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Young adults with acute ischemic stroke are more likely to receive IV t-PA than their older counterparts, and have lower rates of bleeding - The Stroke Blog
I am finally able to share the results of the largest study to date evaluating treatment of young adults in the first hours after the onset of ischemic stroke! First, though, I would like to provide some background for you. When I left practice in the community hospital setting in order to start at Duke University in June 2015, it was in part to have the resources to study stroke management in younger adults. I had questions. Lots of question. Questions like: Are young adults receiving IV t-PA (the “clot-busting” drug for early ischemic stroke) with the same frequency as their older counterparts, or are they less likely to receive it because they are misdiagnosed? Stroke patients who are presented with the option of receiving IV t-PA early after a stroke are often told there is a 6% risk of bleeding from the drug, but is this accurate for younger adults? Or is the bleeding risk lower in younger, healthier individuals having strokes? Are there delays in treating younger adults because of a reluctance to treat, or delays in recognition that strokes are occurring? In September 2015, I submitted a research proposal to the American Heart Association/American Stroke Association as part of an application …