Clinical profile of patients with acute ischemic stroke receiving intravenous thrombolysis (rtPA-alteplase)

Authors

  • Shiva Prasad Jagini Department of General Medicine, Kamineni Academy of Medical Sciences and Research Centre, LB Nagar, Hyderabad, Telangana, India
  • Suresh I. Department of General Medicine, Kamineni Institute of Medical Sciences, Narketpally, Nalgonda Dist., Telangana, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20180078

Keywords:

Outcome, rtPA-alteplase, Stroke

Abstract

Background: Stroke patients are at highest risk death in the first few weeks after the event, and between 20-50% die within first month depending on type, severity, age, co-morbidities and effectiveness of treatment of complications. Objective of this study was to clinical profile of patients with acute ischemic stroke receiving intravenous thrombolysis (rtPA-alteplase).

Methods: Prospective Observational study of 26 cases of acute ischemic stroke receiving IV thrombolysis using rtPA-alteplase at Kovai Medical Centre Hospital, Coimbatore over a period of 1 year 9 months.

Results: 21 cases had NIHSS score of range 10 to 22. The mean NIHSS score at admission is 13.5. 15 subjects (57.7%) had achieved primary outcome in this study. MRS Score of 0 to 2 is considered as favorable outcome. In this study 20 subjects (76.92 %) had favorable outcome at the end of 3 months.

Conclusions: Majority of the patients receiving rtPA-alteplase had favorable outcome.

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Published

2018-01-18

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Original Research Articles