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Abstract
Objectives: We reviewed the literature on IV stroke thrombolysis for patients with recent myocardial infarction (MI).
Methods: We searched PubMed and Ovid databases, relevant trials, and guidelines.
Results: Only 5 thrombolyzed stroke patients with recent MI were reported to have cardiac tamponade. Pathological studies show MI healing is completed by 7 weeks.
Conclusion: The time window from MI as a contraindication for IV stroke thrombolysis may be narrowed from 3 months in current guidelines to 7 weeks.
Footnotes
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- MI
- myocardial infarction
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Editorial, page 1780
- Received June 28, 2010.
- Accepted November 22, 2010.
- Copyright © 2011 by AAN Enterprises, Inc.
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