Modern medical management of acute ischemic stroke

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19 Scopus citations

Abstract

The modern management of patients with ischemic stroke begins by having a system in place that organizes the provision of preventive, acute treatment, and rehabilitative services. In the acute setting, initial evaluation is aimed at rapidly establishing a diagnosis by excluding stroke mimics, distinguishing between ischemic and hemorrhagic strokes, and determining if the patient is a candidate for treatment with intravenous tissue plasminogen activator (IV-tPA, alteplase). In some centers, select patients who do not qualify for administration of IV-tPA may be considered for endovascular intervention. General measures include the use of platelet antiaggregants, treatment of fever, blood pressure management, and continuation of statins if the patient has already been taking them. Post-acute evaluation and management is aimed at secondary prevention and optimizing recovery, including recognition and treatment of post-stroke depression.

Original languageEnglish
Pages (from-to)99-104
Number of pages6
JournalMethodist DeBakey cardiovascular journal
Volume10
Issue number2
DOIs
StatePublished - Apr 1 2014

Keywords

  • blood pressure
  • complications
  • depression
  • fever
  • ischemic stroke
  • platelet antiaggregants
  • reperfusion

ASJC Scopus subject areas

  • General Medicine

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