Guidelines for the Early Management of Adults With Ischemic Stroke

• DOI: 10.1161/strokeaha.107.181486
• Publication Date: 2007-04-13T00:53:22Z
• Authors: Harold P. Adams; Gregory del Zoppo; Mark J. Alberts; Deepak L. Bhatt; Lawrence Brass; Anthony Furlan; Robert L. Grubb; Randall T. Higashida; Edward C. Jauch; Chelsea Kidwell; Patrick D. Lyden; Lewis B. Morgenstern; Adnan I. Qureshi; Robert H. Rosenwa...; Phillip A. Scott; Eelco F.M. Wijdicks
• Keywords: Stroke; Guideline

Purpose— Our goal is to provide an overview of the current evidence about components evaluation and treatment adults with acute ischemic stroke. The intended audience physicians other emergency healthcare providers who treat patients within first 48 hours after In addition, information for policy makers included. Methods— Members panel were appointed by American Heart Association Stroke Council’s Scientific Statement Oversight Committee represented different areas expertise. reviewed relevant literature emphasis on reports published since 2003 used Levels Evidence grading algorithm rate make recommendations. After approval statement panel, it underwent peer review Science Advisory Coordinating Committee. It that this guideline be fully updated in 3 years. Results— Management stroke remains multifaceted includes several aspects care have not been tested clinical trials. This recommendations management from contact medical services personnel through initial admission hospital. Intravenous administration recombinant tissue plasminogen activator most beneficial proven intervention Several interventions, including intra-arterial thrombolytic agents mechanical show promise. Because many are based limited data, additional research needed.