Abstract

CAMARGO VILLARREAL, Walter Mario et al. Intravenous thrombolysis in acute ischemic stroke in Santa Cruz Bolivia: retrospective analysis of the first 18 cases . Gac Med Bol [online]. 2019, vol.42, n.1, pp.59-64. ISSN 1012-2966.

Objective: describe the experience in the implementation of the thrombolysis intravenous protocol in eighteen patients with acute ischemic stroke in the Stroke unit from the Foianini Clinic specifically, between September of 2013 and July of 2017. Methods: the study has a quantitative, descriptive and retrospective approach. The medical record of the patients with the acute ischemic stroke diagnosis treated with intravenous thrombolytic (Alteplasa) in the UTAC service between September of 2013 and July 2017 in Santa Cruz Bolivia was revised. Results: symptoms-Door time reached to 62.7 38 minutes. While the time Door- needle time was 53.6 15 minutes and the time symptoms- needle 114.6 3 days of internment in the clinic, passing out an average of 2.8 2 days in the stroke unit. The mortality tax was 16.6%. According to the modified Rankin Scale, it had a 0-1 mRS score. Conclusions: the time Door-needle in our establishment was an average of 57 minutes, fulfilling in this way the recommendation of the American Heart Association Guidelines 2013, which emphasize that it has to be < 60 minutes.

Keywords : stroke; thrombolysis; brain ischemia.

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