| [Acute stroke treatment - an update]. | |
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MedLine Citation:
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PMID: 20927688 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An optimised prehospital management is important for acute stroke patients. A structured admittance to a stroke centre increases the rate of thrombolysis four-fold. To achieve short door-to-needle-times (< 30 min) a multi-disciplinary approach is necessary. Elderly stroke patients benefit from stroke unit therapy as do the younger patients. Blood pressure management is important during the first 24 hours after thrombolysis. Systolic blood pressures between 140 - 150 mmHg correlate with low bleeding rates. A subgroup analysis of the ECASS III study shows that a broad range of patients can be treated safely and efficiently in the 3 - 4.5 hour time window. Endovascular recanalisation therapy achieves high recanalisation rates. Whether these will be responsible for a significantly better outcome has to be shown in future randomised trials. |
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Authors:
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J Röther; G F Hamann |
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Publication Detail:
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Type: English Abstract; Journal Article; Review Date: 2010-10-06 |
Journal Detail:
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Title: Fortschritte der Neurologie-Psychiatrie Volume: 78 ISSN: 1439-3522 ISO Abbreviation: Fortschr Neurol Psychiatr Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-07 Completed Date: 2011-01-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8103137 Medline TA: Fortschr Neurol Psychiatr Country: Germany |
Other Details:
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Languages: ger Pagination: 566-71 Citation Subset: IM |
Copyright Information:
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© Georg Thieme Verlag KG Stuttgart · New York. |
Affiliation:
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Neurologische Klinik, Asklepios Klinik Altona, Hamburg. j.roether@asklepios.com |
Vernacular Title:
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Schlaganfall akut - ein Update. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Emergency Medical Services Fibrinolytic Agents / therapeutic use Hospital Units Humans Neuroprotective Agents / therapeutic use Stroke / diagnosis, drug therapy, therapy* Thrombolytic Therapy Tissue Plasminogen Activator / therapeutic use Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Fibrinolytic Agents; 0/Neuroprotective Agents; EC 3.4.21.68/Tissue Plasminogen Activator |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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