Alteplase for Minor Stroke: The AAEM Clinical Practice Advisory is More Accurate Than Other National Guidelines

The American Heart Association (AHA) has recently published an update to their 2018 guidelines for the management of acute ischemic stroke. Compared with the 2018 guidelines, a new class III ( “No Benefit”) recommendation was made for “mild non-disabling stroke” in the 0–3-h time window (1). “Mild disabling stroke,” however, received a class I (“Strong”) recommendation in the 0–3-h window. These guidelines were endorsed by the Society for Academic Emergency Medicine. T he 2015 American College of Emergency Physicians clinical policy does not differentiate their recommendation for the use of alteplase based on stroke severity (2).
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Letters to the Editor Source Type: research