• Emerg. Med. Clin. North Am. · Feb 2021

    Review

    Novel Treatments for Transient Ischemic Attack and Acute Ischemic Stroke.

    • Matthew S Siket and Rhonda Cadena.
    • Division of Emergency Medicine, Department of Surgery, Larner College of Medicine at the University of Vermont, 111 Colchester Avenue, EC2-216, Burlington, VT 05401, USA; Department of Neurological Sciences, Larner College of Medicine at the University of Vermont, 111 Colchester Avenue, EC2-216, Burlington, VT 05401, USA. Electronic address: Matthew.Siket@med.uvm.edu.
    • Emerg. Med. Clin. North Am. 2021 Feb 1; 39 (1): 227-242.

    AbstractThe treatment of acute ischemic stroke is one of the most rapidly evolving areas in medicine. Like all ischemic vascular emergencies, the priority is reperfusion before irreversible infarction. The central nervous system is sensitive to brief periods of hypoperfusion, making stroke a golden hour diagnosis. Although the phrase "time is brain" is relevant today, emerging treatment strategies use more specific markers for consideration of reperfusion than time alone. Innovations in early stroke detection and individualized patient selection for reperfusion therapies have equipped the emergency medicine clinician with more opportunities to help stroke patients and minimize the impact of this disease.Copyright © 2020 Elsevier Inc. All rights reserved.

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