Aspirin and heparin in acute ischaemic stroke in older patients.

Abstract:

:Over four-fifths of all strokes are due to thrombotic or embolic occlusion of cerebral arteries. There is a strong rationale for considering antithrombotic therapy for the treatment of patients with acute ischaemic stroke. Antiplatelet therapy with 150 to 300 mg of aspirin (acetylsalicylic acid) started within the first 48 hours of an ischaemic stroke improves patient outcome in the short and long term, with a low risk of adverse effects. Anticoagulants such as heparin may reduce the risk of developing deep venous thrombosis and pulmonary embolism in patients with stroke, but randomised controlled trials have demonstrated a significant and dose-dependent risk of intracranial haemorrhage. The routine use of parenteral anticoagulants, including unfractionated heparin, low-molecular-weight heparins and heparinoids in the acute phase of ischaemic stroke is not associated with any net short or long term benefit. Aspirin is, therefore, the antithrombotic drug of choice in the treatment of acute ischaemic stroke.

journal_name

Drugs Aging

journal_title

Drugs & aging

authors

Gubitz GJ,Sandercock PA

doi

10.2165/00002512-199915010-00003

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

29-36

issue

1

eissn

1170-229X

issn

1179-1969

journal_volume

15

pub_type

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