This is so simple, its time to come up with other hyperacute options.
http://www.neurology.org/content/early/2012/12/05/WNL.0b013e31827b1b7c.short
The appropriate use of IV tissue plasminogen activator (tPA) for
patients with acute ischemic stroke remains an area of active
discussion among health care professionals. Since
its approval in the United States by the Food and Drug Administration in
1996, the medical community has continued to review
and discuss the risks vs benefits of this important therapy. Two recent
publications1,2 and accompanying editorials have refocused attention on the vexing issue of using IV tPA in patients taking warfarin. The
Xian et al.1 study found a 1.1% absolute
increase in the risk of intracranial hemorrhage (ICH) with warfarin use
(5.7% vs 4.6%), but this
difference was no longer present once the analysis
was adjusted for various risk factors. The Ruecker et al.2 study reported a 20% risk of ICH, but the difference was barely significant (p = 0.044) once proper adjustments were made. It is important to consider that successful recanalization or reperfusion of
the stroke is likely to have precipitated a hemorrhage in some of these cases.3 Therefore the reported measure (cerebral hemorrhage) might actually be consequent (in part) to the therapeutic intervention,
and not solely related to therapy with warfarin.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,116 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Tuesday, December 11, 2012
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