Stephen English MD, MBA

Vascular Neurologist @MayoClinic | Medical Director, Mayo Telestroke Network | APD @MayoFL_NeuroRes | Proud husband @MelissaLyleMD and Dad x3 | Tweets=my own

[Stephen English MD, MBA @SWEnglishMD]

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.

[Andrew Micieli @MicieliA_MD]

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.

[Stephen English MD, MBA @SWEnglishMD]

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.

[NEJM @NEJM]

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: https://t.co/qAMC2o36Mi

Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? https://t.co/KyOWdblUR3

[NEJM @NEJM]

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: https://t.co/qAMC2o36Mi

Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? https://t.co/KyOWdblUR3

[Stephen English MD, MBA @SWEnglishMD]

We need better prehospital tools to identify ischemic vs hemorrhagic stroke. ICH patients appear to do worse with PSC bypass and DTIR.

[AshuJadhav @AshuPJadhav]

Impact of Direct Transfer to Angiography Suite on Treatment Time Metrics in Patients With Acute Intracerebral Hemorrhage | Stroke https://t.co/LlDl6aH1uU

[Elizabeth Mauricio @lizmauricio23]

Join us for the Neurology breakout session at our annual virtual residency open house! @MayoClinicNeuro #mayoclinicflorida

[Stephen English MD, MBA @SWEnglishMD]

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

[Mayo Clinic Neuro @MayoClinicNeuro]

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 👉 https://t.co/tsAKL5Z9XL #GetWithTheGuidelines @American_Stroke

[Stephen English MD, MBA @SWEnglishMD]

@AlAlBayati1 @Matt_StarrMD @PittStroke @PittNeurology @PittNeurosurg @ChildrensPgh @UPMCPhysicianEd Well deserved, congrats!

[Mayo Clinic Neurology Residency in Florida @MayoFL_NeuroRes]

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

[Stephen English MD, MBA @SWEnglishMD]

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

[Mayo Clinic Neuro @MayoClinicNeuro]

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

[Stephen English MD, MBA @SWEnglishMD]

@theoliveranwar Meals

[Stephen English MD, MBA @SWEnglishMD]

Let’s say 10 but dang I like this a lot

[Thanh Lam "Lance" Tran @Lance_Tran_]

@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⭐️

[Daniel Mandel, MD @DrDanielMandel]

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

[Stephen English MD, MBA @SWEnglishMD]

Happening now at #ISC24 ‼️
Dr. James Meschia, our 2024 William M. Feinberg Award Lecturer 🚨🚨
@MayoClinicNeuro @MayoFL_NeuroRes @AHAMeetings

[Stephen English MD, MBA @SWEnglishMD]

The future of stroke care is bright! Love seeing residents and fellows present their research at #ISC24 🫀🧠 @AHAMeetings
@MayoClinicNeuro @MayoFL_NeuroRes @lizmauricio23 @EYemmCoon @zoewolcott4

[Dr. Lee Schwamm @Braindoc_MGH]

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.

[Bart Demaerschalk MD FRCPC Co-PI NIH TELENEO Trial @Demaerschalk]

Thank you @Braindoc_MGH and congratulations @NikitaChhabra94 and @SWEnglishMD and all co-authors @MayoClinic @MayoClinicNeuro stroke team @OanaDumitrascu5 @cumara_o

[Stephen English MD, MBA @SWEnglishMD]

Incredible mentor and colleague, very well deserved recognition!

[Mayo Clinic Neuro @MayoClinicNeuro]

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

[Stephen English MD, MBA @SWEnglishMD]

Come heal the sick and advance the science with us at the #1 neurology residency program in the Southeast!

[Elizabeth Mauricio @lizmauricio23]

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

[Stephen English MD, MBA @SWEnglishMD]

Let. James. Cook. @BuffaloBills #BillsMafia