Reconsidering recent myocardial infarction as a contraindication for IV stroke thrombolysis

被引：26
作者：
De Silva, D. A. [1 ]
Manzano, J. J. F. [1 ]
Chang, H. M. [1 ]
Wong, M. C. [2 ]
机构：
[1] Singapore Gen Hosp, Dept Neurol, Singapore 169608, Singapore
[2] Minist Hlth, NMRC, Singapore, Singapore
来源：
NEUROLOGY | 2011年 / 76卷 / 21期
关键词：
ACUTE ISCHEMIC-STROKE; CARDIAC RUPTURE; INTRAVENOUS THROMBOLYSIS; HEMOPERICARDIUM; TAMPONADE; EFFICACY; THERAPY;
D O I：
10.1212/WNL.0b013e31821ccc72
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
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. Neurology (R) 2011;76:1838-1840
引用
收藏
页码：1838 / 1840
页数：3
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