Prof. Christian Nolte, M.D.

Research Group Nolte

Prof. Christian H. Nolte, M.D.
Charité, Center for Stroke Research Berlin
Department of Neurology and University Outpatient Clinic Campus Benjamin Franklin
christian.nolte(at)charite.de

Profile

Christian Nolte is the Senior Physician of the Department of Neurology and heads both the clinical studies team (Trial Team) at the Centre for Stroke Research Berlin (CSB) and (in collaboration) the certified, transregional Stroke Unit at the Charité Campus Benjamin Franklin (CBF). He manages the Thrombolysis and Endovascular Recanalisation Register of the CBF. His main scientific interest is the interaction between heart and brain and the treatment of acute ischaemic strokes.

List of Publications / Charité Research Data Base

Selected Publications

Effects of Prehospital Thrombolysis in Stroke Patients With Prestroke Dependency.
Nolte CH, Ebinger M, Scheitz JF, Kunz A, Erdur H, Geisler F, Braemswig TB, Rozanski M, Weber JE, Wendt M, Zieschang K, Fiebach JB, Villringer K, Grittner U, Kaczmarek S, Endres M, Audebert HJ.
Stroke. 2018 Mar;49(3):646-651.
PMID:29459395

Stroke-heart syndrome: clinical presentation and underlying mechanisms.
Scheitz JF, Nolte CH, Doehner W, Hachinski V, Endres M.
Lancet Neurol. 2018 Dec;17(12):1109-1120. doi: 10.1016/S1474-4422(18)30336-3. Epub 2018 Oct 26. Review.
PMID:30509695

Effects of Ultraearly Intravenous Thrombolysis on Outcomes in Ischemic Stroke: The STEMO (Stroke Emergency Mobile) Group.
Kunz A, Nolte CH, Erdur H, Fiebach JB, Geisler F, Rozanski M, Scheitz JF, Villringer K, Waldschmidt C, Weber JE, Wendt M, Winter B, Zieschang K, Grittner U, Kaczmarek S, Endres M, Ebinger M, Audebert HJ.
Circulation. 2017 May 2;135(18):1765-1767
PMID:28461420

Stroke in right dorsal anterior insular cortex Is related to myocardial injury.
Krause T, Werner K, Fiebach JB, Villringer K, Piper SK, Haeusler KG, Endres M, Scheitz JF, Nolte CH.
Ann Neurol. 2017 Apr;81(4):502-511.
PMID:28253544

Impact of heart rate on admission on mortality and morbidity in acute ischaemic stroke patients - results from VISTA.
Nolte CH, Erdur H, Grittner U, Schneider A, Piper SK, Scheitz JF, Wellwood I, Bath PM, Diener HC, Lees KR, Endres M; VISTA collaborators.Eur J Neurol. 2016 Dec;23(12):1750-1756. doi: 10.1111/ene.13115.
PMID:27516056

Functional outcomes of pre-hospital thrombolysis in a mobile stroke treatment unit compared with conventional care: an observational registry study.
Kunz A, Ebinger M, Geisler F, Rozanski M, Waldschmidt C, Weber JE, Wendt M, Winter B, Zieschang K, Fiebach JB, Villringer K, Erdur H, Scheitz JF, Tütüncü S, Bollweg K, Grittner U, Kaczmarek S, Endres M, Nolte CH, Audebert HJ.
Lancet Neurol. 2016 Sep;15(10):1035-43. doi: 10.1016/S1474-4422(16)30129-6.
PMID:27430529

Statins and risk of poststroke hemorrhagic complications.
Scheitz JF, MacIsaac RL, Abdul-Rahim AH, Siegerink B, Bath PM, Endres M, Lees KR, Nolte CH; VISTA collaboration.
Neurology. 2016 Apr 26;86(17):1590-6. doi: 10.1212/WNL.0000000000002606.
PMID:27016519

Coronary Angiographic Findings in Acute Ischemic Stroke Patients With Elevated Cardiac Troponin: The Troponin Elevation in Acute Ischemic Stroke (TRELAS) Study.
Mochmann HC, Scheitz JF, Petzold GC, Haeusler KG, Audebert HJ, Laufs U, Schneider C, Landmesser U, Werner N, Endres M, Witzenbichler B, Nolte CH; TRELAS Study Group.
Circulation. 2016 Mar 29;133(13):1264-71. doi: 10.1161/CIRCULATIONAHA.115.018547.
PMID:26933082

Impetus

Numerous recommendations for stroke treatments are based on the results of randomised controlled trials (RCTs). Patients included in those trials do not necessarily mirror the characteristics of typical everyday stroke patients, but meet specific inclusion criteria. We investigate stroke treatments “in real life”, outside of RCTs. We examine what factors influence the treatment process in everyday practice. We also identify, on the one hand, decisive factors for a good prognosis and, on the other hand, question established treatment practices. We only became aware of many prognostic factors thanks to new diagnostic test procedures (e.g. MRI), which were partially still unknown, when specific RCTs were carried out, e.g. cerebral microbleeds, cavernomas or the so-called “hyperintense vessel sign”. Several of our works are cited in the current guidelines for stroke treatment of the American Heart Association (AHA).

Most Important Projects

Prevent complications

HEBRAS - Heart and Brain interaction in Acute Stroke

This prospective observational study is examining whether an enhanced MRI investigation leads to a significant increase of the findings regarding the cause of stroke.
More information/project description

Prevent complications

PRAISE

The primary goal of the PRAISE (Prediction of acute coronary syndrome in acute ischemic stroke) study is to develop a diagnostic algorithm that allows the prediction of acute coronary syndrome in stroke patients.
More information/project description

Further Projects

  • Safety and effectiveness of mechanical recanalisation (thrombectomy) in daily practice       
  • Stroke recurrence and in-patient mortality: frequency and risk factors 
  • Cerebral microbleeds and the risk of intracerebral haemorrhage after intravenous thrombolysis

Team

  • PD Dr. med. Jan F Scheitz
  • Dr. med. Hebun Erdur
  • Dr. med. Tim-Bastian Brämswig
  • Dr. med. Merve Fritsch
  • Regina von Rennenberg
  • Dr. med. Simon Litmeier

Cooperations/Research Partners

Education and Teaching

  • Lecturer for the qualification course "Stroke Unit course for Nurses" of the German Stroke Society (DSG)
  • Guest lecturer at the Berlin School of Mind and Brain

Funding

  • DZHK (German center of cardiovascular research)
  • DZNE (German center of neurodegenerative diseases)
  • Berlin Institute for Health (BiH)
  • German Ministry of Research and Education
  • CSB, Center for Stroke Research (BMBF) 
  • Investitionsbank Berlin IBB
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