DrZep

American Heart Association / American Stroke Association · USA

AHA/ASA Guidelines for the Early Management of Acute Ischemic Stroke

Time-critical thrombolysis and thrombectomy windows, imaging selection and early secondary prevention.

2019Version 2019 updateNeurology

Key recommendations

  • AClass I

    IV thrombolysis is recommended within 4.5 h of symptom onset in eligible patients.

  • AClass I

    Mechanical thrombectomy within 6 h for anterior circulation large vessel occlusion; 6-24 h with perfusion selection.

  • BClass III/IIb

    Do not lower blood pressure aggressively unless > 220/120 mmHg or thrombolysis planned.

Applies to

ischemic stroke

Demo content. Educational decision support only. Verify every dose, citation and recommendation against your national formulary and the primary source before clinical use.