Do risks outweigh benefits in thrombolysis for stroke?
نویسندگان
چکیده
1School of Primary, Aboriginal and Rural Health Care, University of Western Australia, Perth, Australia; 2Emergency Department, Royal Perth Hospital, Perth, WA 6847, Australia; 3Emergency Department, Armadale Health Service, Armadale, WA 6992, Australia; 4School of Medicine and Pharmacology, University of Western Australia; 5Department of Neurology, Sir Charles Gairdner Hospital, Nedlands, Perth 6009, Australia
منابع مشابه
Intravenous Recombinant Tissue Plasminogen Activator Thrombolysis in a Patient with Acute Ischemic Stroke Secondary to Aortic Dissection
BACKGROUND Acute ischemic stroke secondary to aortic dissection (AoD) is challenging in the era of thrombolysis owing to the diagnostic difficulty within a narrow time window and the high risk of complications. CASE REPORT A 64-year-old woman with middle cerebral artery occlusion syndrome admitted to the emergency room within intravenous recombinant tissue plasminogen activator (rt-PA) time w...
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BACKGROUND It is difficult to obtain informed consent for thrombolysis in stroke patients given the emergency setting, the need for a speedy decision and the effects of neurological deficits. AIM To determine the advance preferences for thrombolysis of patients at risk for stroke following discussion of the potential risks and benefits. DESIGN Cross-sectional survey. METHODS Data on benef...
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Thrombolysis for stroke is being used in some developing countries. This study was designed to evaluate the problems of thrombolysis therapy in Iran. During January-July 2008, all patients with ischemic stroke admitted to Ghaem Hospital, Mashhad, northeast Iran, were enrolled in a prospective observational study. Ghaem Hospital is a tertiary care hospital that includes infrastructure for thromb...
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BACKGROUND thrombolysis for stroke has been licensed in the UK since 2007 and needs to be administered within 4.5 h. Given this time critical factor, the media may have an important role in public awareness. METHODS this review aimed to find out how stroke thrombolysis was reported in UK national and London local newspapers and how treatment risks and benefits were communicated. Newspapers pu...
متن کاملMagnetic Resonance Imaging in Acute Ischemic Stroke Treatment
Although intravenous administration of tissue plasminogen activator is the only proven treatment after acute ischemic stroke, there is always a concern of hemorrhagic risk after thrombolysis. Therefore, selection of patients with potential benefits in overcoming potential harms of thrombolysis is of great importance. Despite the practical issues in using magnetic resonance imaging (MRI) for acu...
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ورودعنوان ژورنال:
- BMJ
دوره 347 شماره
صفحات -
تاریخ انتشار 2013