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Pismo Towarzystwa Internistów Polskich, założone przez prof. Władysława Antoniego Gluzińskiego
Pismo indeksowane w:
MEDLINE/Index Medicus,
EMBASE/Excerpta Medica Database,
Index Copernicus (IC), KBN/MNiSW,
Polish Medical Library (GBL), EBSCO,
ISI Science Citation Index Expanded,
Scopus,
Directory of Open Access Journals (DOAJ)
Wartość Index Copernicus (IC) za 2010: 9 pkt,
punktacja MNiSW: 9 pkt.
Czasopismo dofinansowywane przez MNiSW w ramach działalności wspomagającej badania.
Polskie Archiwum Medycyny Wewnętrznej jest czasopismem typu "open-access" i gwarantuje darmowy dostęp do pełnej treści artykułów.
Robert G. Hart
Abstrakt
Six studies from 2006–2008 that have influenced clinical management of stroke and threatened stroke are presented. The ABCD2 score effectively stratifies the short-term risk of stroke following transient ischemic attack into those with a high (12%), moderate (6%), and low (1%) 7-day stroke risk. High-dose atorvastatin reduces recurrent stroke in patients with recent stroke, but probably slightly increases central nervous system hemorrhage (SPARCL). Intravenous tissue plasminogen activator is of overall benefit to selected patients when given 3 to 4.5 hours after ischemic stroke onset (ECASS III). Adjusted-dose warfarin is far superior to aspirin and is relatively safe for very old people with atrial fibrillation (BAFTA). Despite results from 3 recent randomized trials (SAPPHIRE, EVA-3S and SPACE) the optimal role of carotid angioplasty/stenting vs. endarterectomy remains unclear. Enoxaparin once daily is an efficacious alternative to unfractionated heparin twice daily for prevention of venous thromboembolism after acute ischemic stroke (PREVAIL). These recent studies add important pieces to the complex puzzle of optimal stroke prevention and treatment.
Słowa kluczowe
atrial fibrillation, carotid angioplasty, statins, stroke, stroke prevention, thrombolysis, tissue plasminogen activator, transient ischemic attack, venous thromboembolism
Pol Arch Med Wewn, 2008; 118 (12): 747-755
PMID: 19202954