What is thrombolytic therapy for middle cerebral artery (MCA) stroke?

Updated: Feb 20, 2018
  • Author: Daniel I Slater, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

Thrombolytic therapy should be administered in a very orchestrated and consistent manner, relying on emergent imaging and screening to ensure only patients with ischemic stroke and no contraindications receive such therapy. After ischemic stroke, patients should be discharged from acute care on a statin, antihypertensive, and appropriate antithrombotic and/or anticoagulation medicines to prevent recurrent stroke. The selection of such medications is dependent on the presence of comorbidities, including atrial fibrillation, coronary artery disease, congestive heart failure, and diabetes.


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