Whomever thought this up needs to be keel-hauled. Antiplatelets DO NOTHING for any recovery needs. You need to think about what the survivor wants! AND THAT IS 100% RECOVERY!
Antiplatelets Are Enough for Nondisabling Strokes
There can be no disagreement that intravenous thrombolysis is indicated in patients with disabling symptoms from acute cerebral ischemia within 4.5 hours of symptom onset.1 Disability should be determined on an individual basis and cannot be solely based on the National Institutes of Health Stroke Scale (NIHSS) score. The NIHSS score may better be classified as an impairment scale as opposed to a disability score, because deficits can be disabling despite low scores and even scores of zero.2 (Think of isolated and minor dysarthria or facial droop that may be a nuisance but does not affect quality of life vs the consequences of a surgeon with loss of dexterity on the dominant hand.) Additionally, deficits from posterior circulation ischemia, which are often disabling, are known to be underestimated on the standard NIHSS.3 However, some strokes do present with truly nondisabling symptoms. In such cases, available evidence indicates that intravenous thrombolysis is not beneficial.
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