The smoking-thrombolysis paradox and acute ischemic stroke.

Ovbiagele, Bruce; Saver, Jeffrey L · Neurology · 2005

retrospective_cohort · Level III

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Abstract

Smokers with acute myocardial infarction have better outcomes after thrombolysis than nonsmokers. The authors evaluated the independent effect of smoking on short-term outcome following IV thrombolysis for acute ischemic stroke. After adjusting for covariates, recent smokers who received thrombolysis had a significantly greater drop in 24-hour median stroke severity scores from baseline than nonsmokers who received thrombolysis and lower mortality over 1 year.

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