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Tell me about the treatment of ischaemic CVAs

This post refers to treatment in hospital and the potential for future treatment pre-hospitally. Ischaemic CVAs are usually treated with thrombolysis using IV alteplase within 4.5 hours from symptom onset and after a CT scan and diagnosis, but there are new tests and treatments coming out and many other factors to consider.

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Read more – tell me about ischaemic CVAs

References

BMJ Publishing Group Limited, 2017. Ischaemic Stroke [online]. Available at: http://bestpractice.bmj.com/best-practice/monograph/1078/treatment/step-by-step.html. Accessed 12/03/17

Bruno, A. et al, 1999. Acute blood glucose level and outcome from ischemic stroke. Trial of ORG 10172 in Acute Stroke Treatment (TOAST) Investigators, Neurology, 52 (2), pp. 280-284.

Ebinger, M. et al, 2014. Effect of the use of ambulance-based thrombolysis on time to thrombolysis in acute ischemic stroke: a randomized clinical trial, JAMA, 311 (16), pp. 1622-1631.

Kim, J.Y. & Yenari, M.A. 2015. Hypothermia for treatment of stroke, Brain Circulation, 1 (1), pp. 14-25

London’s Air Ambulance, 2015. Brain scanner trial pre-hospital [online]. Available at: https://londonsairambulance.co.uk/our-service/news/2015/12/world-first-brain-scanner-trial-pre-hospital-by-us. Accessed 12/03/17

Meretoja, A. 2014. Stroke thrombolysis: save a minute, save a day, Stroke, 45 (4), pp. 1053-1058.

National Institute for Health and Care Excellence (NICE), 2008. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management [online]. Available at: https://www.nice.org.uk/guidance/CG68/chapter/1-Guidance. Accessed 12/03/17

National Institute for Health and Care Excellence (NICE), 2012. Alteplase for treating acute ischaemic stroke [online]. Available at: https://www.nice.org.uk/guidance/ta264/chapter/1-Guidance. (Accessed 12/03/17)

Rull, G. 2016. Thrombolytic Treatment of Acute Ischaemic Stroke [online]. Available at: http://patient.info/doctor/thrombolytic-treatment-of-acute-ischaemic-stroke. Accessed 12/03/17

Stroke Association, 2015. What is a stroke? Ischaemic Stroke [online]. Available at: https://www.stroke.org.uk/what-stroke/what-stroke/ischaemic-stroke. Accessed 12/03/17

The Wellcome Trust, 2012. – Bailey, P. 2012. Focus on Stroke: Treating Stroke [online]. Available at: https://blog.wellcome.ac.uk/2012/05/14/focus-on-stroke-treating-stroke-2/. Accessed 12/03/17

Walter, S. et al, 2012. Diagnosis and treatment of patients with stroke in a mobile stroke unit versus in hospital: a randomised controlled trial, The Lancet Neurology, 11 (5), pp. 397-404.

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