Safety of early antiplatelet therapy in non-cardioembolic mild stroke patients with thrombocytopenia

To investigate the safety of early antiplatelet therapy in non-cardioembolic mild stroke patients with thrombocytopenia. Data of acute ischemic stroke patients with baseline National Institutes of Health Stroke scale (NIHSS) score ≤3 and a platelet count 0.05), but increased the risk of gastrointest...

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Veröffentlicht in:Zhejiang da xue xue bao. Journal of Zhejiang University. Medical sciences. Yi xue ban 2024-04, Vol.53 (2), p.1-183
Hauptverfasser: Xu, Dongjuan, Zhou, Huan, Hu, Mengmeng, Sheng, Yilei, Li, Hongfei, Wei, Lianyan, Xu, Jing, Jiang, Zhuangzhuang, Shao, Xiaoli, Xi, Zhenhua, He, Songbin, Lou, Min, Ke, Shaofa
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Sprache:eng
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Zusammenfassung:To investigate the safety of early antiplatelet therapy in non-cardioembolic mild stroke patients with thrombocytopenia. Data of acute ischemic stroke patients with baseline National Institutes of Health Stroke scale (NIHSS) score ≤3 and a platelet count 0.05), but increased the risk of gastrointestinal bleeding ( =2.837, 95% : 1.311-6.136, 90×10 /L, antiplatelet therapy significantly improved neurological functional outcomes ( 75-90)×10 /L, antiplatelet therapy resulted in a significant improvement of 1-year survival ( 0.05) and improved neurological functional outcomes (all 0.05). For non-cardioembolic mild stroke patients with thrombocytopenia, antiplatelet therapy is still reasonable. Mono-antiplatelet therapy has the same efficiency as dual-antiplatelet therapy in neurological outcome improvement with lower risk of gastrointestinal bleeding.
ISSN:1008-9292
DOI:10.3724/zdxbyxb-2023-0423