• Medicina clinica · Dec 2023

    Review

    Management of acute ischemic stroke.

    • Ricardo Rigual, Blanca Fuentes, and Exuperio Díez-Tejedor.
    • Servicio de Neurología y Centro de Ictus, Instituto de Investigación Sanitaria del Hospital Universitario La Paz - IdiPAZ (Hospital Universitario La Paz - Universidad Autónoma de Madrid), Madrid, España. Electronic address: ricardojaime.rigual@salud.madrid.org.
    • Med Clin (Barc). 2023 Dec 7; 161 (11): 485492485-492.

    AbstractIschemic stroke is a serious neurological condition that requires urgent attention. As a time-dependent disease, acute stroke management must be coordinated and effective to provide the best treatment as early as possible. The treatment of the acute phase of ischemic stroke includes general measures to ensure patient hemodynamic stability, the use of reperfusion therapies (intravenous thrombolytics and mechanical thrombectomy), improving cerebral protection by monitoring the homeostasis of certain variables as blood pressure, glycemia, temperature, or oxygenation, as well as preventing cerebral and systemic complications. Also, it is necessary an early planning of comprehensive rehabilitation. To prevent early recurrences, control of vascular risk factors and antithrombotic treatment is recommended. The management of patients with acute ischemic stroke aims to reverse initial symptoms, to prevent further brain damage, improve functional outcomes and avoid ischemic recurrences.Copyright © 2023 Elsevier España, S.L.U. All rights reserved.

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