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Medical Management of Ischemic Stroke 

Medical Management of Ischemic Stroke
Medical Management of Ischemic Stroke
Acute Stroke Management in the First 24 Hours: A Practical Guide for Clinicians

Maxim Mokin

and Juan Ramos-Canseco


This chapter reviews the main principles of the initial medical management of ischemic stroke. The fundamental principles of initial medical management of ischemic stroke are discussed. Based on the American Heart Association’s guidelines, these medical management standards include general supportive care (i.e., patient positioning, control of temperature, blood pressure), the use of antiplatelet and lipid-lowering agents, blood glucose control, dyslipidemia, and neuroprotection. This chapter also reviews and discusses the most recent data on the indication and timing of anticoagulation and the use of newer anticoagulation agents. Stroke clinical cases resulting from intracranial atherosclerosis, carotid and vertebral artery dissection, and fibromuscular dysplasia are presented.

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