Acute ischemic stroke treatment in a nutshell

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Glycemic control in secondary stroke prevention • Does good glycemic control translate to reduction of stroke recurrence – No clear reduction in macrovascular complications such as stroke • How tight should glycemic control in diabetics HbA1c
Lipid control in secondary stroke prevention • Should all post-stroke patients be on statins No. Only if LDLc ≥100 mg/dl • What is the target lipid level – Reduce LDLc by at least 50% or – Target an LDLc level of
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Acute ischemic stroke treatment in
Page 3 and 4:
REPERFUSION TIME IS BRAIN An estima
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Reperfusion of salvageable tissue
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Improved neurological & functional
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Acute intravenous alteplase
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• BENEFIT RCT EVIDENCE
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TIME IS BRAIN • At 3 months, OR f
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Antithrombotic therapy: Antiplatele
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Stroke Unit Management • What is
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Acute ischaemic stroke treatment st
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Antithrombotic agents • Antiplate
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Antiplatelets in long-term secondar
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Which antiplatelet Acceptable optio
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Which antiplatelet better-Combinati
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Cilostazol (CSPS II) • Randomised
Page 31 and 32: Anticoagulation in long-term second
Page 33 and 34: Anticoagulants Dosing Monitoring SE
Page 35 and 36: WARFARIN Secondary prevention: Prio
Page 37 and 38: DABIGATRAN AF + high risk for embol
Page 39 and 40: RIVAROXABAN AF + high risk for embo
Page 41 and 42: APIXABAN AF patients could not tole
Page 43 and 44: Other indications for anticoagulati
Page 45 and 46: Good Side: Beneficial Effects • R
Page 47 and 48: One of many concerns Don’t forget
Page 49 and 50: Great population benefit in view of
Page 51 and 52: Management of Hypertension, Diabete
Page 53 and 54: Should all post-stroke patients be
Page 55 and 56: Should all post-stroke patients be
Page 57 and 58: Which antihypertensives to use Law,
Page 59 and 60: Which antihypertensive to use - Com
Page 61 and 62: Which antihypertensive to use - Com
Page 63 and 64: What is the target BP - Upper limit
Page 65 and 66: What is the target BP - Lower limit
Page 67 and 68: Diabetes • Diabetes is a risk fac
Page 69 and 70: Why DM control in stroke patients 4
Page 71 and 72: How tight should glycemic control b
Page 73 and 74: How tight should glycemic control b
Page 75 and 76: Dyslipidemia • Modest relationshi
Page 77 and 78: Statins and ischemic stroke - Meta-
Page 79 and 80: Should all stroke patients be on st
Page 81: BP control in secondary stroke prev
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Acute ischemic stroke treatment in a nutshell

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