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Sex Differences in Outcomes After Breakthrough Ischemic Stroke on Oral Anticoagulants for Atrial Fibrillation: An ASPERA-R Inverse Probability Weighted Analysis.

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Title: Sex Differences in Outcomes After Breakthrough Ischemic Stroke on Oral Anticoagulants for Atrial Fibrillation: An ASPERA-R Inverse Probability Weighted Analysis.
Authors: Foschi M; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy.; Department of Neurosciences, Stroke Unit-Neurology Unit, S. Maria delle Croci Hospital AUSL Romagna Ravenna Italy., D'Anna L; Department of Stroke and Neuroscience, Charing Cross Hospital Imperial College London NHS Healthcare Trust London UK.; Department of Brain Sciences Imperial College London London UK., Gabriele F; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy., Ornello R; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy., Zini A; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy., Paolucci M; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy., Forlivesi S; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy., Migliaccio L; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy., Viola MM; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy., Cascio Rizzo A; Department of Neurology and Stroke Unit ASST Grande Ospedale Metropolitano Niguarda Milan Italy., Sessa M; Department of Neurology and Stroke Unit ASST Grande Ospedale Metropolitano Niguarda Milan Italy., Schwarz G; Department of Neurology and Stroke Unit ASST Grande Ospedale Metropolitano Niguarda Milan Italy., Tortorella R; Department of Neurology and Stroke Unit ASST Grande Ospedale Metropolitano Niguarda Milan Italy., Banerjee S; Department of Stroke and Neuroscience, Charing Cross Hospital Imperial College London NHS Healthcare Trust London UK., Desai G; Department of Stroke and Neuroscience, Charing Cross Hospital Imperial College London NHS Healthcare Trust London UK., Jaffar M; Department of Stroke and Neuroscience, Charing Cross Hospital Imperial College London NHS Healthcare Trust London UK., Prandin G; Clinical Unit of Neurology, Department of Medicine, Surgery and Health Sciences, University Hospital and Health Services of Trieste ASUGI, University of Trieste Trieste Italy., Pantoni L; Neuroscience Research Center, Department of Biomedical and Clinical Sciences University of Milan Milan Italy.; Department of Neurorehabilitation Sciences Casa di Cura Igea Milan Italy., Mele F; Neurology Unit University Hospital Luigi Sacco Milan Italy., Scopelliti G; Neurology Unit University Hospital Luigi Sacco Milan Italy., Cova I; Neurology Unit University Hospital Luigi Sacco Milan Italy., Valente M; Clinical Neurology, DMED University of Udine Udine Italy., Maisano D; Clinical Neurology, DMED University of Udine Udine Italy., Antonelli L; Clinical Neurology, DMED University of Udine Udine Italy., Bagnato MR; UOC Stroke Unit e Neurologia Ospedale Fabrizio Spaziani Frosinone Italy., Di Mauro G; UOC Stroke Unit e Neurologia Ospedale Fabrizio Spaziani Frosinone Italy., Bernocchi F; UOC Stroke Unit e Neurologia Ospedale Fabrizio Spaziani Frosinone Italy., Di Donna MG; UOC Stroke Unit e Neurologia Ospedale Fabrizio Spaziani Frosinone Italy., Casolla B; Stroke Unit, CHU Pasteur 2 Université Cote d'Azur, UMR2CA Nice France., Mazloum P; Stroke Unit, CHU Pasteur 2 Université Cote d'Azur, UMR2CA Nice France., Bruno C; Stroke Unit, CHU Pasteur 2 Université Cote d'Azur, UMR2CA Nice France., Alvarez B; Stroke Unit, CHU Pasteur 2 Université Cote d'Azur, UMR2CA Nice France., González-Martín L; Stroke Center and Department of Neurology Hospital La Paz Institute for Health Research-ldlPAZ (La Paz University Hospital-Universidad Autónoma de Madrid) Madrid Spain., Rigual R; Stroke Center and Department of Neurology Hospital La Paz Institute for Health Research-ldlPAZ (La Paz University Hospital-Universidad Autónoma de Madrid) Madrid Spain., Fuentes B; Stroke Center and Department of Neurology Hospital La Paz Institute for Health Research-ldlPAZ (La Paz University Hospital-Universidad Autónoma de Madrid) Madrid Spain., Hervás C; Stroke Center and Department of Neurology Hospital La Paz Institute for Health Research-ldlPAZ (La Paz University Hospital-Universidad Autónoma de Madrid) Madrid Spain., Candelaresi P; UOC Neurologia e Stroke Unit AORN Cardarelli Naples Italy., Andreone V; UOC Neurologia e Stroke Unit AORN Cardarelli Naples Italy., De Mase A; UOC Neurologia e Stroke Unit AORN Cardarelli Naples Italy., Spina E; UOC Neurologia e Stroke Unit AORN Cardarelli Naples Italy., de Sousa DA; Stroke Center, Department of Neurosciences Centro Hospitalar Universitário Lisboa Central-ULS São José, and Faculdade de Medicina, Universidade de Lisboa Lisbon Portugal., Souza MA; Stroke Center, Department of Neurosciences Centro Hospitalar Universitário Lisboa Central-ULS São José Lisbon Portugal., Fior A; Stroke Center, Department of Neurosciences Centro Hospitalar Universitário Lisboa Central-ULS São José Lisbon Portugal., Serôdio M; Stroke Center, Department of Neurosciences Centro Hospitalar Universitário Lisboa Central-ULS São José Lisbon Portugal., Caliandro P; Department of Neuroscience Catholic University of the Sacred Heart Rome Italy.; UOC Neurology, Department of Neuroscience, Sensory Organs, and Thorax Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy., Zauli A; Department of Neuroscience Catholic University of the Sacred Heart Rome Italy.; UOC Neurology, Department of Neuroscience, Sensory Organs, and Thorax Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy., Reale G; UOC Neuroriabilitazione ad Alta Intensità Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy., Abdelalim A; Cairo University Stroke Center, Department of Neurology, Faculty of Medicine Cairo University Giza Egypt., Ahmed S; Cairo University Stroke Center, Department of Neurology, Faculty of Medicine Cairo University Giza Egypt., Soliman NM; Cairo University Stroke Center, Department of Neurology, Faculty of Medicine Cairo University Giza Egypt., Zhang L; Department of Neurology St George's University Hospital London UK., Latimer T; Department of Neurology St George's University Hospital London UK., Elboghday M; Department of Neurology St George's University Hospital London UK., Elbassiouny AA; Neurology Department, Faculty of Medicine Ain Shams University Cairo Egypt., Roushdy T; Neurology Department, Faculty of Medicine Ain Shams University Cairo Egypt., Shokri H; Neurology Department, Faculty of Medicine Ain Shams University Cairo Egypt., Ferrari F; Department of Brain and Behavioral Sciences University of Pavia Pavia Italy.; Department of Emergency Neurology and Stroke Unit IRCCS Mondino Foundation Pavia Italy., Loizzo ND; Department of Emergency Neurology and Stroke Unit IRCCS Mondino Foundation Pavia Italy., Mazzacane F; Department of Brain and Behavioral Sciences University of Pavia Pavia Italy.; Department of Emergency Neurology and Stroke Unit IRCCS Mondino Foundation Pavia Italy., Guarino M; IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy., Barone V; IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy., Forti P; Department of Medical and Surgical Sciences University of Bologna, IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.; IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy., Rinaldi G; S.C. Neurologia, Ospedale 'Di Venere' Bari Italy., Rossi MV; S.C. Neurologia, Ospedale 'Di Venere' Bari Italy., Laterza V; S.C. Neurologia, Ospedale 'Di Venere' Bari Italy., Frisullo G; Emergency Neurology-Department of Neuroscience Sensory Organs, and Thorax-Policlinico Universitario Agostino Gemelli, IRCCS Rome Italy., Rizzo PA; Catholic University of the Sacred Heart-Fondazione Policlinico Agostino Gemelli IRCCS Rome Italy., Broccolini A; Stroke Unit-Department of Neuroscience Sensory Organs, and Thorax-Policlinico Universitario Agostino Gemelli, IRCCS Rome Italy., Mannino M; UOC Neurologia e Stroke Unit AOOR Villa Sofia-Cervello Palermo Italy., Terruso V; UOC Neurologia e Stroke Unit AOOR Villa Sofia-Cervello Palermo Italy., Caggiula M; UOC Neurologia e Stroke Unit, PO Vito Fazzi Lecce Italy., Lucchese G; UOC Neurologia e Stroke Unit, PO Vito Fazzi Lecce Italy., Fonseca AC; Neurology Department, Hospital de Santa Maria, Faculdade de Medicina University of Lisbon Lisbon Portugal., Antunes B; Department of Neurology Hospital de Santa Maria Lisbon Portugal., Barbosa AM; Department of Neurology Hospital de Santa Maria Lisbon Portugal., Budincevic H; Department of Neurology Sveti Duh University Hospital Zagreb Croatia.; Department of Neurology and Neurosurgery, Faculty of Medicine J.J. Strossmayer University of Osijek Osijek Croatia.; Department of Psychiatry and Neurology, Faculty of Dental Medicine and Health J.J. Strossmayer, University of Osijek Osijek Croatia., Crnac P; Department of Neurology Sveti Duh University Hospital Zagreb Croatia., Viticchi G; Neurological Clinic Marche Polytechnic University Ancona Italy., Silvestrini M; Neurological Clinic Marche Polytechnic University Ancona Italy., Barba L; Department of Neurology Martin-Luther-University Halle-Wittenberg Halle (Saale) Germany., Musienko V; Department of Neurology Martin-Luther-University Halle-Wittenberg Halle (Saale) Germany., Otto M; Department of Neurology Martin-Luther-University Halle-Wittenberg Halle (Saale) Germany., Lochner P; Department of Neurology Saarland University Medical Center Homburg Germany., Landau B; Department of Neurology Saarland University Medical Center Homburg Germany., Buddha S; Department of Stroke Medicine, Southmead Hospital North Bristol NHS Trust Bristol UK., Khalil R; Department of Stroke Medicine, Southmead Hospital North Bristol NHS Trust Bristol UK., Piscaglia MG; Department of Neurosciences, Stroke Unit-Neurology Unit, S. Maria delle Croci Hospital AUSL Romagna Ravenna Italy., Minguzzi E; Department of Neurosciences, Stroke Unit-Neurology Unit, S. Maria delle Croci Hospital AUSL Romagna Ravenna Italy., Zedde M; Neurology Unit, Stroke Unit Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia Reggio Emilia Italy., Nasreldein A; Department of Neurology Assiut University Assiut Egypt., Vinciguerra L; Department of Neurology and Stroke Unit ASST Crema Hospital Crema Italy., Costa L; Department of Neurology Local Health Unit of Alto Minho Viana do Castelo Portugal., Elsayed AE; Neurology and Neurointervention Department Kobry Elkoba Medical Complex Cairo Egypt., AlBanna M; Department of Neurology, National Neuroscience Institute King Fahad Medical City Riyadh Saudi Arabia., Tudisco L; Stroke Unit, Careggi University Hospital Florence Italy., Mosconi MG; Department of Internal and Cardiovascular Medicine Santa Maria della Misericordia Hospital Perugia Italy., Merlino G; SOSD Stroke Unit Udine University Hospital Udine Italy., Polymeris A; Stroke Division, Department of Neurology, Beth Israel Deaconess Medical Center Harvard Medical School Boston MA.; Department of Neurology and Stroke Center University Hospital Basel and University of Basel Basel Switzerland., De Santis F; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy., Sacco S; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy.
Source: Journal of the American Heart Association [J Am Heart Assoc] 2026 Apr 07; Vol. 15 (7), pp. e047064. Date of Electronic Publication: 2026 Mar 31.
Publication Type: Journal Article; Multicenter Study; Comparative Study
Journal Info: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
Database: MEDLINE Ultimate
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DbLabel: MEDLINE Ultimate
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: Sex Differences in Outcomes After Breakthrough Ischemic Stroke on Oral Anticoagulants for Atrial Fibrillation: An ASPERA-R Inverse Probability Weighted Analysis.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AU" term="%22Foschi+M%22">Foschi M</searchLink>; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy.; Department of Neurosciences, Stroke Unit-Neurology Unit, S. Maria delle Croci Hospital AUSL Romagna Ravenna Italy.<br /><searchLink fieldCode="AU" term="%22D'Anna+L%22">D'Anna L</searchLink>; Department of Stroke and Neuroscience, Charing Cross Hospital Imperial College London NHS Healthcare Trust London UK.; Department of Brain Sciences Imperial College London London UK.<br /><searchLink fieldCode="AU" term="%22Gabriele+F%22">Gabriele F</searchLink>; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy.<br /><searchLink fieldCode="AU" term="%22Ornello+R%22">Ornello R</searchLink>; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy.<br /><searchLink fieldCode="AU" term="%22Zini+A%22">Zini A</searchLink>; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy.<br /><searchLink fieldCode="AU" term="%22Paolucci+M%22">Paolucci M</searchLink>; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy.<br /><searchLink fieldCode="AU" term="%22Forlivesi+S%22">Forlivesi S</searchLink>; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy.<br /><searchLink fieldCode="AU" term="%22Migliaccio+L%22">Migliaccio L</searchLink>; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy.<br /><searchLink fieldCode="AU" term="%22Viola+MM%22">Viola MM</searchLink>; IRCCS Istituto delle Scienze Neurologiche di Bologna, Department of Neurology and Stroke Center Maggiore Hospital Bologna Italy.<br /><searchLink fieldCode="AU" term="%22Cascio+Rizzo+A%22">Cascio Rizzo A</searchLink>; Department of Neurology and Stroke Unit ASST Grande Ospedale Metropolitano Niguarda Milan Italy.<br /><searchLink fieldCode="AU" term="%22Sessa+M%22">Sessa M</searchLink>; Department of Neurology and Stroke Unit ASST Grande Ospedale Metropolitano Niguarda Milan Italy.<br /><searchLink fieldCode="AU" term="%22Schwarz+G%22">Schwarz G</searchLink>; Department of Neurology and Stroke Unit ASST Grande Ospedale Metropolitano Niguarda Milan Italy.<br /><searchLink fieldCode="AU" term="%22Tortorella+R%22">Tortorella R</searchLink>; Department of Neurology and Stroke Unit ASST Grande Ospedale Metropolitano Niguarda Milan Italy.<br /><searchLink fieldCode="AU" term="%22Banerjee+S%22">Banerjee S</searchLink>; Department of Stroke and Neuroscience, Charing Cross Hospital Imperial College London NHS Healthcare Trust London UK.<br /><searchLink fieldCode="AU" term="%22Desai+G%22">Desai G</searchLink>; Department of Stroke and Neuroscience, Charing Cross Hospital Imperial College London NHS Healthcare Trust London UK.<br /><searchLink fieldCode="AU" term="%22Jaffar+M%22">Jaffar M</searchLink>; Department of Stroke and Neuroscience, Charing Cross Hospital Imperial College London NHS Healthcare Trust London UK.<br /><searchLink fieldCode="AU" term="%22Prandin+G%22">Prandin G</searchLink>; Clinical Unit of Neurology, Department of Medicine, Surgery and Health Sciences, University Hospital and Health Services of Trieste ASUGI, University of Trieste Trieste Italy.<br /><searchLink fieldCode="AU" term="%22Pantoni+L%22">Pantoni L</searchLink>; Neuroscience Research Center, Department of Biomedical and Clinical Sciences University of Milan Milan Italy.; Department of Neurorehabilitation Sciences Casa di Cura Igea Milan Italy.<br /><searchLink fieldCode="AU" term="%22Mele+F%22">Mele F</searchLink>; Neurology Unit University Hospital Luigi Sacco Milan Italy.<br /><searchLink fieldCode="AU" term="%22Scopelliti+G%22">Scopelliti G</searchLink>; Neurology Unit University Hospital Luigi Sacco Milan Italy.<br /><searchLink fieldCode="AU" term="%22Cova+I%22">Cova I</searchLink>; Neurology Unit University Hospital Luigi Sacco Milan Italy.<br /><searchLink fieldCode="AU" term="%22Valente+M%22">Valente M</searchLink>; Clinical Neurology, DMED University of Udine Udine Italy.<br /><searchLink fieldCode="AU" term="%22Maisano+D%22">Maisano D</searchLink>; Clinical Neurology, DMED University of Udine Udine Italy.<br /><searchLink fieldCode="AU" term="%22Antonelli+L%22">Antonelli L</searchLink>; Clinical Neurology, DMED University of Udine Udine Italy.<br /><searchLink fieldCode="AU" term="%22Bagnato+MR%22">Bagnato MR</searchLink>; UOC Stroke Unit e Neurologia Ospedale Fabrizio Spaziani Frosinone Italy.<br /><searchLink fieldCode="AU" term="%22Di+Mauro+G%22">Di Mauro G</searchLink>; UOC Stroke Unit e Neurologia Ospedale Fabrizio Spaziani Frosinone Italy.<br /><searchLink fieldCode="AU" term="%22Bernocchi+F%22">Bernocchi F</searchLink>; UOC Stroke Unit e Neurologia Ospedale Fabrizio Spaziani Frosinone Italy.<br /><searchLink fieldCode="AU" term="%22Di+Donna+MG%22">Di Donna MG</searchLink>; UOC Stroke Unit e Neurologia Ospedale Fabrizio Spaziani Frosinone Italy.<br /><searchLink fieldCode="AU" term="%22Casolla+B%22">Casolla B</searchLink>; Stroke Unit, CHU Pasteur 2 Université Cote d'Azur, UMR2CA Nice France.<br /><searchLink fieldCode="AU" term="%22Mazloum+P%22">Mazloum P</searchLink>; Stroke Unit, CHU Pasteur 2 Université Cote d'Azur, UMR2CA Nice France.<br /><searchLink fieldCode="AU" term="%22Bruno+C%22">Bruno C</searchLink>; Stroke Unit, CHU Pasteur 2 Université Cote d'Azur, UMR2CA Nice France.<br /><searchLink fieldCode="AU" term="%22Alvarez+B%22">Alvarez B</searchLink>; Stroke Unit, CHU Pasteur 2 Université Cote d'Azur, UMR2CA Nice France.<br /><searchLink fieldCode="AU" term="%22González-Martín+L%22">González-Martín L</searchLink>; Stroke Center and Department of Neurology Hospital La Paz Institute for Health Research-ldlPAZ (La Paz University Hospital-Universidad Autónoma de Madrid) Madrid Spain.<br /><searchLink fieldCode="AU" term="%22Rigual+R%22">Rigual R</searchLink>; Stroke Center and Department of Neurology Hospital La Paz Institute for Health Research-ldlPAZ (La Paz University Hospital-Universidad Autónoma de Madrid) Madrid Spain.<br /><searchLink fieldCode="AU" term="%22Fuentes+B%22">Fuentes B</searchLink>; Stroke Center and Department of Neurology Hospital La Paz Institute for Health Research-ldlPAZ (La Paz University Hospital-Universidad Autónoma de Madrid) Madrid Spain.<br /><searchLink fieldCode="AU" term="%22Hervás+C%22">Hervás C</searchLink>; Stroke Center and Department of Neurology Hospital La Paz Institute for Health Research-ldlPAZ (La Paz University Hospital-Universidad Autónoma de Madrid) Madrid Spain.<br /><searchLink fieldCode="AU" term="%22Candelaresi+P%22">Candelaresi P</searchLink>; UOC Neurologia e Stroke Unit AORN Cardarelli Naples Italy.<br /><searchLink fieldCode="AU" term="%22Andreone+V%22">Andreone V</searchLink>; UOC Neurologia e Stroke Unit AORN Cardarelli Naples Italy.<br /><searchLink fieldCode="AU" term="%22De+Mase+A%22">De Mase A</searchLink>; UOC Neurologia e Stroke Unit AORN Cardarelli Naples Italy.<br /><searchLink fieldCode="AU" term="%22Spina+E%22">Spina E</searchLink>; UOC Neurologia e Stroke Unit AORN Cardarelli Naples Italy.<br /><searchLink fieldCode="AU" term="%22de+Sousa+DA%22">de Sousa DA</searchLink>; Stroke Center, Department of Neurosciences Centro Hospitalar Universitário Lisboa Central-ULS São José, and Faculdade de Medicina, Universidade de Lisboa Lisbon Portugal.<br /><searchLink fieldCode="AU" term="%22Souza+MA%22">Souza MA</searchLink>; Stroke Center, Department of Neurosciences Centro Hospitalar Universitário Lisboa Central-ULS São José Lisbon Portugal.<br /><searchLink fieldCode="AU" term="%22Fior+A%22">Fior A</searchLink>; Stroke Center, Department of Neurosciences Centro Hospitalar Universitário Lisboa Central-ULS São José Lisbon Portugal.<br /><searchLink fieldCode="AU" term="%22Serôdio+M%22">Serôdio M</searchLink>; Stroke Center, Department of Neurosciences Centro Hospitalar Universitário Lisboa Central-ULS São José Lisbon Portugal.<br /><searchLink fieldCode="AU" term="%22Caliandro+P%22">Caliandro P</searchLink>; Department of Neuroscience Catholic University of the Sacred Heart Rome Italy.; UOC Neurology, Department of Neuroscience, Sensory Organs, and Thorax Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.<br /><searchLink fieldCode="AU" term="%22Zauli+A%22">Zauli A</searchLink>; Department of Neuroscience Catholic University of the Sacred Heart Rome Italy.; UOC Neurology, Department of Neuroscience, Sensory Organs, and Thorax Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.<br /><searchLink fieldCode="AU" term="%22Reale+G%22">Reale G</searchLink>; UOC Neuroriabilitazione ad Alta Intensità Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.<br /><searchLink fieldCode="AU" term="%22Abdelalim+A%22">Abdelalim A</searchLink>; Cairo University Stroke Center, Department of Neurology, Faculty of Medicine Cairo University Giza Egypt.<br /><searchLink fieldCode="AU" term="%22Ahmed+S%22">Ahmed S</searchLink>; Cairo University Stroke Center, Department of Neurology, Faculty of Medicine Cairo University Giza Egypt.<br /><searchLink fieldCode="AU" term="%22Soliman+NM%22">Soliman NM</searchLink>; Cairo University Stroke Center, Department of Neurology, Faculty of Medicine Cairo University Giza Egypt.<br /><searchLink fieldCode="AU" term="%22Zhang+L%22">Zhang L</searchLink>; Department of Neurology St George's University Hospital London UK.<br /><searchLink fieldCode="AU" term="%22Latimer+T%22">Latimer T</searchLink>; Department of Neurology St George's University Hospital London UK.<br /><searchLink fieldCode="AU" term="%22Elboghday+M%22">Elboghday M</searchLink>; Department of Neurology St George's University Hospital London UK.<br /><searchLink fieldCode="AU" term="%22Elbassiouny+AA%22">Elbassiouny AA</searchLink>; Neurology Department, Faculty of Medicine Ain Shams University Cairo Egypt.<br /><searchLink fieldCode="AU" term="%22Roushdy+T%22">Roushdy T</searchLink>; Neurology Department, Faculty of Medicine Ain Shams University Cairo Egypt.<br /><searchLink fieldCode="AU" term="%22Shokri+H%22">Shokri H</searchLink>; Neurology Department, Faculty of Medicine Ain Shams University Cairo Egypt.<br /><searchLink fieldCode="AU" term="%22Ferrari+F%22">Ferrari F</searchLink>; Department of Brain and Behavioral Sciences University of Pavia Pavia Italy.; Department of Emergency Neurology and Stroke Unit IRCCS Mondino Foundation Pavia Italy.<br /><searchLink fieldCode="AU" term="%22Loizzo+ND%22">Loizzo ND</searchLink>; Department of Emergency Neurology and Stroke Unit IRCCS Mondino Foundation Pavia Italy.<br /><searchLink fieldCode="AU" term="%22Mazzacane+F%22">Mazzacane F</searchLink>; Department of Brain and Behavioral Sciences University of Pavia Pavia Italy.; Department of Emergency Neurology and Stroke Unit IRCCS Mondino Foundation Pavia Italy.<br /><searchLink fieldCode="AU" term="%22Guarino+M%22">Guarino M</searchLink>; IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.<br /><searchLink fieldCode="AU" term="%22Barone+V%22">Barone V</searchLink>; IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.<br /><searchLink fieldCode="AU" term="%22Forti+P%22">Forti P</searchLink>; Department of Medical and Surgical Sciences University of Bologna, IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.; IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.<br /><searchLink fieldCode="AU" term="%22Rinaldi+G%22">Rinaldi G</searchLink>; S.C. Neurologia, Ospedale 'Di Venere' Bari Italy.<br /><searchLink fieldCode="AU" term="%22Rossi+MV%22">Rossi MV</searchLink>; S.C. Neurologia, Ospedale 'Di Venere' Bari Italy.<br /><searchLink fieldCode="AU" term="%22Laterza+V%22">Laterza V</searchLink>; S.C. Neurologia, Ospedale 'Di Venere' Bari Italy.<br /><searchLink fieldCode="AU" term="%22Frisullo+G%22">Frisullo G</searchLink>; Emergency Neurology-Department of Neuroscience Sensory Organs, and Thorax-Policlinico Universitario Agostino Gemelli, IRCCS Rome Italy.<br /><searchLink fieldCode="AU" term="%22Rizzo+PA%22">Rizzo PA</searchLink>; Catholic University of the Sacred Heart-Fondazione Policlinico Agostino Gemelli IRCCS Rome Italy.<br /><searchLink fieldCode="AU" term="%22Broccolini+A%22">Broccolini A</searchLink>; Stroke Unit-Department of Neuroscience Sensory Organs, and Thorax-Policlinico Universitario Agostino Gemelli, IRCCS Rome Italy.<br /><searchLink fieldCode="AU" term="%22Mannino+M%22">Mannino M</searchLink>; UOC Neurologia e Stroke Unit AOOR Villa Sofia-Cervello Palermo Italy.<br /><searchLink fieldCode="AU" term="%22Terruso+V%22">Terruso V</searchLink>; UOC Neurologia e Stroke Unit AOOR Villa Sofia-Cervello Palermo Italy.<br /><searchLink fieldCode="AU" term="%22Caggiula+M%22">Caggiula M</searchLink>; UOC Neurologia e Stroke Unit, PO Vito Fazzi Lecce Italy.<br /><searchLink fieldCode="AU" term="%22Lucchese+G%22">Lucchese G</searchLink>; UOC Neurologia e Stroke Unit, PO Vito Fazzi Lecce Italy.<br /><searchLink fieldCode="AU" term="%22Fonseca+AC%22">Fonseca AC</searchLink>; Neurology Department, Hospital de Santa Maria, Faculdade de Medicina University of Lisbon Lisbon Portugal.<br /><searchLink fieldCode="AU" term="%22Antunes+B%22">Antunes B</searchLink>; Department of Neurology Hospital de Santa Maria Lisbon Portugal.<br /><searchLink fieldCode="AU" term="%22Barbosa+AM%22">Barbosa AM</searchLink>; Department of Neurology Hospital de Santa Maria Lisbon Portugal.<br /><searchLink fieldCode="AU" term="%22Budincevic+H%22">Budincevic H</searchLink>; Department of Neurology Sveti Duh University Hospital Zagreb Croatia.; Department of Neurology and Neurosurgery, Faculty of Medicine J.J. Strossmayer University of Osijek Osijek Croatia.; Department of Psychiatry and Neurology, Faculty of Dental Medicine and Health J.J. Strossmayer, University of Osijek Osijek Croatia.<br /><searchLink fieldCode="AU" term="%22Crnac+P%22">Crnac P</searchLink>; Department of Neurology Sveti Duh University Hospital Zagreb Croatia.<br /><searchLink fieldCode="AU" term="%22Viticchi+G%22">Viticchi G</searchLink>; Neurological Clinic Marche Polytechnic University Ancona Italy.<br /><searchLink fieldCode="AU" term="%22Silvestrini+M%22">Silvestrini M</searchLink>; Neurological Clinic Marche Polytechnic University Ancona Italy.<br /><searchLink fieldCode="AU" term="%22Barba+L%22">Barba L</searchLink>; Department of Neurology Martin-Luther-University Halle-Wittenberg Halle (Saale) Germany.<br /><searchLink fieldCode="AU" term="%22Musienko+V%22">Musienko V</searchLink>; Department of Neurology Martin-Luther-University Halle-Wittenberg Halle (Saale) Germany.<br /><searchLink fieldCode="AU" term="%22Otto+M%22">Otto M</searchLink>; Department of Neurology Martin-Luther-University Halle-Wittenberg Halle (Saale) Germany.<br /><searchLink fieldCode="AU" term="%22Lochner+P%22">Lochner P</searchLink>; Department of Neurology Saarland University Medical Center Homburg Germany.<br /><searchLink fieldCode="AU" term="%22Landau+B%22">Landau B</searchLink>; Department of Neurology Saarland University Medical Center Homburg Germany.<br /><searchLink fieldCode="AU" term="%22Buddha+S%22">Buddha S</searchLink>; Department of Stroke Medicine, Southmead Hospital North Bristol NHS Trust Bristol UK.<br /><searchLink fieldCode="AU" term="%22Khalil+R%22">Khalil R</searchLink>; Department of Stroke Medicine, Southmead Hospital North Bristol NHS Trust Bristol UK.<br /><searchLink fieldCode="AU" term="%22Piscaglia+MG%22">Piscaglia MG</searchLink>; Department of Neurosciences, Stroke Unit-Neurology Unit, S. Maria delle Croci Hospital AUSL Romagna Ravenna Italy.<br /><searchLink fieldCode="AU" term="%22Minguzzi+E%22">Minguzzi E</searchLink>; Department of Neurosciences, Stroke Unit-Neurology Unit, S. Maria delle Croci Hospital AUSL Romagna Ravenna Italy.<br /><searchLink fieldCode="AU" term="%22Zedde+M%22">Zedde M</searchLink>; Neurology Unit, Stroke Unit Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia Reggio Emilia Italy.<br /><searchLink fieldCode="AU" term="%22Nasreldein+A%22">Nasreldein A</searchLink>; Department of Neurology Assiut University Assiut Egypt.<br /><searchLink fieldCode="AU" term="%22Vinciguerra+L%22">Vinciguerra L</searchLink>; Department of Neurology and Stroke Unit ASST Crema Hospital Crema Italy.<br /><searchLink fieldCode="AU" term="%22Costa+L%22">Costa L</searchLink>; Department of Neurology Local Health Unit of Alto Minho Viana do Castelo Portugal.<br /><searchLink fieldCode="AU" term="%22Elsayed+AE%22">Elsayed AE</searchLink>; Neurology and Neurointervention Department Kobry Elkoba Medical Complex Cairo Egypt.<br /><searchLink fieldCode="AU" term="%22AlBanna+M%22">AlBanna M</searchLink>; Department of Neurology, National Neuroscience Institute King Fahad Medical City Riyadh Saudi Arabia.<br /><searchLink fieldCode="AU" term="%22Tudisco+L%22">Tudisco L</searchLink>; Stroke Unit, Careggi University Hospital Florence Italy.<br /><searchLink fieldCode="AU" term="%22Mosconi+MG%22">Mosconi MG</searchLink>; Department of Internal and Cardiovascular Medicine Santa Maria della Misericordia Hospital Perugia Italy.<br /><searchLink fieldCode="AU" term="%22Merlino+G%22">Merlino G</searchLink>; SOSD Stroke Unit Udine University Hospital Udine Italy.<br /><searchLink fieldCode="AU" term="%22Polymeris+A%22">Polymeris A</searchLink>; Stroke Division, Department of Neurology, Beth Israel Deaconess Medical Center Harvard Medical School Boston MA.; Department of Neurology and Stroke Center University Hospital Basel and University of Basel Basel Switzerland.<br /><searchLink fieldCode="AU" term="%22De+Santis+F%22">De Santis F</searchLink>; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy.<br /><searchLink fieldCode="AU" term="%22Sacco+S%22">Sacco S</searchLink>; Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy.
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  Data: <searchLink fieldCode="JN" term="%22101580524%22">Journal of the American Heart Association</searchLink> [J Am Heart Assoc] 2026 Apr 07; Vol. 15 (7), pp. e047064. <i>Date of Electronic Publication: </i>2026 Mar 31.
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  Data: Journal Article; Multicenter Study; Comparative Study
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Wiley-Blackwell%22">Wiley-Blackwell </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>101580524 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>2047-9980 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2220479980%22">20479980 </searchLink><i>NLM ISO Abbreviation: </i>J Am Heart Assoc <i>Subsets: </i>MEDLINE
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        Value: 10.1161/JAHA.125.047064
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        Text: English
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      – TitleFull: Sex Differences in Outcomes After Breakthrough Ischemic Stroke on Oral Anticoagulants for Atrial Fibrillation: An ASPERA-R Inverse Probability Weighted Analysis.
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