Artikel ; Online: Successful intravenous thrombolysis of a wake-up stroke with underlying valvular atrial fibrillation.
The journal of the Royal College of Physicians of Edinburgh
2018 Band 48, Heft 3, Seite(n) 239–241
Abstract: A 42-year-old female admitted with new-onset atrial fibrillation had a wake-up stroke on the high-dependency unit and the time last seen well (TLSW) was 6.5 h. She suffered left-sided body weakness and her National Institutes of Health Stroke Scale ( ... ...
| Abstract | A 42-year-old female admitted with new-onset atrial fibrillation had a wake-up stroke on the high-dependency unit and the time last seen well (TLSW) was 6.5 h. She suffered left-sided body weakness and her National Institutes of Health Stroke Scale (NIHSS) score was 17. An emergency CT perfusion showed right M1 segment occlusion with more than 50% penumbra. She was given recombinant tissue plasminogen activator (r-tPA) at 9 h from TLSW. An immediate diagnostic angiogram with intention to treat, owing to the presence of large vessel occlusion, showed complete reperfusion after intravenous r-tPA. She was discharged with NIHSS of 2, and at 3-month follow up her Modified Rankin Scale was 0. We demonstrated a successful reperfusion and excellent clinical recovery with intravenous thrombolysis in a patient who presented with a wake-up stroke with underlying valvular atrial fibrillation despite evidence of large vessel occlusion. |
|||||
|---|---|---|---|---|---|---|
| Mesh-Begriff(e) | Administration, Intravenous ; Adult ; Atrial Fibrillation/complications ; Female ; Fibrinolytic Agents/administration & dosage ; Fibrinolytic Agents/therapeutic use ; Humans ; Recombinant Proteins/therapeutic use ; Reperfusion ; Stroke/diagnostic imaging ; Stroke/drug therapy ; Tissue Plasminogen Activator/administration & dosage ; Tissue Plasminogen Activator/therapeutic use | |||||
| Chemische Substanzen | Fibrinolytic Agents ; Recombinant Proteins ; Tissue Plasminogen Activator (EC 3.4.21.68) | |||||
| Sprache | Englisch | |||||
| Erscheinungsdatum | 2018-10-09 | |||||
| Erscheinungsland | Scotland | |||||
| Dokumenttyp | Case Reports ; Journal Article | |||||
| ZDB-ID | 2866363-9 | |||||
| ISSN | 2042-8189 ; 0953-0932 | |||||
| ISSN (online) | 2042-8189 | |||||
| ISSN | 0953-0932 | |||||
| DOI | 10.4997/JRCPE.2018.308 | |||||
| Signatur |
|
|||||
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Zusatzmaterialien
Kategorien
Verfügbar in ZB MED Köln/Königswinter
| Zs.A 3088 -Suppl.-: Hefte anzeigen | Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.