Time is brain?

On Stroke (an AHA journal) has recently been published a study entitled “Stroke Thrombolysis- Save a Minute, Save a Day” in wich the authors concluded that “time is brain”

This is an observational prospective study conducted between 1998 and 2011 on a cohrt of 2258 consecutive stroke patients treated with r-TPA.

The results shown how any minute delay on TPA administration is a day less in the patient’s life.

But I’m skeptical, and to support my skpepticism, here is a post of the king of skeptical blog in emergency medicine: The Skeptical guide to Emergency Medicine:  Thrombolysis for Acute Stroke in wich in wich are well summarized all the trials on TPA in stroke and many other great resources.

This is the wonderful presentation  by Ken MilneTPA-in-CVA-pdf on the argument.

So are you really sure that the actual evidences at the base of TPA administration for the stroke patients are so evident?

Tags: ictus, r-TPA, Stroke