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Inpatient Management of Acute Stroke of Unknown Type in Resource-Limited Settings.

Inpatient Management of Acute Stroke of Unknown Type in Resource-Limited Settings. Stroke Prust, M. L., Saylor, D., Zimba, S., Sarfo, F. S., Shrestha, G. S., Berkowitz, A., Vora, N. 1800: STROKEAHA121037297

Abstract

Stroke is the second leading cause of death and disability worldwide, with a disproportionate burden on low- and middle-income countries. Critical elements of guideline-based stroke care developed in high-income countries are not applicable to resource-limited settings, where lack of access to neuroimaging prevents clinicians from distinguishing between ischemic stroke and intracranial hemorrhage, requiring challenging clinical decision-making, particularly in the acute setting. We discuss strategies for acute inpatient management of stroke of unknown type with a focus on blood pressure management and antiplatelet therapy when neuroimaging is unavailable, and review some of the challenges and strategies for successfully implementing stroke unit care in resource-limited health care settings.

View details for DOI 10.1161/STROKEAHA.121.037297

View details for PubMedID 35045720