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

页码：1838 / 1840

页数：3

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