Factor related intracerebral hemorrhage of patients With acute ischemic stroke who receive rtPA at Ayutthaya hospital
Keywords:
Acute Ischemic Stroke, rtPA, Intracranial hemorrhageAbstract
Backgrounds : Intravenous rtPA is the standard treatment of acute ischemic stroke. It is also decrease morbidity and mortality up to 30%. However , there is a significant complication such as intracerebral hemorrhage found in 2-5% of patients who received intravenous rtPA, This study is try to identify the risk factors related to intracerebral hemorrhage after given intravenous rtPA. As a result , closed monitoring for the worsening of clinical symptoms will be held in patients with these risk factors
Objective : To study factors associated with intracerebral hemorrhage in patients with acute ischemic stroke after receiving rtPA at Phra Nakon Sri Ayutthaya hospital.
Material and Methods : This is a retrospective study of 84 patients who diagnosed with acute ischemic stroke who received rtPA at Phra Nakhon Sri Ayutthaya Hospital.
Result : 84 persons included in this study, comprise of 5 (5.9%) cases with abnormal brain computed tomography and 79 (94.10%) patients without brain abnormality. There predominantly Male 47.6 %, and 52.4 % had an underlying disease with 35.7% Hypertension 35.7current ASA used, 29.1% and 90.5% dulation < 3 hr . Significant factors associated with present intracranial hemorrhage of patients With Acute Ischemic Stroke who receive rtPAat Ayutthayahospital
Conclusion : Factors associated with intracerebral hemorrhage in patients who have duration more than 3 hr before the onset of symptoms and high NIHSS score at presentation
References
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