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Reconsidering recent myocardial infarction as a contraindication for IV stroke thrombolysis.
MedLine Citation:
PMID:  21490319     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: We reviewed the literature on IV stroke thrombolysis for patients with recent myocardial infarction (MI). METHODS: We searched PubMed and Ovid databases, relevant trials, and guidelines. RESULTS: Only 5 thrombolyzed stroke patients with recent MI were reported to have cardiac tamponade. Pathological studies show MI healing is completed by 7 weeks. CONCLUSION: The time window from MI as a contraindication for IV stroke thrombolysis may be narrowed from 3 months in current guidelines to 7 weeks.
Authors:
D A De Silva; J J F Manzano; H M Chang; M C Wong
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-13
Journal Detail:
Title:  Neurology     Volume:  -     ISSN:  1526-632X     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Department of Neurology (D.A.D.S., J.J.F.M., H.M.C.), Singapore General Hospital; and National Medical Research Council (NMRC) (M.C.W.), Ministry of Health, Singapore.
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