Young Strokes
Young Strokes Summary
Young Strokes is a mobile iOS app in Medical by ATIF ELNIL. Released in May 2026 (recently released ago). Store metadata: updated May 5, 2026.
Store info: Last updated on App Store on May 5, 2026 .
0★
Ratings:
Screenshots
App Description
IMPORTANT: For use by qualified healthcare professionals only.
Young Stroke Pathway is a structured 8-step clinical pathway for stroke under age 55. Teal accent on dark navy. Built for stroke physicians, neurologists, and GPs. Interactive RoPE score calculator, accordion cards for monogenic conditions, contraception guide, and pregnancy timeline. Full references throughout.
OVERVIEW AND CHECKLIST
Stroke under 55: 10-15% of all strokes; traditional risk factors explain only 30%. Aetiology and young vs elderly tables. First 24h checklist: stop OCP (WHO MEC Cat 4), toxicology, MRI T1 fat-sat neck, thrombophilia bloods, cardiac monitoring 7 days, echo bubble study, young stroke clinic 6 weeks.
CERVICAL ARTERY DISSECTION
Most common cause under 45 (~20%). Features: neck pain (60-75%), Horner, pulsatile tinnitus, lower CN palsies, trauma history. MRI T1 fat-sat (crescent sign -- request explicitly), CTA acute. CADISS 2015: antiplatelet equals anticoagulation -- aspirin 3-6 months. 6-item checklist.
PFO AND ROPE SCORE CALCULATOR
PFO in up to 50% of young cryptogenic stroke. Interactive RoPE calculator: no HTN, no DM, no prior stroke, non-smoker, cortical infarct (each +1), plus age-banded score (18-29 = +5 to 60-69 = +1). RoPE 7 or above: closure indicated. CLOSE 2017 (NNT 17), REDUCE 2017 (NNT 25), RESPECT 2017 (HR 0.45). Closure criteria: age below 60, first cryptogenic stroke, TOE confirmed, no other cause identified.
FULL INVESTIGATION SCREEN
Extended blood panel: APS x2 results 12 weeks apart (lupus anticoagulant, anticardiolipin, anti-beta2-GP1) -- triple positive = warfarin NOT DOAC (TRAPS 2019, ASTRO-APS 2020). Thrombophilia at 3 months (not acute): Protein C/S, Factor V Leiden. Three accordion monogenic cards: CADASIL (NOTCH3, anterior temporal pole WMH), Fabry (enzyme replacement available, screen relatives), MELAS (maternal inheritance, avoid metformin).
CONTRACEPTION AND PREGNANCY
OCP: ABSOLUTELY CONTRAINDICATED post-stroke (WHO MEC Cat 4). OCP plus migraine with aura: 8-16x stroke risk. Safe alternatives: POP desogestrel (first choice), Mirena IUS (5 years), copper IUD (10 years, ideal in APS), Nexplanon implant (3 years). Pregnancy timeline: pre-conception (LMWH, folic acid 5mg), T1 (LMWH not warfarin, aspirin from 12 weeks), T2 (labetalol, avoid ACEi), T3 (UFH at 36 weeks), puerperium (peak risk, 6 weeks anticoagulation, DOAC contraindica