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Thrombolysis in stroke: a medicolegal quagmire.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Goldstein, Larry B. Saver, Jeffrey L. |
| Copyright Year | 2006 |
| Abstract | Thrombolysis in Stroke: a Medicolegal Quagmire To the Editor: In a recent article,1 Dr Weintraub refers to the American Heart Association (AHA) 2000 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care2 asserting that “The current guidelines are outdated and do not even include the benefit of MRI and diffusion-weighted imaging as well as the increased mortality associated with older age and large infarcts, etc. We need to re-establish trust and confidence in our professional societies which can only occur with a definitive new trial and updated protocol. Because the medical designation of Class I status is controversial . . .” The development of the AHA’s stroke-related guidelines is one of the responsibilities of the Stroke Council. We would point out that 2 American Stroke Association (ASA)/AHA Stroke Council evidence-based guidelines reviewing thrombolytic therapy were published subsequent to the document cited by Dr Weintraub, which specifically discuss factors that may affect the efficacy of intravenous recombinant tissue plasminogen activator as well as the role of neuroimaging technologies, including MRI.3,4 The Stroke Council has developed policies to ensure that its guidelines are both impartial and up-to-date.5 These include a complete review and revision of 6 “flagship” stroke guideline documents to be published every 3 years with interim “Practice Advisories” based on new developments that alter a previous recommendation. Another revision of the Guidelines for the Early Management of Acute Ischemic Stroke is currently under review. The Stroke Council’s Guideline Development Manual detailing the policies and procedures to be followed is available online at the Stroke Council web-page (http://www.americanheart. org/presenter.jhtml?identifier 1197). Stroke Council Guidelines adhere to the highest standards. Indeed, the value of the Council’s 2 most recent guidelines was independently affirmed by the American Academy of Neurology.6,7 The public and healthcare providers can place their trust and confidence in the ASA/AHA Stroke Council’s guidelines. |
| Starting Page | 9 |
| Ending Page | 17 |
| Page Count | 9 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://stroke.ahajournals.org/content/strokeaha/37/11/2663.full.pdf?download=true |
| PubMed reference number | 16990575v1 |
| Volume Number | 37 |
| Issue Number | 11 |
| Journal | Stroke |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Acute inflammatory demyelinating polyneuropathy American Heart Association Cardiopulmonary Resuscitation Cerebrovascular accident Fibrinolytic Agents Identifier Infarction Neuroimaging Policy Review [Publication Type] Scientific Publication Societies Surgical revision Thrombolysis, function alteplase responsibility standards characteristics |
| Content Type | Text |
| Resource Type | Article |
