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[Advances in therapy and prevention of ischemic myocardial infarct]
1Neurologische Universitätsklinik, Inselspital Bern.
In the acute stage of stroke, fibrinolytics are beneficial for up to 3, and in some patients up to 6, hours. If fibrinolytics are contraindicated, aspirin should be given. Heparin is dangerous due to the threat of intra- and extracranial hemorrhage. For secondary prevention, anticoagulants are indicated. When hypercholesterolemia is present, statins should be given.
In the acute stage of stroke, fibrinolytics are beneficial for up to 3, and in some patients up to 6, hours. If fibrinolytics are contraindicated, aspirin should be given. Heparin is dangerous due to the threat of intra- and extracranial hemorrhage. For secondary prevention, anticoagulants are indicated. When hypercholesterolemia is present, statins should be given.