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Two patients had cerebral hemorrhage,one of which was fatal.None had extracranial major bleeding,while six had minor bleeding.The conditions of 23 patients improved,16 patients were stable,and six patients worsened by day 1,while 29 patients improved,eight patients were stable,and eight patients worsened by day 7.Six patients died by the first month and five more by the sixth month.Twenty-one patients were self-sufficient,both 1 and 6 months.Hemorrhagic complications were unrelated to any investigated factor.Multivariate analysis indicated that short-term outcome was predicted only by infarct size(P<.0001)and long-term outcome by infarct size(P=.002)and large vessel status(P=.0235).Our study suggests that immediate heparin treatment for ischemic carotid stroke is feasible and generally safe and that patients whose conditions improve are those with smaller infarct size and no evidence of large vessel obstruction. |
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anticoagulant,complications of
anticoagulant,treatment
anticoagulant,treatment in CVD
CAT scan
CAT scan,abnormal
cerebral ischemia
cerebrovascular accident
cerebrovascular accident,acute management of
heparin
intracerebral hemorrhage
treatment of neurologic disorder
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