Modern medical management of acute ischemic stroke.

Journal Article (Journal Article;Review)

The modern management of patients with ischemic stroke begins by having a system in place that organizes the provision of preventive, acute treatment, and rehabilitative services. In the acute setting, initial evaluation is aimed at rapidly establishing a diagnosis by excluding stroke mimics, distinguishing between ischemic and hemorrhagic strokes, and determining if the patient is a candidate for treatment with intravenous tissue plasminogen activator (IV-tPA, alteplase). In some centers, select patients who do not qualify for administration of IV-tPA may be considered for endovascular intervention. General measures include the use of platelet antiaggregants, treatment of fever, blood pressure management, and continuation of statins if the patient has already been taking them. Post-acute evaluation and management is aimed at secondary prevention and optimizing recovery, including recognition and treatment of post-stroke depression.

Full Text

Duke Authors

Cited Authors

  • Goldstein, LB

Published Date

  • 2014

Published In

Volume / Issue

  • 10 / 2

Start / End Page

  • 99 - 104

PubMed ID

  • 25114761

Pubmed Central ID

  • PMC4117327

Electronic International Standard Serial Number (EISSN)

  • 1947-6108

Digital Object Identifier (DOI)

  • 10.14797/mdcj-10-2-99


  • eng

Conference Location

  • United States