Reconsidering recent myocardial infarction as a contraindication for IV stroke thrombolysis.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 21490319.
- Also identified by DOI 10.1212/WNL.0b013e31821ccc72.
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Abstract
We reviewed the literature on IV stroke thrombolysis for patients with recent myocardial infarction (MI). We searched PubMed and Ovid databases, relevant trials, and guidelines. Only 5 thrombolyzed stroke patients with recent MI were reported to have cardiac tamponade. Pathological studies show MI healing is completed by 7 weeks. The time window from MI as a contraindication for IV stroke thrombolysis may be narrowed from 3 months in current guidelines to 7 weeks.
Medical subject headings
- Fibrinolytic Agents
- Myocardial Infarction
- Stroke
- Thrombolytic Therapy