Stroke, Vol 11, 4-9, Copyright © 1980 by American Heart Association
JE Olsson, C Brechter, H Backlund, H Krook, R Muller, E Nitelius, O Olsson and A Tornberg
156 patients with transient ischemic attacks (TIA) or reversible ischemic
neurological deficit (RIND) were given prophylactic anticoagulant (AC)
treatment against cerebral infarction in a prospective multicenter study
from 5 hospitals in southern Sweden. After 2 months of AC treatment, 135
patients remained in the study and were randomized into 2 groups; one
continued with AC treatment and one changed to anti-platelet therapy. The
patients were followed for 12 months. No significant difference was seen
between the 2 groups but 3 completed cerebral infarctions occurred during
anti-platelet therapy against one during AC treatment. One cerebral
hemorrhage was seen during AC treatment. All completed strokes occurred in
men who initially had carotid symptoms. The number of patients with
TIA/RIND was somewhat higher in the anti-platelet group whereas myocardial
infarctions occurred more often during AC treatment. Compared to the
natural history of untreated TIA/RIND both treatments were found to have a
prophylactic effect against cerebral infarction.
ARTICLES
Anticoagulant vs anti-platelet therapy as prophylactic against cerebral infarction in transient ischemic attacks
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