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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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viernes, 1 de febrero de 2013

AVC isquémico agudo


Stroke: Time Is Still Brain
By Chris Kaiser, Cardiology Editor, MedPage Today
Published: January 31, 2013. Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco
Action Points
  • Stroke treatment within 60 minutes, telestroke networks, and expanded eligibility for clot-buster therapy are among the topics outlined in the new stroke guidelines from the American Stroke Association.
  • Point out that one of the new recommendations states that tPA can be administered to stroke patients where the treatment was previously contraindicated, including those with a minor stroke, a rapidly improving stroke, recent major surgery, or a recent myocardial infarction.
Primary source: Stroke
Source reference:
Jauch EC, et al "Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association" Stroke 2013; 44; DOI: 10.1161/STR.0b013e318284056a.
 
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2013 AHA/ASA Guideline
Guidelines for the Early Management of Patients With Acute Ischemic Stroke
A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
 Jauch EC: et al. Stroke 2013; 44; DOI: 10.1161/STR.0b012e318284056a
"Results: The goal of these guidelines is to limit the morbidity and mortality associated with stroke. The guidelines support the overarching concept of stroke systems of care and detail aspects of stroke care from patient recognition; emergency medical services activation, transport, and triage; through the initial hours in the emergency department and stroke unit. The guideline discusses early stroke evaluation and general medical care, as well as ischemic stroke, specific interventions such as reperfusion strategies, and general physiological optimization for cerebral resuscitation."