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|Title: ||Intravenous thrombolysis is more effective in ischemic cardioembolic strokes than in non-cardioembolic?|
|Authors: ||Rocha, S|
|Keywords: ||Acidente Vascular Cerebral|
|Issue Date: ||2011|
|Citation: ||Arq Neuropsiquiatr. 2011;69(6):905-9.|
|Abstract: ||It was suggested that intravenous thrombolysis (IT) leads to larger
extent recanalization in cardioembolic stroke. In this work we assess
if this has beneficial clinical traduction.
METHOD: We evaluated 177 patients undergoing IT, which were
categorized into cardioembolic (CE) and non-cardioembolic (NCE).
National Institutes of Health Stroke Scale (NIHSS) and modified Rankin
scale were compared.
RESULTS: The mean age was 67.4±12.01 and 53.8% were male. The mean
NIHSS was: 14 (admission), 9 (24 h) and 6 (discharge), similar in
subgroups. The difference between NIHSS at admission and 24 hours was
4.17±4.92 (CE: 4.08±4.71; NCE: 4.27±5.17, p=0.900) and at admission
and discharge there was an average difference of 6.74±5.58 (CE:
6.97±5.68; NCE: 6.49±5.49, p=0.622). The mRS at discharge and 3 months
was not significantly different by subtype, although individuals whose
event was NCE are more independent at 3 months.
CONCLUSION: Ours findings argue against a specific paper of IT in CE.
It can result from heterogeneity of NCE group|
|Peer Reviewed: ||yes|
|Appears in Collections:||NEU - Artigos|
MED INT - Artigos
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