{"id":9605,"date":"2026-02-28T21:41:14","date_gmt":"2026-02-28T18:41:14","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=9605"},"modified":"2026-02-28T21:41:14","modified_gmt":"2026-02-28T18:41:14","slug":"aha-key-updates-from-the-2026-asa-ischemic-stroke-guideline","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/aha-key-updates-from-the-2026-asa-ischemic-stroke-guideline\/","title":{"rendered":"AHA Key Updates – from the 2026 ASA Ischemic Stroke Guideline"},"content":{"rendered":"
AHA Key Updates – from the 2026 ASA Ischemic Stroke Guideline<\/div>\n
<\/div>\n
\u201cAmerican Stroke Association (ASA), a division of the AHA<\/div>\n
Published in: Stroke (AHA Journal)\u201d<\/div>\n
<\/div>\n
\ud83d\udd39 Early Recognition clinical tool\u00a0 in EMS or ER \u2013 FAST & BE-FAST<\/div>\n
\u2022 FAST: Face droop, Arm weakness, Speech difficulty, Time<\/span><\/div>\n
\u2022 BE-FAST adds:<\/span><\/div>\n
\u2022 Balance disturbance<\/span><\/div>\n
\u2022 Eye\/visual symptoms<\/span><\/div>\n
\u2022 Used by community and EMS for early detection<\/span><\/div>\n
\u2022 BE-FAST improves detection of posterior circulation strokes<\/span><\/div>\n
\u2022 Early recognition triggers rapid stroke alert activation<\/span><\/div>\n
<\/div>\n
\ud83d\udd39 Coordinated Systems of Care<\/div>\n
\u2022 Integration between EMS, stroke centers, telemedicine networks, and emergency departments<\/span><\/div>\n
\u2022 \u201cTime is brain\u201d remains the central principle<\/span><\/div>\n
\u2022 Suspected large vessel occlusion (LVO) \u2192 direct transport to a thrombectomy-capable center when feasible<\/span><\/div>\n
\u2022 Pre-notification reduces door-to-CT and door-to-treatment time<\/span><\/div>\n
<\/div>\n
\ud83d\udd39 Immediate Imaging<\/div>\n
\u2022 Non-contrast CT is mandatory for all suspected stroke patients to R\/O Hemorrhage\u00a0<\/span><\/div>\n
\u2022 Imaging target: within 25 minutes of hospital arrival<\/span><\/div>\n
\u2022 CT angiography performed when thrombectomy is being considered in large vessel occlusions LVO\u00a0<\/span><\/div>\n
\u2022 Purpose:<\/span><\/div>\n
\u2022 Exclude hemorrhage<\/span><\/div>\n
\u2022 Confirm ischemic stroke<\/span><\/div>\n
\u2022 Identify LVO<\/span><\/div>\n
<\/div>\n
\ud83d\udd39 Reperfusion Therapy<\/div>\n
<\/div>\n
IV Thrombolysis<\/div>\n
\u2022 Tenecteplase or alteplase within 4.5 hours of symptom onset<\/span><\/div>\n
\u2022 Selected patients may be treated up to 24 hours based on imaging in LVO\u00a0<\/span><\/div>\n
<\/div>\n
Endovascular Thrombectomy (EVT)<\/div>\n
\u2022 Recommended up to 24 hours in selected LVO patients<\/span><\/div>\n
\u2022 Increasing evidence supports use in posterior circulation stroke<\/span><\/div>\n
\u2022 May be combined with IV thrombolysis<\/span><\/div>\n
<\/div>\n
\ud83d\udd39 Posterior vs Anterior Circulation Considerations<\/div>\n
\u2022 Anterior strokes: typically motor and speech deficits<\/span><\/div>\n
\u2022 Posterior strokes: dizziness, ataxia, visual symptoms, brainstem signs<\/span><\/div>\n
\u2022 Posterior strokes may appear subtle but can deteriorate rapidly<\/span><\/div>\n
\u2022 Basilar artery occlusion carries high mortality without reperfusion<\/span><\/div>\n
<\/div>\n
\ud83d\udd39 Pediatric Stroke \u2013 First Detailed Recommendations<\/div>\n
\u2022 First dedicated ASA guidance for children<\/span><\/div>\n
\u2022 MRI and angiography preferred for rapid diagnosis<\/span><\/div>\n
\u2022 Alteplase may be administered within 4.5 hours (age 28 days\u201318 years)<\/span><\/div>\n
<\/div>\n
Clinical Message<\/div>\n
<\/div>\n
Modern stroke care depends on:<\/div>\n
\u2022 Early recognition (FAST \/ BE-FAST)<\/span><\/div>\n
\u2022 Organized regional stroke systems<\/span><\/div>\n
\u2022 Immediate mandatory CT imaging<\/span><\/div>\n
\u2022 Rapid reperfusion strategies<\/span><\/div>\n
<\/div>\n
https:\/\/www.ahajournals.org\/doi\/10.1161\/STR.0000000000000513<\/a><\/div>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"

AHA Key Updates – from the 2026 ASA Ischemic Stroke Guideline \u201cAmerican Stroke Association (ASA), a division of the AHA Published in: Stroke (AHA Journal)\u201d \ud83d\udd39 Early Recognition clinical tool\u00a0 in EMS or ER \u2013 FAST & BE-FAST \u2022 FAST: Face droop, Arm weakness, Speech difficulty, Time \u2022 BE-FAST adds: \u2022 Balance disturbance \u2022 Eye\/visual […]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9605","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9605","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=9605"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9605\/revisions"}],"predecessor-version":[{"id":9606,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9605\/revisions\/9606"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=9605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=9605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=9605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}