Mitchel is a reporter for MDedge based in the Philadelphia area. He started with the company in 1992, when it was International Medical News Group (IMNG), and has since covered a range of medical specialties. Mitchel trained as a virologist at Roswell Park Memorial Institute in Buffalo, and then worked briefly as a researcher at Boston Children's Hospital before pivoting to journalism as a AAAS Mass Media Fellow in 1980. His first reporting job was with Science Digest magazine, and from the mid-1980s to early-1990s he was a reporter with Medical World News. @mitchelzoler
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ICH survival lags in the community setting
LOS ANGELES – An observed 6-month mortality of 64% in a Dutch study contrasts with better survival in interventional trials.
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Get With the Guidelines – Stroke targets ICH
A 17-year old U.S. program for quality improvement of ischemic stroke care will start to include ICH patients.
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Recent treatment advances brighten prospects for intracerebral hemorrhage patients
LOS ANGELES – New evidence shows ICH patients who are doing poorly after 30 days can improve within a year.
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AUGUSTUS: Apixaban surpassed warfarin despite prior stroke or thromboembolism
LOS ANGELES – Secondary AUGUSTUS analysis showed ACS/PCI patients with AFib plus prior stroke, TIA, or thromboembolism did better on apixaban.
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AFib patients do best on a DOAC started 7-10 days post stroke
LOS ANGELES – Observational data hints at the best time to start oral anticoagulation in AFib patients after a cardioembolic stroke.
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DAPT may benefit symptomatic carotid endarterectomy patients
LOS ANGELES – Observational data suggest dual antiplatelet therapy improves symptomatic-patient outcomes after carotid endarterectomy.
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Transradial access gains converts among U.S. interventional neurologists
LOS ANGELES - Radial-artery access for neruovascular catheterization is replacing the traditional femoral-artery approach because of less bleeding...
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New strategies cut esophageal damage from AFib catheter ablation
NATIONAL HARBOR, MD. – Esophageal cooling and high-power short-duration ablation each produced substantial cuts in esophageal thermal injury.
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AI algorithm finds diagnostic AFib signatures in normal ECGs
NATIONAL HARBOR, MD. –
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Lipidologists welcome bempedoic acid as new lipid-lowering option
Experts see a circumscribed but useful role for the first new class of oral lipid-lowering drug since ezetimibe in 2002.
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Higher endovascular thrombectomy volumes yield better stroke outcomes
LOS ANGELES – Thrombectomy for acute ischemic stroke works like other endovascular interventions: The more cases a center does, the better the...
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Carotid endarterectomy surpasses stenting in elderly, asymptomatic patients
LOS ANGELES – Pooled data from CEA versus carotid stenting in asymptomatic patients with severe stenosis suggests stenting problems in 75-79 year...
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Pulsed field catheter ablation shows huge clinical promise for AFib
NATIONAL HARBOR, MD. – Early clinical results from fewer than 150 AFib patients showed unprecedented safety and efficacy using pulsed field...