Terhesség és akut ischaemiás stroke
Author(s) -
Dániel Bereczki
Publication year - 2016
Publication title -
orvosi hetilap
Language(s) - Hungarian
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 21
eISSN - 1788-6120
pISSN - 0030-6002
DOI - 10.1556/650.2016.30421
Subject(s) - medicine , pregnancy , gestation , stroke (engine) , randomized controlled trial , intensive care medicine , acute stroke , obstetrics , ischemic stroke , gestational age , pediatrics , ischemia , mechanical engineering , genetics , tissue plasminogen activator , engineering , biology
Pregnancy-related ischemic strokes play an important role in both maternal and fetal morbidity and mortality. Changes in hemostaseology and hemodynamics as well as risk factors related to or independent from pregnancy contribute to the increased stroke-risk during gestation and the puerperium. Potential teratogenic effects make diagnostics, acute therapy and prevention challenging. Because randomized, controlled trials are not available, a multicenter registry of patients with gestational stroke would be desirable. Until definite guidelines emerge, management of acute ischemic stroke during pregnancy remains individual, involving experts and weighing the risks and benefits.
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