Hemi-orolingual angioedema and ACE inhibition after alteplase treatment of stroke

被引:150
作者
Hill, MD [1 ]
Lye, T [1 ]
Moss, H [1 ]
Barber, PA [1 ]
Demchuk, AM [1 ]
Newcommon, NJ [1 ]
Green, TL [1 ]
Kenney, C [1 ]
Cole-Haskayne, A [1 ]
Buchan, AM [1 ]
机构
[1] Univ Calgary, Foothills Hosp, Dept Clin Neurosci, Calgary Stroke Program, Calgary, AB T2N 2T9, Canada
关键词
D O I
10.1212/01.WNL.0000058840.66596.1A
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
One hundred seventy-six consecutive patients treated with IV tissue plasminogen activator (tPA) for acute ischemic stroke were examined prospectively, and orolingual angioedema was found in nine (5.1%; 95% CI 2.3 to 9.5). The reaction was typically mild, transient, and contralateral to the ischemic hemisphere. Risk of angioedema was associated with angiotensin-converting enzyme inhibitors (relative risk [RR] 13.6; 95% CI 3.0 to 62.7) and signs on initial CT of ischemia in the insular and frontal cortex (RR 9.1; 95% CI 1.4 to 30.0).
引用
收藏
页码:1525 / 1527
页数:3
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