Document Detail


What is the place of thrombolysis in acute stroke? A review of the literature and a current perspective.
MedLine Citation:
PMID:  18624029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The global burden of stroke, the undisputed success of intravenous thrombolysis in the management of myocardial infarction and subsequent evidence from animal models of cerebral infarction have all fuelled intense interest in the potential role for thrombolytic agents in the acute management of stroke in clinical practice. Before any clinical treatment is introduced universally its safety and efficacy must be demonstrated in the routine clinical environment and not just within the ideal conditions of controlled clinical trials. Similarly, the cost effectiveness of a new treatment modality is an essential consideration before its use is promulgated. This paper reviews the current scientific evidence for thrombolysis in stroke with reference to issues of safety, efficacy and cost effectiveness.
Authors:
Peter O Jenkins; Martin R Turner; Paul F Jenkins
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical medicine (London, England)     Volume:  8     ISSN:  1470-2118     ISO Abbreviation:  Clin Med     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-07-15     Completed Date:  2008-10-28     Revised Date:  2009-01-28    
Medline Journal Info:
Nlm Unique ID:  101092853     Medline TA:  Clin Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  253-8     Citation Subset:  IM    
Affiliation:
Guys and St Thomas' Hospital, London. peterowenjenkins@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Animals
Clinical Competence
Cost-Benefit Analysis
Fibrinolytic Agents / therapeutic use
Humans
Incidence
Risk Factors
Stroke / epidemiology,  prevention & control*
Thrombolytic Therapy / economics,  utilization*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents
Comments/Corrections
Comment In:
Clin Med. 2008 Oct;8(5):556; author reply 556   [PMID:  18975495 ]

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


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