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Acute ischemic stroke: A guideline-based overview of evaluation and management.

Created on 08 Apr 2025

Authors

Kevin M Bogenschutz, Daniel S Fisher, Geoff W Wright

Published in

JAAPA : official journal of the American Academy of Physician Assistants. Apr 07, 2025. Epub Apr 07, 2025.

Abstract

Stroke is the fifth most common cause of death in the United States, and projections suggest that its incidence will increase in the coming decade. Of all stroke cases, 85% are caused by vascular occlusion, resulting in infarction to the brain, in a condition more specifically known as acute ischemic stroke (AIS). The American Heart Association (AHA)/American Stroke Association (ASA) guideline addresses early management of AIS for providers' use in ensuring rapid evaluation and imaging for patients suspected to be affected. The guideline also aids providers in determining and delivering the most appropriate interventions upon AIS diagnosis. This article reviews the AHA/ASA AIS guideline and highlights key components of care, such as patient evaluation, criteria for fibrinolysis and mechanical thrombectomy, postacute care, and hospital discharge with secondary prevention measures.

PMID:
40197996
Bibliographic data and abstract were imported from PubMed on 08 Apr 2025.

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