Document Detail


Outcome in hyperglycemic stroke with ultrasound-augmented thrombolytic therapy.
MedLine Citation:
PMID:  16924029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hyperglycemia independently predicts poor outcome after acute ischemic stroke. CLOTBUST (Combined Lysis Of Thrombus in Brain ischemia using transcranial Ultrasound and Systemic tPA) demonstrated that ultrasound-augmented thrombolysis improves recanalization and 24-hour outcome in patients with acute ischemic stroke. We hypothesized that ultrasound would preferentially benefit hyperglycemic patients, and reviewed CLOTBUST with respect to admission glucose and good outcome. We found that ultrasound's benefit on 90-day outcome was primarily apparent at higher glucose levels, suggesting that ultrasound therapy may improve outcome following hyperglycemic stroke.
Authors:
S R Martini; M D Hill; A V Alexandrov; C A Molina; T A Kent
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurology     Volume:  67     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-22     Completed Date:  2006-09-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  700-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurology, Baylor College of Medicine and the Michael E. DeBakey Veterans Affairs Medical Center Stroke Program, Houston, TX 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Blood Glucose / analysis
Combined Modality Therapy / statistics & numerical data
Comorbidity
Female
Humans
Hyperglycemia / blood,  epidemiology*,  therapy*
Male
Middle Aged
Outcome Assessment (Health Care)
Retrospective Studies
Risk Assessment / methods
Risk Factors
Stroke / blood,  epidemiology*,  therapy*
Thrombolytic Therapy / statistics & numerical data*
Ultrasonic Therapy / statistics & numerical data*
United States / epidemiology
Grant Support
ID/Acronym/Agency:
1K23NS02229-01/NS/NINDS NIH HHS; 1P50NS044227/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
0/Blood Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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