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Volume 334:1405-1406 May 23, 1996 Number 21
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Tissue Plasminogen Activator for Acute Ischemic Stroke

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 by del Zoppo, G. J.
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 by The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
-PubMed Citation
To the Editor: In "Tissue Plasminogen Activator [t-PA] for Acute Ischemic Stroke" (Dec. 14 issue),1 it is reported that treatment with t-PA increases a patient's chance of recovering from an ischemic stroke without any, or only minimal, disability or neurologic deficit. Despite this optimistic conclusion, several methodologic issues and the demonstrated risks of treatment with t-PA suggest a more cautious interpretation. Although the study was randomized, there were important base-line differences that favored the t-PA–treated patients. Overall, more patients in the t-PA–treated group than in the placebo group had been receiving aspirin before the event (odds ratio, 1.697; 95 percent . . . [Full Text of this Article]

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