A 36-year-old member asked:
How much time to hold tpa (alteplase) if a patient had stroke and is on dabigatran therapy?
1 doctor answer • 1 doctor weighed in
Cardiology 44 years experience
No TPA (alteplase): Dabigatran is an absolute contraindication to TPA (alteplase) use. The stroke patient in question is not a candidate for TPA (alteplase).
4k viewsAnswered >2 years ago
A 40-year-old member asked:
Why don't stroke patients get tpa (alteplase) therapy?
2 doctor answers • 2 doctors weighed in
Neurology 39 years experience
Patients wait: The most common reason is they wait too long before presenting to hospital. Current guidelines for t-pa in most hospitals have been extended from 3to 4.5->5 hours after the onset of symptoms of a stroke. Part of the problem is many patients wake up with weakness/speech difficulties, the time of onset can't be determined, the patient is ineligible.Recent major surgery or bleeding are exclusions.
6.4k viewsAnswered >2 years ago
Last updated Jun 12, 2014
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