Co-Chair, Eric Adler, MD, Nancy Berlinger, PhD, Renee Boss, MD, Javed Butler, MD, MPH, MBA, FAHA, Susan Enguidanos, PhD, MPH, Sarah Friebert, MD, Timothy J. Gardner, MD, FAHA, Phil Higgins, PhD, LICSW, Robert Holloway, MD, Madeleine Konig, MPH, Diane Meier, MD, Mary Beth Morrissey, PhD, MPH, JD, Tammie E. Quest, MD, Debra L. Wiegand, PhD, RN, FAHA, Barbara Coombs-Lee, PA, FNP, JD, George Fitchett, DMin, PhD, Charu Gupta, MD, and William H. Roach, Jr, JD On behalf of the American Heart Association Advocacy Coordinating Committee