Current management of acute ischemic stroke. Part 1: Thrombolytics and the 3-hour window

To help family physicians who care for patients with acute stroke or who are involved in planning service delivery or resource allocation to understand recent developments in acute stroke care. A MEDLINE search indicated that most data were derived from well designed, randomized, double-blind, place...

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Veröffentlicht in:Canadian family physician 2001-09, Vol.47 (9), p.1787-1793
1. Verfasser: Herd, A M
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description To help family physicians who care for patients with acute stroke or who are involved in planning service delivery or resource allocation to understand recent developments in acute stroke care. A MEDLINE search indicated that most data were derived from well designed, randomized, double-blind, placebo-controlled trials, including all the largest international studies and large systematic reviews. Treatment of acute stroke with tissue plasminogen activator seems beneficial for certain patients with certain kinds of stroke. Because thrombolytic therapy is not without risk and requires substantial resources, it should be administered only by physicians trained in its use and in centres with the necessary experience and resources. Because time is important, an organized and efficient system of stroke care with collaboration between hospital and prehospital care providers and help from ordinary citizens is essential. Management of acute stroke is an emerging discipline; many potential therapies are still experimental.
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source MEDLINE; Free E-Journal (出版社公開部分のみ); PubMed Central; Alma/SFX Local Collection
subjects Adult
Aged
Brain Ischemia - drug therapy
Delivery of Health Care
Drug Administration Schedule
Family medicine
Family Practice
Female
Fibrinolytic Agents - administration & dosage
Fibrinolytic Agents - pharmacology
Humans
Male
Middle Aged
Randomized Controlled Trials as Topic
Stroke
Stroke - drug therapy
Time Factors
Treatment
title Current management of acute ischemic stroke. Part 1: Thrombolytics and the 3-hour window
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