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Author7 Posts
  #1

For how long a stroke is considered a contraindication for thrombolysis for acute MI?

  #2

Stroke within 6 months prior to the event and head trauma 1 month prior to the event. There are some predictive factors for stroke, I think is important to remeber: 65 yo and older, weight less than 70 kg, hypertension on admision and use of tPA rather than another thrombolytic agent. nod

  #3

sorry but i am a bit lost. the predictive factors listed, are they predictive for poor prognosis of the stroke or poor prognosis for using thrombolytics following MI?sad

___________________
It has been a looooong hard journey but I am inches away from my destination...

  #4

Hi tolito, they are predictive for stroke when you perform a thrombolysis for AMI

  #5

thanks.

___________________
It has been a looooong hard journey but I am inches away from my destination...

  #6

Depends if the stroke was hemorrhagic or ischemic. Any prior intracranial hemorrhage is a ABOSLUTE contraindication of fibrinolytic therapy. Ischemic stroke within the last 3 months is ABSOLUTE contraindication, EXCEPT acute ischemic stroke within 3 hours. Significant closed head or facial trauma within the last 3 months is ABSOLUTE contraindication.

I refer you to Circulation. 2005;112:IV 89 IV110


  #7

thank you all. well done juanma!!!!!!!!!!!









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