Anticoagulation in acute ischemic stroke: A systematic search

Froio, Nayara L; Montgomery, Richard Murdoch; David‐Neto, Elias; Aprahamian, Ivan

doi:10.1590/1806-9282.63.01.50

Cited by 4 publications

(3 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is no optimal treatment for stroke in patients implanted with a VAD. Supportive anticoagulation therapy rather than thrombolytic therapy, which is potentially associated with greater risk of haemorrhagic events after major surgery, is obviously essential treatment in this population 12…”

Section: Discussionmentioning

confidence: 99%

Levitronix bilateral ventricular assist device, a bridge to recovery in a patient with acute fulminant myocarditis and concomitant cerebellar infarction

Huang

Hsu

Tsai

et al. 2018

CVJA

View full text Add to dashboard Cite

We report on the case of a 27-year-old male who presented to our emergency room with chest tightness, dyspnoea and cold sweats. The 12-lead electrocardiogram showed diffuse ventricular tachycardia with wide QRS complexes. Troponin-I level was elevated to 100 ng/ml. The coronary angiogram showed good patency of all three coronary vessels, and acute fulminant myocarditis was suspected. The patient underwent cardiopulmonary resuscitation in the catheter room and high-dose inotropic support was initiated to stabilise his haemodynamic status. After resuscitation, the patient was in a coma and acute stroke was highly suspected. In addition, deteriorating cardiogenic shock with acute renal failure and pulmonary oedema were also detected. Due to haemodynamic compromise despite high-dose inotropic support, a Levitronix bilateral ventricular assist device (Bi-VAD) was implanted on an emergency basis for circulatory support. Postoperative brain computed tomography revealed acute left cerebellar infarction. Because the patient had left cerebellar infarction with right hemiplegia, heart transplantation was contraindicated. Eventually, cardiac systolic function recovered well and the patient underwent successful Bi-VAD removal after a total of 18 days on Levitronix haemodynamic support. He was weaned from the ventilator two weeks later and was discharged 10 days later.

show abstract

Section: Discussionmentioning

confidence: 99%

Levitronix bilateral ventricular assist device, a bridge to recovery in a patient with acute fulminant myocarditis and concomitant cerebellar infarction

Huang

Hsu

Tsai

et al. 2018

CVJA

View full text Add to dashboard Cite

show abstract

“…Previous studies indicate that the best time to initiate anticoagulant therapy in ischemic stroke patients has not yet been established, and it requires further research. It is also not recommended to use antiplatelets in combination with anticoagulants as a preventive treatment for secondary stroke (Froio et al 2017, Kleindorfer et al 2021. According to the guidelines issued by the Ministry of Health of the Republic of Indonesia (2019b), recombinant tissue plasminogen activator (rTPA) therapy can be administered to ischemic stroke patients with ≤6 hours of symptom onset.…”

Section: General Characteristics Of Ischemic Stroke Patients With Aph...mentioning

confidence: 99%

Characteristics of Aphasia in Ischemic Stroke Patients at Dr. Mahar Mardjono National Brain Center Hospital Indonesia in 2021

Rasya Hapsari Danardhono,

Arman Yurisaldi Saleh,

Ria Maria Theresa

et al. 2023

FMI

View full text Add to dashboard Cite

Highlights: 1. To author’s knowledge, this study is the first study done in National Brain Center Hospital In Jakarta2. No similar studies have been done during the pandemic era3. This study can add additional data to further studies about aphasia in comparison with post pandemic era Abstract Global aphasia, sensory transcortical aphasia, motor transcortical aphasia, motor aphasia, sensory aphasia, conduction aphasia and anomic aphasia can occur in ischemic stroke. There are different locations of lesions in each type of aphasia. There has been an increase in incidence and mortality of stroke patients during the COVID-19 pandemic. Before the pandemic, global aphasia was the most common type of aphasia. This study was conducted to determine the type of aphasia, clinical and radiological features, and also management of aphasia in ischemic stroke during the pandemic. This research is a descriptive study with a cross sectional approach. Sampling was done by total sampling technique. The research sample was ischemic stroke subjects with aphasia diagnosed from January 1, 2021 - December 31, 2021 at the National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono Jakarta. Statistical analysis was done using IBM SPSS Statistics for Mac, Version 25.0 (IBM Corp., Armonk, N.Y., USA). There were 162 aphasic subjects with ischemic stroke. Age range was 34 – 87 years. Most subjects were male (59.9%), aged 55-65 years (37.0%). Hypertension (90.1%), diabetes mellitus (50.0%), and dyslipidemia (75.9%) were the dominant risk factors. The most common type of aphasia is global aphasia (43.8%) and motoric aphasia. (33,3%). The parietal lobe was the dominant location of global aphasia (38 subjects) and motoric aphasia (47 subjects). The therapy given to aphasic subjects with a history of ischemic stroke includes speech therapy (85.2%), antiplatelet therapy (98.1%), anticoagulants (19.1%), rTPA (1.2%), and neuroprotectors (3.0 %). In conclusion, in ischemic stroke subjects with aphasia at the National Brain Center Hospital during the pandemic, global aphasia was found to be the most common with the dominant global aphasia lesion location in the parietal lobe.

show abstract

“…Estos agentes tienen efecto más rápido con menor tasa de complicaciones hemorrágicas en comparación con warfarina, además de proveer una anticoagulación efectiva en pacientes ACVI cardioembólico. Estudios a futuro como el Triple AXEL permitirían una mejor evaluación de su efectividad en este contexto 185 .…”

Section: Anticoagulantes Orales Directosunclassified

Construção de vídeo instrucional para a regulação de vaga do acidente vascular cerebral fase hiperaguda.

Santos

Fontes

Ferreira

et al. 2021

Com. Ciências Saúde

View full text Add to dashboard Cite

Objetivo: Elaborar um vídeo instrucional sobre o processo de regulação de vagas. Métodos: Foi utilizado a produção de roteiro de imagens e gravação de áudio com os softwares: Pixton®; Adobe Photoshop®; Camtasia®; Powtoon®. Resultados: o vídeo contém orientações de preenchimento da ficha de regulação para capacitação profissional para otimizar o tempo, beneficiar o tratamento e diminuir sequelas, garantindo o acesso à assistência especializada. Conclusões: O vídeo instrucional produzido pode colaborar na educação em serviço de profissionais que atuam em núcleos de regulação de vagas de acordo com a linha de cuidado do AVC hiperagudo e em unidades solicitantes.

show abstract

Anticoagulation in acute ischemic stroke: A systematic search

Cited by 4 publications

References 36 publications

Levitronix bilateral ventricular assist device, a bridge to recovery in a patient with acute fulminant myocarditis and concomitant cerebellar infarction

Levitronix bilateral ventricular assist device, a bridge to recovery in a patient with acute fulminant myocarditis and concomitant cerebellar infarction

Characteristics of Aphasia in Ischemic Stroke Patients at Dr. Mahar Mardjono National Brain Center Hospital Indonesia in 2021

Construção de vídeo instrucional para a regulação de vaga do acidente vascular cerebral fase hiperaguda.

Contact Info

Product

Resources

About