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Thrombolysis in Stroke Mimics Is Not Harmless

By Ryan Patrick Radecki, MD, MS | on August 23, 2021 | 0 Comment
Pearls From the Medical Literature
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Explore This Issue
ACEP Now: Vol 40 – No 08 – August 2021

References

  1. Milne K. And then there were none. ACEP Now. 2020;39(9):25.
  2. Guerrero WR, Savitz SI. Tissue-type plasminogen activator for stroke mimics: continuing to be swift rather than delaying treatment to be sure. Stroke. 2013;44(5):1213-1214.
  3. Ali-Ahmed F, Federspiel JJ, Liang L, et al. Intravenous tissue plasminogen activator in stroke mimics: findings from the get with the guidelines–stroke registry. Circ Cardiovasc Qual Outcomes. 2019;12(8):e005609.
  4. Zinkstok SM, Engelter ST, Gensicke H, et al. Safety of thrombolysis in stroke mimics: results from a multicenter cohort study. Stroke. 2013;44(4):1080-1084.
  5. Fee schedules–general information. Centers for Medicare & Medicaid Services website. Available. Accessed July 2, 2021.
  6. Pihlasviita S, Mattila OS, Ritvonen J, et al. Diagnosing cerebral ischemia with door-to-thrombolysis times below 20 minutes. Neurology. 2018;91(6):e498-e508.
  7. Liberman AL, Choi H-J, French DD, et al. Is the cost-effectiveness of stroke thrombolysis affected by proportion of stroke mimics? Stroke. 2019;50(2):463-468.
  8. Hsia AW, Luby ML, Leigh R, et al. Prevalence of imaging targets in patients with minor stroke selected for IV tPA treatment using MRI: the Treatment of Minor Stroke with MRI Evaluation Study (TIMES). Neurology. 2021;96(9):e1301-e1311.
  9. Goyal N, Male S, Al Wafai A, et al. Cost burden of stroke mimics and transient ischemic attack after intravenous tissue plasminogen activator treatment. J Stroke Cerebrovasc Dis. 2015;24(4):828-833.

Pages: 1 2 3 | Single Page

Topics: Acute Ischemic StrokeCritical CareStrokeTissue Plasminogen ActivatortPA

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About the Author

Ryan Patrick Radecki, MD, MS

Ryan Patrick Radecki, MD, MS, is an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. He is the Annals of Emergency Medicine podcast co-host and Journal Club editor and can be found on Twitter @emlitofnote.

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